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People First Charter

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People First Charter

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About Us

WHY?

We launched in July 2021, during the Berlin International AIDS Society Conference, to promote person first HIV & Sexual Health language. 


Language matters. People living with or at risk of HIV experience stigma & discrimination and the wrong language perpetuates this.   


People with HIV are not hosts for a virus, vectors of infection, or trial subjects - they have awareness and agency. People with HIV have been prominent in advocating for better medical care, treatment expansion and have been collaborators in the medical progress made. The language used to refer to people with HIV in research and publications, should reflect this!


We recognise that language is not universal, and that there are always challenges when translating words, including medical terminology. However some terms are rife with stigma and blame and should no longer be used, indeed challenged:

  • HIV-infected person
  • Patients failing treatment
  • Serodiscordant


Our language should match our goals: to ensure all people with or at risk of HIV & sexually transmitted infections (STIs) are supported to enjoy the highest attainable standards of health, as is their fundamental human right.  

What we do

We ask policy makers, researchers, conferences, journals, & care providers to follow our guidelines & other examples of best practice by:
 

  1. Continuously updating our guidance 
  2. Calling for HIV/STI materials to use people first terminology 
  3. Asking reviewers of scientific abstracts & papers to promote appropriate terminology 
  4. Seeking Charter endorsement from individuals & organisations involved in HIV/STI research & care 


We aim to promote appropriate language throughout healthcare, science, & beyond!  We do NOT seek to tell individuals or communities how they should refef to themselves.

How can YOU help?

 Ultimately we hope all communities will use preferred language, but first we must embed consistent, appropriate terminology within our own sector. 


Sign up to learn more about how to commit to the People First Charter & help us ensure promote the use of the right words in the right way.


If you are able to translate the guidance please get in touch!


If you hear or see language that is not people first, please (kindly & gently) encourage the use of People First terminology. We ALL get it wrong sometimes and it takes TIME to embed change.


We must also be mindful of the challenges of presenting or publishing in a language that is not your first language.

Types of language

Person-first language

Person-first language simply puts people before their condition, recognising that people are people, and not defined by their condition. In HIV care we should avoid terms like 'HIV-infected people' and use 'people living with HIV'


Some other condition areas also prefer person-first language, for example"

  • 'person with diabetes', not 'diabetic person'
  • 'person with obesity' not 'obese person'


Other conditions areas prefer identity-first language (see below).

Identity-first language

Some communities feel that person-first language separates people from their condition when it may not be possible or appropriate to do so. 


For example, many people in the deaf community see deafness as part of their identity, as do many autistic people. Identity-first language often includes 'people' or 'person' so arguably is still person-centred.

Which language is right?

There are no fixed rules and what is considered 'correct' will vary by condition, over time, and between individuals. 


What is critical is to ask the communities with a given condition or characteristic how they prefer to be described and to revisit this regularly.


We will never get it right all of the time but open discussion about preferred terminology will drive understanding and change.

Terminology guidance in English

The guidance is intentionally brief; more resources below!

Download PDF

Terminology guidance translated

ARABIC People First Charter 19042022 (pdf)Download
HAUSA People First Charter 31052022 (pdf)Download
SPANISH EUR People First Charter 31032022 (pdf)Download
PFC Penggunaan Terminologi HIV Bahasa Melayu (pdf)Download
JAPANESE PFC recommended HIV terminology (pdf)Download
JAPANESE People First Charter intro (pdf)Download

Endorsing organisations

HIV Medicine

International Journal of STD & AIDS

British HIV Association

Journal of the British HIV Association & European AIDS Clinical Society 

https://onlinelibrary.wiley.com/journal/14681293

British HIV Association

International Journal of STD & AIDS

British HIV Association

Leading UK association representing HIV care professionals www.bhiva.org

International Journal of STD & AIDS

International Journal of STD & AIDS

International Journal of STD & AIDS

Journal of the British Association of Sexual Health & HIV https://journals.sagepub.com/home/std 

European AIDS Clinical Society

International Journal of STD & AIDS

International Journal of STD & AIDS

Pan-European specialist organisation with the aim of reducing HIV disease burden across Europe

https://www.eacsociety.org/

NAM aidsmap

ViiV Healthcare

NAM aidsmap

NAM provides independent, accurate and accessible information about HIV: www.aidsmap.com

Chiva

ViiV Healthcare

NAM aidsmap

Enhancing the health & social wellbeing of children young people & young adults living with HIV: www.chiva.org.uk

ViiV Healthcare

ViiV Healthcare

ViiV Healthcare

A specialist pharmaceutical company 100% dedicated to HIV medicines and research and focused on people living with HIV and AIDS: https://viivhealthcare.com/

PENTA

ViiV Healthcare

ViiV Healthcare

A global, scientific organization dedicated to paediatric research: https://penta-id.org/

