Frontiers in Public Health,
Год журнала:
2024,
Номер
12
Опубликована: Окт. 10, 2024
In
the
contemporary
landscape,
college
students
have
emerged
as
a
demographic
increasingly
vulnerable
to
AIDS.
Recognizing
that
heightened
awareness
and
progressive
attitudes
toward
HIV
are
pivotal
in
its
prevention,
this
study
was
conceived
with
intent
meticulously
evaluate
level
of
understanding
amongst
students,
gauge
their
sentiments
people
living
(PLHIV),
scrutinize
factors
influencing
these
perceptions.
JAIDS Journal of Acquired Immune Deficiency Syndromes,
Год журнала:
2025,
Номер
98(5S), С. e181 - e191
Опубликована: Март 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.
Healthcare,
Год журнала:
2025,
Номер
13(8), С. 891 - 891
Опубликована: Апрель 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.
PLOS Global Public Health,
Год журнала:
2025,
Номер
5(5), С. e0004604 - e0004604
Опубликована: Май 12, 2025
HIV
remains
a
significant
public
health
burden
worldwide,
especially
in
developing
countries,
despite
the
availability
of
effective
prevention
and
treatment
modalities,
namely
PrEP
ART,
respectively.
HIV-related
stigma
is
barrier
to
optimal
uptake
or
adherence
ART
vulnerable
populations.
Therefore,
there
need
for
interventions
that
can
address
improve
This
systematic
review
aimed
identify
effectively
reduce
individuals.
A
methodology
following
PRISMA
guidelines
was
used.
The
sources
information
included
MEDLINE
(via
PubMed
search
engine),
Embase,
Scopus,
Web
Science,
CINAHL,
PsycINFO.
Studies
were
eligible
if
they
randomized
controlled
trials
(RCTs)
quasi-experimental
studies
investigating
effectiveness
any
intervention
addressing
among
persons
living
with
improving
ART/PrEP
adherence.
We
adopted
narrative
synthesis
approach
present
our
findings.
For
quality
appraisal
studies,
we
used
Cochrane
Risk
Bias
(RoB
2)
tool.Eight
RCTs,
but
no
met
eligibility
criteria.
Among
seven
RCTs
on
adherence,
four
investigated
cognitive
behavioral
components
(two
showing
positive
impact
reduction
adherence).
Other
improved
while
reducing
empowerment
program
youth
peer-mentoring.
Only
one
study
focused
(comprising
motivational
interviewing,
client-centered
counseling),
which
showed
Although
many
have
promise
simultaneously
medication
larger
scale
are
needed
generalizability.
heterogeneity
measurement
instruments
underscores
standardized
scales.
Cognitive
therapy,
interventions,
peer-mentoring,
counseling
all
show
self-stigma,
Future
should
consider
inclusion
diverse
populations
refining
HIV-
stigma,
about
PrEP.
It
critical
incorporate
validated
tools
enhance
comparability
across
research
endeavors
complex
interplay
between
PROSPERO
number
:
CRD42023455610.
AIDS Patient Care and STDs,
Год журнала:
2023,
Номер
37(3), С. 146 - 154
Опубликована: Фев. 21, 2023
HIV-related
stigma
has
been
associated
with
poor
mental
health
among
people
HIV
(PWH).
Social
support
is
a
potentially
modifiable
factor
that
may
buffer
negative
sequelae
of
stigma.
Little
known
about
the
extent
to
which
modifying
effect
social
differs
across
disorders.
Interviews
were
conducted
426
PWH
in
Cameroon.
Log
binomial
regression
analyses
used
estimate
association
between
high
anticipated
and
low
from
family
or
friends
symptoms
depression,
anxiety,
post-traumatic
stress
disorder
(PTSD),
harmful
alcohol
use,
separately.
Anticipated
was
commonly
endorsed
∼80%
endorsing
at
least
1
12
stigma-related
concerns.
In
multivariable
analyses,
greater
prevalence
depression
{adjusted
ratio
(aPR)
1.6
[95%
confidence
interval
(CI)
1.1-2.2]}
anxiety
[aPR
2.0
(95%
CI
1.4-2.9)].
Low
1.5
1.1-2.2)],
1.7
1.2-2.5)],
PTSD
1.0-2.4)].
However,
did
not
meaningfully
modify
relationship
any
disorders
explored.
reported
this
group
initiating
care
concerns
related
gossip
losing
greatest
concern.
