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The implications of these studies were discussed as they relate to the development of ongoing efforts to reduce HIV-related stigma and discrimination around the globe. For example, the experience of stigma itself indirectly led to high-risk practices such as multiple partners, partner concurrency, and low rates of condom and lubricant use, by fueling both depression and the use of alcohol. Examples of such stigma included being excluded from family gatherings; overhearing discriminatory remarks; feeling rejected by friends; being arrested, jailed, or beaten up; having ever been raped; feeling depressed in the last two weeks; or having recent unprotected receptive anal intercourse. The panel focused on the significance of the law both in compounding stigma and in mitigating it. Measurement of stigma remains a vital concern. Stigma by health care providers continues to be a problem in many parts of the world.

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