S-T-I-G-M-A through the Eyes of PLHIV: Deconstructing HIV and AIDS Depiction in Batang Poz
Abstract
Various international serial dramas depict how people living with HIV (PLHIV) struggled in the early years of the disease through the perspective of entertainment media. Despite this, depictions of their stories in the Philippines are not given priority due to our deeply rooted conservatism. Batang Poz (Minors with HIV), a local miniseries about teenagers suffering from stigma, has become publicly available online in response to the increasing number of Filipino youths with human immunodeficiency virus (HIV). However, media depictions of this chronic health condition remain understudied in the country. This study sheds light on the mediated view of HIV and acquired immunodeficiency syndrome (AIDS) by analyzing the subjective experiences and situated logic of PLHIV. Moreover, this paper explores the possibility of combining Stuart Hall's Reception Theory with Roland Barthes's Semiotics to surface ideological discourse using the concept of deconstruction while allowing the audience to exercise agency. Thirteen PLHIV were interviewed, and their self-reflexive narratives were analyzed to unravel the hegemonic meanings constructed by the advocacy show. These dominant ideologies that perpetuate stigma include: (a) [S]exual activities among men having sex with men as the sole driver of HIV; (b) [T]esting for HIV as castration of dignity, (c) [I]mmortalization of oppressive LGBTQ hierarchy; (d) [G]lorification of tolerance rather than acceptance, inclusivity, and awareness; (e) [M]agnification of shallow issues; and (f) [A]dvocacy overpowered by capitalism. To summarize, Batang Poz did not present the milestones in HIV treatment but rather oversimplified public health issues and trivialized PLHIV rights.
Keywords: HIV/AIDS, reception theory, semiotics, deconstruction, dominant ideologies.
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Adia, A. C., Bermudez, A. N. C., Callahan, M. W., Hernandez, L. I., Imperial, R. H., & Operario, D. (2018). “An evil lurking behind you”: Drivers, experiences, and consequences of HIV–related stigma among men who have sex with men with HIV in Manila, Philippines. AIDS Education and Prevention, 30(4), 322-334. https://doi.org/n3p9
Adjoteye, E. A., Saragih, M. Y., & Ridwan, M. (2021). Methodological approaches to reception analysis research in Ghanaian media studies. Budapest International Research and Critics Institute-Journal (BIRCI-Journal), 4(1), 1545-1551. https://doi.org/n3qb
Ancheta, J. R. (2016). Dissecting the image of Elsa towards semiotic reading of the Philippine classic film ‘Himala’. Jurnal Komunikasi: Malaysian Journal of Communication, 32(2), 770-789. https://doi.org/10.17576/JKMJC-2016-3202-37
Bagasol Jr, E. D., & Embate, J. M. L. (2018). Kuwentong positibo: Unfolding identities and human potentials of selected people living with HIV (PLHIV) through their counter narratives. The Philippine Journal of Development Communication, 10(1), 76-118.
Barthes, R. (1992). The death of the author, 1968. Image-Music-Text. NT: Fontana Press.
Baselga, S. V. (2021). HIV-related stigma in the European cinema: Conflictive representations of a cultural trauma. In C. M. Scarcelli, D. Chronaki, S. De Vuyst, & S. V. Baselga (Eds.), Gender and sexuality in the European media (pp. 75-85). Routledge.
