Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery DOI
Rayner Kay Jin Tan, Weiming Tang, Joseph D. Tucker

et al.

Current Opinion in HIV and AIDS, Journal Year: 2022, Volume and Issue: 18(1), P. 18 - 26

Published: Nov. 29, 2022

Purpose of review Understanding stigma is important for improving HIV care services and gaps in service delivery have been attributed to stigma. This article synthesizes recent evidence on its implications design delivery. Given the intersectional nature stigma, we will focus as well related forms based one's race, sexual identity, gender identity other identities. Recent findings Stigma remains a barrier achieving equity services. Individualistic measures remain influential are associated with barriers accessing health work also highlights measured at structural level impact contexts. Individuals situated intersections marginalized identities continue face greatest injustices, although approaches adapted micro level, few change. mitigating indicates some success psychosocial interventions that target internalized Furthermore, community-led show promise addressing manifests settings. Summary Interventions address individual-level needed. Theoretical applied antistigma research needed make more equitable.

Language: Английский

Cervical cancer stigma – A silent barrier to the elimination of cervical cancer DOI Creative Commons
Hyo Sook Bae, Sarah M. Temkin

Cancer, Journal Year: 2025, Volume and Issue: 131(5)

Published: Feb. 28, 2025

Stigma presents a unique and underexplored barrier to cervical cancer control. Novel methods reduce stigma can be employed the global burden of this disease.

Language: Английский

Citations

1

HIV Knowledge and Stigmatizing Attitude towards People Living with HIV/AIDS among Medical Students in Jordan DOI Open Access
Malik Sallam, Ali M. Alabbadi,

Sarah Abdel-Razeq

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(2), P. 745 - 745

Published: Jan. 10, 2022

The stigmatizing attitude towards people living with HIV/AIDS (PLWHA) can be a major barrier to effective patient care. As future physicians, medical students represent core group that should targeted focused knowledge and adequate training provide care without prejudice. aim of the current study was examine knowledge, PLWHA, among in Jordan. based on self-administered online questionnaire, which distributed during March-May 2021, involving at six schools Jordan, items assessing demographics, attitude, evaluated using validated HIV-stigma scale. total number respondents 1362, predominance females (n = 780, 57.3%). Lack participants notable for following items: HIV transmission through breastfeeding (40.8% correct responses), is not transmitted saliva (42.6% vertical prevented (48.8% responses). Approximately two-thirds displayed positive PLWHA. For out 14 items, lack significantly correlated more negative Multinomial regression analysis showed PLWHA found pre-clinical compared clinical (odds ratio (OR): 0.65, 95% confidence interval (CI): 0.43-0.97, p 0.036); affiliation were founded before 2000 associated recently country (OR: 1.85, CI: 1.42-2.42, < 0.001). About one-third who participated Defects detected aspects prevention, such defects It recommended revise curricula, tailor improvements overall reflected particularly established country.

Language: Английский

Citations

38

The impact of stigma on HIV testing decisions for gay, bisexual, queer and other men who have sex with men: a qualitative study DOI Creative Commons
Bradley Iott,

Jimena Loveluck,

Akilah Benton

et al.

BMC Public Health, Journal Year: 2022, Volume and Issue: 22(1)

Published: March 9, 2022

Abstract Background Stigmatization may prompt gay, bisexual, queer and other men who have sex with (GBQMSM) to avoid or delay HIV testing. There has been little attention GBQMSMs’ perspectives about how stigma influence their decisions whether, where, often get tested for HIV. Methods We conducted nine focus groups 64 adult GBQMSM in Metropolitan Detroit, including HIV-negative people living (PLWH). Data were thematically analyzed deductively inductively three rounds. Results Three themes emerged regarding whether : (1) Perceived promiscuity, risk perceptions testing; (2) Fearing sexual rejection; (3) friend family member distancing rejection. Themes concerning where included: (4) Conflating testing diagnosis; (5) Seeking privacy safety at specialized services. As , (6) Reducing contact healthcare providers due intersectional stigma; (7) Responsibility regular (8) as routine care. Black participants articulated (3), (4), greater frequency than participants. Framing a personal responsibility created “new stigma,” unintended consequences not observed “routine healthcare” messaging. Conclusions indicate the potential new foci promotion interventions based on stigma-related issues that they deem important. is need challenge “promiscuity” stereotype, reduce stigmatization of HIV/AIDS—especially online. Provider requires both intervention continued availability Future stigma-reduction could building support/acceptance, awareness multiple options, integrating LGBTQ-related into initiatives racial justice health