Interventions
focused
on
reducing
strengthening
systems
be
particularly
beneficial
have
potential
improve
Annals of Behavioral Medicine,
Год журнала:
2023,
Номер
57(10), С. 801 - 816
Опубликована: Июнь 15, 2023
Abstract
Background
To
end
the
HIV
epidemic,
we
need
to
better
understand
how
address
HIV-related
stigmas
in
healthcare
settings,
specifically
common
theoretical
bases
across
interventions
so
that
can
generalize
about
their
potential
effectiveness.
Purpose
We
describe
theory-based
components
of
stigma
by
identifying
functions/types,
techniques,
and
purported
mechanisms
change.
Methods
This
systematic
review
examined
studies
published
April
2021.
applied
a
transtheoretical
ontology
developed
Human
Behaviour
Change
Project,
consisting
9
intervention
types
(ITs),
93
behavior
change
techniques
(BCTs),
26
action
(MOAs).
coded
frequency
calculated
effectiveness
each
IT,
BCT,
MOA.
evaluated
study
quality
with
10-item
adapted
tool.
Results
Among
nine
highest
studies,
indicated
use
an
experimental
design,
potentially
effective
IT
was
“Persuasion”
(i.e.
using
communication
induce
emotions
and/or
stimulate
action;
66.7%,
4/6
studies).
The
BCTs
were
“Behavioral
practice/rehearsal”
increase
habit
skill)
“Salience
consequences”
make
consequences
more
memorable;
100%,
3/3
MOAs
“Knowledge”
awareness)
“Beliefs
capabilities”
self-efficacy;
67%,
2/3
Conclusions
By
applying
synthesized
findings
on
interventions.
Interventions
typically
combined
than
one
Practitioners
researchers
our
select
interventions,
including
areas
for
further
evaluation,
expedite
ending
epidemic.
Social Issues and Policy Review,
Год журнала:
2023,
Номер
17(1), С. 3 - 33
Опубликована: Янв. 1, 2023
Abstract
This
narrative
review
examines
literature
informing
policy
and
laws
relevant
to
the
health
well‐being
of
lesbian,
gay,
bisexual,
transgender,
queer
(LGBTQ+)
adult
populations.
Empirical
factors
related
structural
stigma,
specifically
law,
were
examined.
studies
examining
stigma
health‐related
outcomes
in
LGBTQ+
populations
have
proliferated
since
publication
Institute
Medicine's
The
Health
Lesbian,
Gay,
Bisexual
Transgender
People
(2010)
Hatzenbuehler's
theoretical
work
on
stigma‐related
influences
health.
Databases
searched
using
a
priori
terms.
Over
2,100
articles
identified
that
included
original
data
from
United
States
2010.
Studies
for
inclusion
(
n
=
78)
roughly
evenly
split
according
whether
results
influence
federal‐,
state‐,
or
local‐level
policies
adults’
Policy
recommendations
center
around
expansion
anti‐discrimination
law
policy,
abolishment
restricts
access
rights
adults,
supplemental
training
cultural
competencies,
provision
additional
resources
vulnerable
subpopulations
adults.
American Journal of Public Health,
Год журнала:
2022,
Номер
112(S4), С. S452 - S462
Опубликована: Июнь 1, 2022
Objectives.
To
determine
whether
intersectional
stigma
is
longitudinally
associated
with
biopsychosocial
outcomes.
Methods.
We
measured
experienced
(EIS;
≥
2
identity-related
attributions)
among
sexual
minority
men
(SMM)
in
the
United
States
participating
Multicenter
AIDS
Cohort
Study.
assessed
longitudinal
associations
between
EIS
(2008‒2009)
and
concurrent
future
hypertension,
diabetes,
dyslipidemia,
antiretroviral
therapy
adherence,
HIV
viremia,
health
care
underutilization,
depression
symptoms
(2008‒2019).
conducted
causal
mediation
to
assess
contribution
of
relationship
self-identified
Black
race
persistently
uncontrolled
Results.
The
mean
age
(n
=
1806)
was
51.8
years
(range
22–84
years).
Of
participants,
23.1%
as
Black;
48.3%
were
living
HIV.
Participants
reporting
(30.8%)
had
higher
odds
symptoms,
suboptimal
adherence
compared
participants
who
did
not
report
EIS.
mediated
Conclusions.
Our
findings
demonstrate
that
a
durable
driver
outcomes
over
life
course.
Public
Health
Implications.
There
critical
need
for
interventions
reduce
stigma,
help
SMM
cope
enact
policies
protecting
minoritized
people
from
discriminatory
acts.
(Am
J
Health.
2022;112(S4):S452–S462.
https://doi.org/10.2105/AJPH.2022.306735
)