Bekker, L. G., Beyrer, C., Mgodi, N., Lewin, S. R., Delany-Moretlwe, S., ... & Lazarus, J. V. (2023). HIV infection. Nature Reviews Disease Primers, 9, 42. https://doi.org/gtd9sf
Bekker, L. G., & Hosek, S. (2015). HIV and adolescents: Focus on young key populations. Journal of the International AIDS Society, 18(2Suppl 1), 20076. https://doi.org/10.7448/IAS.18.2.20076
Biana, H. T., & Joaquin, J. J. B. (2020). The ethics of scare: COVID-19 and the Philippines' fear appeals. Public Health, 183, 2. https://doi.org/10.1016/j.puhe.2020.04.017
Board, A., Alpren, C., Hernandez, B., Murray, A., Dawson, E. L., Drumhiller, K., ... & Agnew-Brune, C. (2021). A qualitative study of injection and sexual risk behavior among unstably housed people who inject drugs in the context of an HIV outbreak in Northeast Massachusetts, 2018. International Journal of Drug Policy, 95, 103368. https://doi.org/10.1016/j.drugpo.2021.103368
Bollas, A. (2022). Viral representations in Pose (2018–2021). Journal of Popular Film and Television, 50(3), 112-129. https://doi.org/10.1080/01956051.2022.2110559
Boskey, E. (2024, October 24). Why do gay men get HIV? Verywell Health. https://www.verywellhealth.com/why-do-gay-men-have-an-increased-risk-of-hiv-3132782
Briandana, R., & Azmawati, A. (2020). New media audience and gender perspective: A reception analysis of millennials interpretation. International Journal of Humanities and Social Sciences Research, 6(1), 58-63.
Briandana, R., Fasta, F., Mihardja, E. J., & Qasem, A. (2021). Exploring self identity: An analysis of audience reception of vlogs. Jurnal ASPIKOM, 6(2), 303-314.
CAMELEON Association. (n.d.). Context in the Philippines. https://www.cameleon-association.org/contexte-aux-philippines/?lang=en
Carry, M. (2024, July 12). Implementing and scaling up undetectable = Untransmittable (U=U): A resource guide. CDC's Division of Global HIV and TB. https://www.cdc.gov/global-hiv-tb/php/our-approach/undetectable-untransmittable.html
Center for Disease Control and Prevention. (2024, December 5). Doxy PEP for bacterial STI prevention. https://www.cdc.gov/sti/hcp/doxy-pep/index.html
Chandler, D. (2022). Semiotics: The basics. Routledge.
Chang, C. C. (2023). The clash of theories: Semiotic democracy and personality theory in intellectual property law. Law & World, 26, 14.
Collins, P., Holman, A., Freeman, M., & Patel, V. (2006). What is the relevance of mental health to HIV/AIDS care and treatment programs in developing countries? A systematic review. AIDS, 20(12), 1571–1582.
Ishar, R., & Irawan, A. M. (2023). Semiotic analysis of the denotative and connotative meaning on the Beatles’ songs lyrics. English Language and Literature, 12(1), 152-167.
De Jesus, A., Gonzalez, M. C., Calimag, M., & Rey, F. (2012). Unsafe injecting drug use, a growing source of HIV transmission in the Philippines: Implications to policy. United Nations Development Programme.
Department of Health (DOH) Epidemiology Bureau. 2022, December. HIV/AIDS registry of the Philippines.
Edwards, F. (2020). From misrepresentation to milestones: An investigation of LGBTQ character development in two primetime situation comedies. Journalism and Mass Communication, 8(1), 25-36. https://doi.org/10.15640/rjmc.v8n1a3
Elinwa, O. J. (2020). Audience readings and meaning negotiation in the film viewing space: An ethnographic study of nollywood’s viewing center audiences. SAGE Open, 10(3). https://doi.org/10.1177/2158244020939537
Dixon, M. (2019). Media theory for a level: The essential revision guide. Routledge. https://doi.org/10.4324/9780429032240
Espiritu, B. F. (2011). Transnational audience reception as a theater of struggle: Young Filipino women's reception of Korean television dramas. Asian Journal of Communication, 21(4), 355-372. https://doi.org/10.1080/01292986.2011.580852
Gamayo, G. V. F., Santos, Y. T. P., Tanchuan, V. V. V., & Villacastin, J. N. A. (2024). Unearthing the disabling perplexities of a Filipino PLHIV online community on X’s #PLHIVDiaries as socially shared inquiry, fostering pakikipagkapwa. Journal of Asian Pacific Communication, 34(2), 156-179. https://doi.org/10.1075/japc.00108.gam
Gangcuangco, L. M. A. (2019). HIV crisis in the Philippines: Urgent actions needed. The Lancet Public Health, 4(2), e84.
