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‘Treating Africans differently’: using skin colour as proxy for HIV risk

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  • Mark Henrickson
  • Meaghan Fisher

Abstract

Aims and objectives This paper examines the qualitative results of two studies of Black African new settler communities in New Zealand. The analysis investigates the issues of stigma and microaggressions and their effects on Black African communities. Background Previous work that investigated experiences of stigma faced by relatively early Black African new settlers to New Zealand found that new settlers experienced stigma, and their resulting isolation had negative implications for access to health and social services, regardless of HIV status. Design This paper is a meta‐analysis of two published studies, using original qualitative data from each. Methods Researchers for the first study, Standing in the Fire, interviewed 13 Black Africans living with HIV who were new settlers to New Zealand. The second study, AfricaNZ Care, was a national mixed method study which surveyed 703 Black African new settlers, and included 131 participants in 23 different focus groups. The present analysis includes only the qualitative data from the second study. Some, but not most, participants of the second study were living with HIV. Results Black African identity is used as a proxy for HIV status among non‐HIV specialist health care workers. Participants reported experiences of stigma and microaggressions based on their race, and a lack of knowledge about HIV in non‐HIV specialist nurses and other health care workers. They also experienced poor health care and education practices, professional prejudice against colleagues living with HIV and institutional challenges including failure to protect patient confidentiality. Conclusions HIV‐related stigma and microaggressions remain significant problems, not only for people living with HIV but also for those perceived to be at high risk for HIV. Relevance to clinical practice Experiences of stigmatising behaviour by health care professionals have a broad and significant range of impacts on patients’ health outcomes.

Suggested Citation

  • Mark Henrickson & Meaghan Fisher, 2016. "‘Treating Africans differently’: using skin colour as proxy for HIV risk," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1941-1949, July.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:13-14:p:1941-1949
    DOI: 10.1111/jocn.13212
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    References listed on IDEAS

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    1. Eaton, L.A. & Driffin, D.D. & Kegler, C. & Smith, H. & Conway-Washington, C. & White, D. & Cherry, C., 2015. "The role of stigma and medical mistrust in the routine health care engagement of black men who have sex with men," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 75-82.
    2. Semiha Akin & Basak Mendi & Onur Mendi & Zehra Durna, 2013. "Turkish nursing students' knowledge of and attitudes towards patients with HIV/AIDS," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(23-24), pages 3361-3371, December.
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