Abstract:
Individuals with penetration often experience stigmatization of contagious diseases, which can affect treatment
compliance and therapeutic response. The stigma causes social isolation and a lack of desire to seek medical
care, which affects the progression of disease and infection control in prison. Investigating how stigmatization of
the disease impacts medical compliance among inmates, as well as identifying several obstacles that hinder
adherence to medical services. Study conducted in the premises of a prison in the Republic of Moldova, using a
questionnaire applied to a group of detainees diagnosed with stigmatizing diseases (eg: TB, HIV, mental
disorders). Thematic analysis allowed us to identify the factors that influence the stigmatization and compliance
to treatment among them. Most of the inmates investigated said they avoid seeking or undergoing medical
treatment for fear of being isolated or discriminated against, being perceived with fear or rejection by both
colleagues and medical staff. They pointed out that they are treated differently, negatively, if they have an
infectious disease, and for this reason they avoid starting treatment, because they could also find out about their
condition. Inmates believe they would be more willing to seek medical help if they were guaranteed greater
confidentiality, adequate education about contagious diseases, and consistent psychological support. The
stigmatisation of the disease negatively influences the treatment compliance of prisoners. It is necessary to
implement measures to raise awareness of prison staff in ensuring confidentiality and to involve a
multidisciplinary team that guarantees equitable access to medical care.