Gangcuangco, L. M. A., & Eustaquio, P. C. (2023). The state of the HIV epidemic in the Philippines: Progress and challenges in 2023. Tropical Medicine and Infectious Disease, 8(5), 258. https://doi.org/10.3390/tropicalmed8050258
Gibraltar, M., Adnan, H. M., & Rahamad, M. S. (2023). The semiotic analysis of the collisions between dominant myths and counter-myths in three Indonesian horror movies. Jurnal Komunikasi: Malaysian Journal of Communication, 39(2), 55-77.
Griffin, E. A. (2012). A first look at communication theory (8th Ed). New York: McGraw-Hill.
Gutiérrez, J. P., & Trossero, A. (2021). Socioeconomic inequalities in HIV knowledge, HIV testing, and condom use among adolescent and young women in Latin America and the Caribbean. Revista Panamericana de Salud Pública, 45, e47. https://doi.org/n3qj
Hall, S. (1973). Encoding/decoding in television discourse: Stencilled paper. Birmingham Centre for Contemporary Cultural Studies: University of Birmingham.
Hart, K. P. R. (2002). Representing men with HIV/AIDS in American movies. The Journal of Men’s Studies, 11(1), 77-89. https://doi.org/10.3149/jms.1101.77
Hart, K. P. R. (2014). The AIDS movie: Representing a pandemic in film and television. Routledge.
Hawcroft, C., Hughes, R., Shaheen, A., Usta, J., Elkadi, H., Dalton, T., ... & Feder, G. (2019). Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: A systematic review and meta-analysis. BMC Public Health, 19(1), 1-12. https://doi.org/10.1186/s12889-019-6619-2
HIV.gov. (2024, June 27). Pre-exposure prophylaxis. https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/pre-exposure-prophylaxis
HIVinfo.NIH.gov. (2024, September 4). HIV and AIDs: The basics. https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-aids-basics
Human Rights Watch. (2016, December 8). Fueling the Philippines’ HIV epidemic. https://tinyurl.com/ydscryjp
Human Rights Watch. (2018, Feb 9). Philippines: Discrimination against workers with HIV. https://www.hrw.org/report/2016/12/08/fueling-philippines-hiv-epidemic/government-barriers-condom-use-men-who-have-sex
Hutchinson, P., & Dhairyawan, R. (2018). Shame and HIV: Strategies for addressing the negative impact shame has on public health and diagnosis and treatment of HIV. Bioethics, 32(1), 68-76. https://doi.org/10.1111/bioe.12378
Jaymalin, M. (2023, March 13). Pinoy teens, young children getting HIV. Philippine Star. https://www.philstar.com/headlines/2023/03/13/2251241/pinoy-teens-young-children-getting-hiv
Javaid, A. (2017). Masculinities, sexualities and identities: Understanding HIV positive and HIV negative male rape victims. International Sociology, 32(3), 323-342. https://doi.org/10.1177/0268580917696387
Kelleher, P. (2021, December 1). The good, the bad and the sometimes ugly history of HIV and AIDS on screen. The Pink News. https://www.thepinknews.com/2021/12/01/hiv-aids-film-tv-philadelphia-its-a-sin-dallas-buyers-club/
Koirala, S., Deuba, K., Nampaisan, O., Marrone, G., Ekström, A. M., & CAT-S group. (2017). Facilitators and barriers for retention in HIV care between testing and treatment in Asia—A study in Bangladesh, Indonesia, Lao, Nepal, Pakistan, Philippines and Vietnam. PLOS One, 12(5), e0176914. https://doi.org/10.1371/journal.pone.0176914
Lakdawalla, D., Sood, N., & Goldman, D. (2006). HIV breakthroughs and risky sexual behavior. The Quarterly Journal of Economics, 121(3), 1063-1102. https://doi.org/bpp753
Llenas-García, J., Masiá, M., Pascual Perez, R., González-Cuello, I., Agulló Re, V., Romero Nieto, M., ... & Wikman-Jorgensen, P. (2023). Systematic screening of gender violence and domestic violence among HIV-positive patients: The VIHOLETA study. AIDS Care, 35(10), 1443-1451. https://doi.org/10.1080/09540121.2022.2125929
Livingstone, S. (2002). Relationships between media and audiences: Prospects for audience reception studies. In J. Curran & T. Liebes (Eds.), Media, ritual and identity (eBook, pp. 237-255). Routledge.
