Discrimination against HIV-Infected People and the Spread of HIV: Some Evidence from France
2007

Discrimination and Unsafe Sex Among HIV-Infected People in France

Sample size: 2136 publication 10 minutes Evidence: moderate

Author Information

Author(s): Peretti-Watel Patrick, Spire Bruno, Obadia Yolande, Moatti Jean-Paul

Primary Institution: Institut National de la Santé et de la Recherche Médicale (INSERM)

Hypothesis

Does stigma and discrimination contribute to the spread of HIV among people living with HIV/AIDS?

Conclusion

The study confirms a relationship between discrimination and unsafe sex among HIV-positive individuals, particularly in those infected through heterosexual contact.

Supporting Evidence

  • 24% of respondents reported experiences of discrimination in their close social environment.
  • 18% reported unsafe sex during the previous 12 months.
  • Discrimination was associated with an increase in unsafe sex for both IDU and heterosexual contact groups.

Takeaway

People living with HIV often face discrimination, which can lead to risky sexual behavior. This is especially true for those infected through heterosexual contact.

Methodology

A national cross-sectional survey was conducted among a random sample of HIV-infected patients in France, focusing on their experiences of discrimination and unsafe sex.

Potential Biases

Social desirability bias may have influenced self-reports of sexual behaviors.

Limitations

The study's response rate was 59%, and it may not represent all HIV-positive individuals, particularly those unaware of their status.

Participant Demographics

Participants were HIV-infected individuals, with a focus on those who were sexually active.

Statistical Information

P-Value

p<0.01

Confidence Interval

1.65 [1.05;2.58] for IDU group, 1.80 [1.27;2.54] for heterosexual group

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0000411

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