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Drug abuse, HIV/AIDS and stigmatisation in a Dai community in Yunnan, China

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  • Deng, Rui
  • Li, Jianghong
  • Sringernyuang, Luechai
  • Zhang, Kaining

Abstract

The latest data indicate that between 540,000 and 760,000 people are infected with HIV in China. Although minority nationalities represent 8.1% of China's total population, they account for more than 30% of the reported HIV/AIDS cases. This study examined stigma and discrimination against drug abusers and people living with HIV/AIDS (PLHA) in a Dai minority nationality community in Yunnan, China. The study used qualitative research methods, which included participatory observations, in-depth interviews, focus-group discussions, transect walking and community mapping. A combination of different sampling strategies was used to maximise diversity of the initially selected sample. The data revealed deeply entrenched stigma and overt discrimination against drug abusers and PLHA that manifested in familial, work, civil and institutional contexts. The stigma reflected pre-existing cultural, religious sanctions against "deviant behaviours". Intervention programmes that were insensitive to the local culture and religion may have also contributed in part to the stigmatisation of drug abusers and PLHA. The major impact of stigma was that it created a vicious cycle of social isolation, marginalisation and thus addiction relapse. This in turn reinforced the stigmatisation and discrimination against drug abusers and thus hindered efforts towards prevention and control of HIV/AIDS.

Suggested Citation

  • Deng, Rui & Li, Jianghong & Sringernyuang, Luechai & Zhang, Kaining, 2007. "Drug abuse, HIV/AIDS and stigmatisation in a Dai community in Yunnan, China," Social Science & Medicine, Elsevier, vol. 64(8), pages 1560-1571, April.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:8:p:1560-1571
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    References listed on IDEAS

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    1. Wong, Glenn C. & LI, Virginia C. & Burris, Mary Ann & Xiang, Yueping, 1995. "Seeking women's voices: Setting the context for women's health interventions in two rural counties in Yunnan, China," Social Science & Medicine, Elsevier, vol. 41(8), pages 1147-1157, October.
    2. Bond, Virginia & Chase, Elaine & Aggleton, Peter, 2002. "Stigma, HIV/AIDS and prevention of mother-to-child transmission in Zambia," Evaluation and Program Planning, Elsevier, vol. 25(4), pages 347-356, November.
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    Cited by:

    1. Yang, Lawrence Hsin & Kleinman, Arthur, 2008. "'Face' and the embodiment of stigma in China: The cases of schizophrenia and AIDS," Social Science & Medicine, Elsevier, vol. 67(3), pages 398-408, August.
    2. Liamputtong, Pranee & Haritavorn, Niphattra & Kiatying-Angsulee, Niyada, 2009. "HIV and AIDS, stigma and AIDS support groups: Perspectives from women living with HIV and AIDS in central Thailand," Social Science & Medicine, Elsevier, vol. 69(6), pages 862-868, September.
    3. Medina-Perucha, Laura & Scott, Jenny & Chapman, Sarah & Barnett, Julie & Dack, Charlotte & Family, Hannah, 2019. "A qualitative study on intersectional stigma and sexual health among women on opioid substitution treatment in England: Implications for research, policy and practice," Social Science & Medicine, Elsevier, vol. 222(C), pages 315-322.
    4. Nepal, Binod, 2007. "AIDS denial in Asia: Dimensions and roots," Health Policy, Elsevier, vol. 84(2-3), pages 133-141, December.
    5. Rao, Deepa & Angell, Beth & Lam, Chow & Corrigan, Patrick, 2008. "Stigma in the workplace: Employer attitudes about people with HIV in Beijing, Hong Kong, and Chicago," Social Science & Medicine, Elsevier, vol. 67(10), pages 1541-1549, November.
    6. Yang, Lawrence H. & Purdie-Vaughns, Valerie & Kotabe, Hiroki & Link, Bruce G. & Saw, Anne & Wong, Gloria & Phelan, Jo C., 2013. "Culture, threat, and mental illness stigma: Identifying culture-specific threat among Chinese-American groups," Social Science & Medicine, Elsevier, vol. 88(C), pages 56-67.

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