Mahathir, M. (1997). Women at greater risk of HIV infection. Arrows for Change, 3(1), 1-2.
Makwambeni, B & Salawu, A. (2018). Accounting for youth audiences’ resistances to HIV and AIDS messages in the television drama Tsha Tsha in South Africa. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 15(1), 20-30. https://doi.org/n3qk
Malik, A., Antonino, A., Khan, M. L., & Nieminen, M. (2021). Characterizing HIV discussions and engagement on Twitter. Health and Technology, 11, 1237–1245.
Massetti, G. M., Townsend, J. S., Thomas, C. C., Basile, K. C., & Richardson, L. C. (2018). Healthcare access and cancer screening among victims of intimate partner violence. Journal of Women's Health, 27(5), 607-614. https://doi.org/10.1089/jwh.2017.6402
Maulsby, C. H., Ratnayake, A., Hesson, D., Mugavero, M. J., & Latkin, C. A. (2020). A scoping review of employment and HIV. AIDS and Behavior, 24, 2942-2955. https://doi.org/10.1007/s10461-020-02845-x
Melgarejo, C. M. S., & Delariarte, C. F. (2024). Lived experiences of men living with HIV undergoing antiretroviral treatment In the Philippines. North American Journal of Psychology, 26(4), 987-994.
Mitchell, U. A., Nishida, A., Fletcher, F. E., & Molina, Y. (2021). The long arm of oppression: How structural stigma against marginalized communities perpetuates within-group health disparities. Health Education & Behavior, 48(3), 342-351. https://doi.org/10.1177/10901981211011927
Mohd Jafar, N. H., Mohd Adnan, H., & Ahmad, R. (2022). The portrayal of women in persuasive advertisement: Semiotic analysis of Deeja cosmetic TV commercial. Jurnal Komunikasi: Malaysian Journal of Communication, 38(2), 297-313. https://doi.org/jwf3
Mumin, A. A., Gyasi, R. M., Segbefia, A. Y., Forkuor, D., & Ganle, J. K. (2018). Internalised and social experiences of HIV-induced stigma and discrimination in urban Ghana. Global Social Welfare, 5, 83-93. https://doi.org/10.1007/s40609-018-0111-2
Nauli, E., & Halomoan, H. S. (2021). A semiotics analysis of Forget Me Not, a film directed by Kei Horie using Roland Barthes theory. e-LinguaTera, 1(2), 20-36. https://doi.org/10.31253/lt.v1i2.960
Odlum, M., Yoon, S., Broadwell, P., Brewer, R., & Kuang, D. (2018). How Twitter can support the HIV/AIDS response to achieve the 2030 eradication goal: In-depth thematic analysis of world AIDS day tweets. JMIR Public Health and Surveillance, 4(4), e10262. https://doi.org/10.2196/10262
Osborne, O., Peyravian, N., Nair, M., Daunert, S., & Toborek, M. (2020). The paradox of HIV blood–brain barrier penetrance and antiretroviral drug delivery deficiencies. Trends in Neurosciences, 43(9), 695-708. https://doi.org/10.1016/j.tins.2020.06.007
O'neill, S., & Nicholson-Cole, S. (2009). “Fear won't do it” promoting positive engagement with climate change through visual and iconic representations. Science Communication, 30(3), 355-379. https://doi.org/10.1177/1075547008329201
Philippine Health Research Ethics Board. (2022). National ethical guidelines for research involving human participants 2022.
Procter, J. (2004). Stuart Hall. Routledge.
Prysthon, A. (2016). Stuart Hall, film studies and the cinema. MATRIZes, 10(3).
