Evidence map›Paper›PMID 36646928›Full record

ArticleAIDS and behavior2023

"It's Better If I Die Because Even in the Hospital, There is a Stigma, People Still Gossip": Gossip as a Culturally Shaped Labeling Process and Its Implications for HIV-Related Stigma in Botswana.

Ohemaa B Poku, Evan L Eschliman, Patlo Entaile, Shathani Rampa, Haitisha Mehta, Danielle Tal, Lea Silvert, Tingyu Li, Timothy D Becker, Darshini Govindasamy and 7 more

Open access · greenAbstract read
In one paragraph

Article in AIDS and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Managing patient mental health disclosures in Canadian dental and dental hygiene programs.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2025
    Review
  6. Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 11 institutions in 3 countries.

Ohemaa B PokuDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. op2190@cumc.columbia.edu.
Evan L EschlimanDepartment of Health, Behavior and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Patlo EntaileBotswana-UPenn Partnership, Gaborone, Botswana.
Shathani RampaDepartment of Psychology, Queens College, City University of New York, New York, NY, USA.
Haitisha MehtaDepartment of Clinical and Counselling Psychology, Teachers College, Columbia University, New York, NY, USA.
Danielle TalDepartment of Clinical and Counselling Psychology, Teachers College, Columbia University, New York, NY, USA.
Lea SilvertDepartment of Clinical and Counselling Psychology, Teachers College, Columbia University, New York, NY, USA.
Tingyu LiDepartment of Clinical and Counselling Psychology, Teachers College, Columbia University, New York, NY, USA.
Timothy D BeckerDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Darshini GovindasamyMedical Research Council, South Africa, Cape Town, South Africa.
Melissa A StocktonDepartment of Psychiatry, Vagelos College of Physicians and Surgeons Columbia University, New York, NY, USA.
Adebola AdedimejiDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA.
Ari Ho-FosterUniversity of Botswana, Gaborone, Botswana.
Michael B BlankDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Derek T DangerfieldJohns Hopkins School of Nursing, Baltimore, MD, USA.
Lawrence H Yang *School of Global Public Health, New York University, New York, NY, USA.
Sarah M Murray *Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Columbia University · USJohns Hopkins University · USAlbert Einstein College of Medicine · USBotswana Open University · BWIcahn School of Medicine at Mount Sinai · USNew York State Psychiatric InstituteNew York University · USQueens College, CUNY · USSouth African Medical Research Council · ZAUniversity of Botswana · BWUniversity of Pennsylvania · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Karine Dube · 2013 to 2026
$23.5M
INSPIRE : Interdisciplinary Social and Behavioral Science Prevention and Intervention REsearch in HIVT32MH019139 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Claude Ann Mellins, Jae M. Sevelius · 1989 to 2026
$10.8M
Global Mental Health Research Fellowship: Interventions That Make a DifferenceT32MH096724 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2012 to 2026
$4.4M
Global Mental Health Training ProgramT32MH103210 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Judith Karen Bass, Sarah Sutherlin-McIvor Murray · 2015 to 2026
$4.0M
RCT to reduce stigma and improve treatment adherence in HIV+ pregnant women in BotswanaR21TW011084 · FIC · NEW YORK UNIVERSITY · PI YANG, LAWRENCE H · 2018 to 2019
$376k
FIC NIH HHS R21 TW011084FIC NIH HHS TW011084-01NIAID NIH HHS P30 AI045008NIMH NIH HHS P30 MH043520NIMH NIH HHS P30 MH097488NIMH NIH HHS T32 MH019139NIMH NIH HHS T32 MH096724NIMH NIH HHS T32 MH103210
6 · The paper itself

Abstract

This study qualitatively explores HIV-related gossip as both a manifestation and driver of HIV-related stigma, which is a known barrier to HIV testing and treatment in Botswana. Data were elicited from 5 focus group discussions and 46 semi-structured in-depth interviews with individuals living with HIV and community members with undisclosed serostatus in Gaborone, Botswana in 2017 (n = 84). Directed content analysis using the 'What Matters Most' theoretical framework identified culturally salient manifestations of HIV-related stigma; simultaneous use of Modified Labeling Theory allowed interpretation and stepwise organization of how the social phenomenon of gossip leads to adverse HIV outcomes. Results indicated that HIV-related gossip can diminish community standing through culturally influenced mechanisms, in turn precipitating poor psychosocial well-being and worsened HIV-related outcomes. These harms may be offset by protective factors, such as appearing healthy, accepting one's HIV status, and community education about the harms of gossip.

Indexed as

HIV InfectionsStereotypingBotswanaHospitalsHumansSocial StigmaBotswanaCultureGossipHIV/AIDSStigma

Identifiers

PMID36646928
PMCPMC10350478
OpenAlexW4316669745

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.