Language: Английский

Citations

34

Cancer stigma: the need for policy and programmatic action DOI Creative Commons
Sonali Johnson, Mélanie Samson

JNCI Monographs, Journal Year: 2024, Volume and Issue: 2024(63), P. 45 - 50

Published: June 1, 2024

Cancer is a stigmatized disease in many countries that impacts the quality of life and mental health people affected by cancer. This commentary examines some dimensions cancer stigma has been developed based on insights from participants Union for International Control program dedicated to patient organizations low- middle-income countries. Aimed at managers policy makers, this highlights importance developing strategies reduce control programs different contexts, working closely with community-based civil society those lived experience understand, evaluate, take action regarding impact health-seeking behavior patients' life.

Language: Английский

Citations

5

People Living with HIV and AIDS: Experiences towards Antiretroviral Therapy, Paradigm Changes, Coping, Stigma, and Discrimination—A Grounded Theory Study DOI Open Access
Helmut Beichler, Ruth Kutalek, Thomas E. Dorner

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(4), P. 3000 - 3000

Published: Feb. 9, 2023

Background: The experiences in coping with HIV/AIDS from people living HIV (PLWH) Austria, Munich, and Berlin regarding adherence, antiretroviral therapy (ART), stigmatization, discrimination were the main focus of this study. Therapy adherence is cornerstone for PLWH to reduce disease progression increase life expectancy combined a high quality life. experience stigmatization different situations settings still experienced today. Aims: We aimed examine subjective perspective concerning with, managing daily Methods: Grounded Theory Methodology (GTM) was used. Data collection conducted semi-structured face-to-face interviews 25 participants. analysis performed three steps, open, axial, selective coding. Results: Five categories emerged, which included following: (1) fast diagnosis, (2) psychosocial burden due HIV, (3) ART as necessity, (4) building trust disclosure, (5) are existing. Conclusion: In conclusion, it can be said that not itself causes greatest stress, but process diagnosis. Therapy, well lifelong hardly worth mentioning Much more significant currently stigmatization.

Language: Английский

Citations

13

Breaking down global barriers: A multinational and multi‐community approach to combat stigma and enhance mental wellbeing in people with HIV DOI Creative Commons
Nhlanhla Mkhize,

Jorge Tárrega Garrido,

Susan Cole‐Haley

et al.

HIV Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 16, 2025

Abstract Introduction The Joint United Nations Programme on HIV/AIDS (UNAIDS) Global 2025 targets prioritize action to overcome the collective barriers affecting people and communities sitting outer margins of HIV care. Addressing social structural disparities that drive greater prevalence burden requires well‐resourced, community‐led responses are fully integrated into national global initiatives. Methods Community Council (HCC), composed 10 leaders from diverse communities, convened share their insights, amplify community's voice, identify solutions empower all live well with through a dynamic, stepwise process preparative work, deep discussion, prioritization, consensus. Results HCC created six recommendations address two important living HIV: stigma poor mental wellbeing. These informed by best practice community experience. They include suggestions for developing delivering actionable at level prompt opportunities support existing regional organizations. Conclusion calls implement community‐endorsed, culturally appropriate, practical tackle wellbeing improve long‐term health HIV.

Language: Английский

Citations

0

HIV-related stigma among young men who have sex with men in HIV care in Plateau State Nigeria DOI Creative Commons

Tolulope Afolaranmi,

Beth Chaplin, AI Zoakah

et al.

