4.3 Article

Patient and Provider Perspectives on HIV Stigma in Healthcare Settings in Underserved Areas of the US South: A Mixed Methods Study

期刊

AIDS AND BEHAVIOR
卷 26, 期 SUPPL 1, 页码 112-124

出版社

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-021-03470-y

关键词

Stigma; Healthcare discrimination; HIV; South; Mixed methods

资金

  1. University of Alabama at Birmingham (UAB) Center for AIDS Research (CFAR), an NIH [P30 AI027767-31]
  2. NIAID
  3. NCI
  4. NICHD
  5. NHLBI
  6. NIDA
  7. NIMH
  8. NIA
  9. NIDDK
  10. NIGMS
  11. NIMHD
  12. FIC
  13. NIDCR
  14. OAR
  15. National Heart, Lung and Blood Institute (NHLBI) of the National Institutes of Health (NIH) [K12HL143958]
  16. National Institute of Mental Health (NIMH) of the NIH [K01MH116737]

向作者/读者索取更多资源

Stigma experienced in healthcare settings is a barrier to ending the HIV epidemic. Future stigma interventions in healthcare settings should engage People with HIV in the development of interventions, be implemented in settings that do not specialize in HIV care, and engage all staff when addressing HIV-related stigma.
Stigma experienced in healthcare settings is a barrier to ending the HIV epidemic. Using a convergent parallel mixed methods approach, we collected qualitative data from 14 focus groups with People with HIV (PWH) and Healthcare workers (HCW) and quantitative survey data (N = 762 PWH and N = 192 HCW) from seven HIV healthcare clinics outside of major urban areas in the southeastern US. Four key themes emerged: (1) HIV-related stigma and discrimination in healthcare settings; (2) experiences of intersectional stigma; (3) disclosure concerns in healthcare settings; and (4) impact of stigma on HIV-related health behavior. Implications for future stigma interventions in healthcare settings include the importance of engaging PWH in the development of interventions, the need for interventions in settings that do not specialize in HIV care, and the importance of engaging all staff when addressing HIV-related stigma.

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