Addressing HIV stigma in protected medical settings.
نویسندگان
چکیده
Previous studies suggest that the implementation of universal precaution (UP) plays a role in reducing HIV stigma. In this study we investigate the efficacy of a stigma reduction intervention on UP compliance and explore whether UP compliance could potentially influence HIV stigma reduction in medical settings. A randomized controlled intervention trial was conducted in two provinces of China with 1760 healthcare service providers recruited from 40 county-level hospitals. Longitudinal analyses included data collection at baseline, 6-, and 12-month follow-up assessments. Using a hierarchical modeling approach, we estimated the intervention effect for each provider's UP compliance and its potential mediating role on HIV stigma with the bootstrapping method. A significant intervention effect on UP compliance was observed at both the 6- and 12-month follow-up assessments. The intervention effect on provider avoidance intent was partially mediated by the provider's own UP compliance at the two follow-up points. This study provides evidence that UP compliance should be part of HIV stigma reduction programs, especially in resource-restrained countries. Findings suggest that a protected work environment may be necessary but not sufficient to address HIV stigma in medical settings.
منابع مشابه
HIV-Related Stigma Among Healthcare Providers in Different Healthcare Settings: A Cross-Sectional Study in Kerman, Iran
Background Stigmatizing attitudes among healthcare providers are an important barrier to accessing services among people living with HIV (PLHIV). This cross-sectional study aimed to assess the status and correlates of HIV-related stigma among healthcare providers in Kerman, Iran. M...
متن کاملHIV/AIDS Related Stigma in Iran: A Qualitative Study
HIV/AIDS is considered by many one as the most dangerous disease emerged in the human history. Unlike many diseases, this one is not just a medical situation; but a social problem. Its ways of transmission, generally related to risky behaviors and sexual activities, have pulled the attention of different sectors of society to this disease. It seems that a stigma is formed around HIV/AIDS and pe...
متن کاملTask shifting redefined: removing social and structural barriers to improve delivery of HIV services for people who inject drugs
HIV infection among people who inject drugs (IDU) remains a major global public health challenge. However, among IDU, access to essential HIV-related services remains unacceptably low, especially in settings where stigma, discrimination, and criminalization exist. These ongoing problems account for a significant amount of preventable morbidity and mortality within this population, and indicate ...
متن کاملImplementing a stigma reduction intervention in healthcare settings
INTRODUCTION Globally, HIV-related stigma is prevalent in healthcare settings and is a major barrier to HIV prevention and treatment adherence. Some intervention studies have showed encouraging outcomes, but a gap continues to exist between what is known and what is actually delivered in medical settings to reduce HIV-related stigma. METHODS This article describes the process of implementing ...
متن کاملInvestigating changes in internalized stigma and avoidant coping among African American adults living with HIV and serious mental illness following a peer-led intervention
Background: Individuals living with HIV navigate the health implications of HIV and HIV discrimination. This study aimed to examine changes in internalized stigma and avoidant coping among African American adults living with HIV and serious mental illness (SMI) following a peer-led intervention. Methods: In this quasi-experimental study, 16 patients were recruited using convenience sampling f...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- AIDS care
دوره 27 12 شماره
صفحات -
تاریخ انتشار 2015