Putri, A.F., Inayah, A., & Wageyono. (2023). A semiotic analysis of the Aladdin movie by using Roland Barthes Theory. Lunar, 6(2), 376-386. https://doi.org/10.36526/ln.v6i2.2453
Ramchandani, M. S., & Golden, M. R. (2019). Confronting rising STIs in the era of PrEP and treatment as prevention. Current HIV/AIDS Reports, 16, 244-256. https://doi.org/10.1007/s11904-019-00446-5
Remien, R. H., Patel, V., Chibanda, D., & Abas, M. A. (2021). Integrating mental health into HIV prevention and care: A call to action. Journal of the International AIDS Society, 24(Suppl 2). https://doi.org/10.1002/jia2.25748
Ren, C., & Lei, M. (2020). Positive portrayals of ‘living with HIV’ to reduce HIV stigma: Do they work in reality? Journal of Applied Communication Research, 48(4), 496-514. https://doi.org/10.1080/00909882.2020.1789688
Maciel, G. D. R. (2022). Understanding male sexual victimization: An expository synthesis [University Honors Theses Paper 1220, Psychology, Porltand State University]. https://doi.org/10.15760/honors.1251
Sallabank, G., Blackburn, N. A., Threats, M., Pulley, D. V., Barry, M. C., LeGrand, S., ... & Muessig, K. E. (2022). Media representation, perception and stigmatisation of race, sexuality and HIV among young black gay and bisexual men. Culture, Health & Sexuality, 24(12), 1729-1743. https://doi.org/10.1080/13691058.2021.2008506
Scarcelli, C. M., Chronaki, D., De Vuyst, S., & Baselga, S. V. (Eds.). (2021). Gender and sexuality in the European media: Exploring different contexts through conceptualisations of age. Routledge.
Schrøder, K. C. (2018). 7. Audience reception. In P. Napoli (Ed.), Mediated communication (105-128). De gruyter Mouton.
Simpson, J. K. (2017). Appeal to fear in health care: Appropriate or inappropriate? Chiropractic Manual Therapies, 25, 1-10. https://doi.org/10.1186/s12998-017-0157-8
Sison, O. T., Baja, E. S., Bermudez, A. N. C., Quilantang, M. I. N., Dalmacion, G. V., Guevara, E. G., ... & Biello, K. B. (2022). Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines. BMC Public Health, 22(1), 1-11. https://doi.org/n3qp
Soffer, M. (2021). Biomedicalization, stigma, and “re-gaying” HIV/AIDS in the Israeli media. Archives of Sexual Behavior, 50(7), 2813-2823.
Tuppal, C. P., Ninobla, M. M. G., Reñosa, M. D. C., Ruiz, M. G. D., Loresco, R. C., Tuppal, S. M. P., & Panes, I. I. (2019). Living with HIV/AIDS among men having sex with men (MSM) in the Philippines: Internet ethnography of HIV life stages. Journal of Global Health Reports, 3, e2019090.
United Nations Development Programme. (2011, May). HIV, health and development. UNDP Asia-Pacific Regional Centre. https://tinyurl.com/mw8ymrj8
University of the Philippines Population Institute (2022, October 14). Zoom in, zoom out: Filipino youth in focus [PowerPoint slides]. University of the Philippines. https://www.facebook.com/events/d41d8cd9/zoom-in-zoom-out-filipino-youth-in-focus/971409953828912/
Ware, D., Rueda, S., Plankey, M., Surkan, P., Okafor, C. N., Teplin, L., & Friedman, M. R. (2020). The longitudinal impact of employment, retirement and disability status on depressive symptoms among men living with HIV in the multicenter AIDS cohort study. PLOS One, 15(10), e0239291. https://doi.org/10.1371/journal.pone.0239291
Warner, D. (1981). Homophobia, manifest homosexuals and political activity: A new approach to gay rights and the issue of homosexuality. Golden Gate UL Rev., 11, 635.
Wharton, C. (2014). Advertising: Critical approaches. Routledge.
Xie, Y., Yasin, M. A. I. B., Alsagoff, S. A. B. S., & Hoon, L. (2022). An overview of Stuart Hall’s encoding and decoding theory with film communication. Multicultural Education, 8(1), 190-198. https://doi.org/10.5281/zenodo.5894796
Żerebecki, B. G., Opree, S. J., Hofhuis, J., & Janssen, S. (2021). Can TV shows promote acceptance of sexual and ethnic minorities? A literature review of television effects on diversity attitudes. Sociology Compass, 15(8), e12906. https://doi.org/gkdjmg
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