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: Jan. 22, 2025

Background HIV-related stigma is often expressed as irrational behaviors, negative attitudes, and unfavorable judgments toward people living with or at risk of HIV which remains very common in low- middle-income countries including Nigeria. This study assessed the level its associated factors among Young Men who have Sex (YMSM) care. Methodology was a cross-sectional conducted 122 YMSM to assess care using respondent driven sampling between July 2023 April 2024. Quantitative method data collection employed SPSS version 23 used for analysis. A p -value ≤ 0.05 considered statistically significant. Results The mean age participants 22.2 ± 2.0 years 56 (45.6%) being 22 below. total HIV- related score 121.9 18.8 high-level reported 40 (32.8%) participants. Significant variation found duration on treatment those had been &gt; 3 having 117.8 15.2 compared 110.3 20.1 &lt; 2 (mean difference: −7.50; 95% Confidence interval: −14.45, −5.51; = 0.035). Conclusion high significantly influenced by time

Language: Английский

Citations

0

Addressing Stigma and Privacy Through Telemedicine: Qualitative Findings on Enhancing HIV Care Engagement Among Racial and Ethnic Minority Groups DOI
Neal Carnes, Linda J. Koenig, Aisha L. Wilkes

et al.

Journal of Racial and Ethnic Health Disparities, Journal Year: 2025, Volume and Issue: unknown

Published: March 3, 2025

Language: Английский

Citations

0

Strengthening the US Health Workforce to End the HIV Epidemic: Lessons Learned From 11 Ending the HIV Epidemic Jurisdictions DOI
Phillip Marotta, Debbie Humphries, Daniel J. Escudero

et al.

JAIDS Journal of Acquired Immune Deficiency Syndromes, Journal Year: 2025, Volume and Issue: 98(5S), P. e181 - e191

Published: March 31, 2025

Background: Supplements were awarded under the National Institutes of Health, ending HIV epidemic (EHE) initiative to foster implementation science through community-engaged research. The objective this study was synthesize lessons learned, identify areas research sufficiently studied, and present an agenda for future on health workforce development from a collaboration across 9 EHE projects in 11 jurisdictions United States. Methods: supplement recipients completed semistructured questionnaire shared learned about common themes using Consolidated Framework Implementation Research Expert Recommendation Implementing Change frameworks. Data synthesized topic no longer need research, next steps. Results: Project teams emphasized several strategies including clarifying roles responsibilities, dynamic training, stigma mitigation as enhance prevention treatment services. Strengthening organizational support supportive supervision structures, ensuring sustainable funding, preventing turnover, addressing salary constraints, establishing clear promotion educational pathways identified useful workplace strategies. deploying community engagement ensure communities aware Several studied that can be deprioritized discussed. Conclusion: A moving forward is discussed with recommendations improve programs.

Language: Английский

Citations

0

What Has Been Studied About Attitudes and Social Stigma Towards HIV/AIDS? A Global Bibliometric Study with Correlations on Global Health HIV-Related Indicators DOI Open Access
Yelson Alejandro Picón‐Jaimes, Iván David Lozada-Martínez, Mar Rosàs Tosas

et al.

Healthcare, Journal Year: 2025, Volume and Issue: 13(8), P. 891 - 891

Published: April 13, 2025

Introduction: This study aimed to assess, through health metrics and bibliometric analysis, the global research on attitudes social stigma of people living with HIV/AIDS identify findings, gaps, future directions. Methods: A cross-sectional was conducted a structured search in different databases. Fifteen thousand four hundred ninety-six documents were found between 1981 2024. Results: 83.5% original articles, international co-authorship 30.66%. Since 2000, there has been an increase stigma. The United States is most prolific country worldwide (n = 7837 publications; 50.5%), highest number institutions 4/5), as well greatest influence relevance (h-index 170). studied topics are support psychology concerning homosexuality, middle age, youth HIV/AIDS. There no significant correlation volume publications, countries’ income levels, geographic regions adult HIV prevalence, overall incidence or antiretroviral therapy coverage (p > 0.05 for all cases). Conclusions: Over past two decades, shifted from human rights, legal ethics toward healthcare, recent interest pre-exposure prophylaxis, gender minorities, intersectional absence strong correlations publications HIV-related indicators underscores necessity translating evidence into actionable strategies reduce improve outcomes.

Language: Английский

Citations

0