British Association of Sexual Health & HIV

International Society for Sexually Transmitted Diseases Research

British Association of Sexual Health & HIV

Leading UK organisation for Sexual Health care & eduction www.bashh.org

International AIDS Society

International Society for Sexually Transmitted Diseases Research

British Association of Sexual Health & HIV

World's largest association of HIV/AIDS professionals www.iasociety.org

Academic Medical Education

International Society for Sexually Transmitted Diseases Research

International Society for Sexually Transmitted Diseases Research

A global provider of innovative & state-of-the-art scientific congresses & medical education programs on infectious diseases

www.academicmedicaleducation.com

International Society for Sexually Transmitted Diseases Research

International Society for Sexually Transmitted Diseases Research

International Society for Sexually Transmitted Diseases Research

Promoting research on sexually transmitted diseases & facilitating  timely exchange of information among research investigators.

https://www.isstdr.org/

UK-CAB

The Lancet Group

UK-CAB

The UK Community Advisory Board if a network for community HIV treatment advocate across the UK https://ukcab.net/

Promoting excellence in the pharmaceutical care of people living with HIV. https://hivpa.org/

HIVPA

The Lancet Group

UK-CAB

Promoting excellence in the pharmaceutical care of people living with HIV

https://hivpa.org/

Gilead

The Lancet Group

The Lancet Group

Gilead is a biopharmaceutical company that has pursued and achieved breakthroughs in medicine for more than three decades, with the goal of creating a healthier world for all people

www.gilead.com

The Lancet Group

The Lancet Group

The Lancet Group

A global group of medical journals, publishing the best science for better lives

https://www.thelancet.com

HIV Research & Clinical Practice

HIV Research & Clinical Practice

HIV Research & Clinical Practice

An international journal for clinical research in HIV/AIDS with a focus on patient advocacy.

www.tandfonline.com/journals/yhct21 

National HIV Nurses Association

HIV Research & Clinical Practice

HIV Research & Clinical Practice

The leading UK professional association representing nurses in HIV care

https://www.nhivna.org

4M Mentor Mothers Network CIC

HIV Research & Clinical Practice

4M Mentor Mothers Network CIC

UK peer-black migrant women-led program providing psycho-social support to other women with HIV throughout their pregnancy journey and beyond.

www.4mmm.org

Terrence Higgins Trust

HIV Research & Clinical Practice

4M Mentor Mothers Network CIC

The UK's leading HIV & Sexual Health working to end new HIV transmissions in the UK by 2030, to support people to live well with HIV & to challenge stigma 

www.tht.org.uk

Key articles on person-first language

Clinical Infectious Diseases Call to Action May 2023 (pdf)

Download

Lancet HIV Editorial on Putting People First October 2023 (pdf)

Download

NHIVNA Best Practice, The Language of HIV 2019 (pdf)

Download

HIV Medicine Language Matters October 2022 (pdf)

Download

IJAS language article 2012 (pdf)

Download

NIAID HIV language guide 2024 (pdf)

Download

Lancet HIV retiring the term AIDS 2024 (pdf)

Download

BHIVA-position-statement-on-HIV-and-mixed-infant-feeding (pdf)

Download

Doing away with unsafe & risky sex 2020 (pdf)

Download

2024-terminology-guidelines_en (pdf)

Download

Other resources

Salamander Trust

International AIDS Society

International AIDS Society

A great summary of why language matters!

https://salamandertrust.net/project/the-power-of-language/

International AIDS Society

International AIDS Society

International AIDS Society

Excellent page on the importance of language.

https://www.iasociety.org/language-matters

TheBodyPro

International AIDS Society

TheBodyPro

Brilliant blog on IAS's achievement in removing 'HIV-infected' from the 2023 conference

https://www.thebodypro.com/article/how-advocates-thebody-inspired-ias-remove-term-hiv-infected-from-abstracts

Frequently Asked Questions

Please reach us at info@peoplefirstcharter.org if you cannot find an answer to your question.

The PeopleFIirstCharter was founded and is led by Laura Waters, an HIV & Sexual Health doctor based in London, UK, alongside founding members who co-wrote the 2021 and 2022 versions of the terminology guidance:

  • Matthew Hodson: Executive Director of NAM Aidsmap & Community Advocate
  • Yvonne Gilleece: Professor of HIV Medicine & Chair of the British HIV Association
  • Jo Josh: Community Advocate & BHIVA Media Officer
  • Caroline Sabin, Professor of Statistics & Epidemiology at UCL & Editor-in-Chief for HIV Medicine 

A formal Steering Committee was created in May 2023 including the above-named plus:

  • Bakita Kasadha: poet, health researcher & health writer
  • Angelina Namiba: Community Advocate & fonder memeber of 4M Network

Support is provided by colleagues across the world who help promote the site & translate the terminology guidance - thank you!


PeopleFirstCharter (PFC) is a voluntary & entirely independent project led and self-funded by Dr Laura Waters.


Endorsing organisations support the principles of PFC & promote it's use where possible, For example, HIV Medicine links to our terminology guidance in their instructions for reviewers. Endorsers are invited to suggest additions & amendments to the guidance, as is anyone with an interest in or passion for using the right language! Endorsers provide no financial support.


Contact us

info@peoplefirstcharter.org

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