Perceived stigma reductions following participation in mental health services integrated within community-based HIV primary care

Datos Bibliográficos

ID19440459
AutoresEugene W Farber (0000-0003-4963-4808, Department of Psychiatry & Behavioral Sciences, Grady Ponce de Leon Center, Emory University School of Medicine, Atlanta, GA, USA, autor de correspondencia), Amit Anil Shahane (0000-0003-0551-8573, Grady Memorial Hospital), Jennifer L Brown (0000-0002-6683-0053, Emory University), Peter E Campos (PECDOC Research and Evaluation Services, Decatur, GA, USA)
Año2014
Volumen26
Número6
Páginas750-753
Fecha de publicación2014-06-03
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2013.845285
PMID24093931
OpenAlexW2059689580
IdiomaEN
Citas recibidas11
Referencias citadas17

HIV stigma remains a significant challenge for individuals living with HIV disease that can adversely affect overall well-being and patterns of HIV health service engagement. Finding ways to effectively address stigma concerns is, therefore, an important consideration in the clinical management of HIV disease. This study examined changes in perceived stigma in a sample of 48 adults living with HIV disease as an outcome of their participation in a mental health services program integrated with community-based HIV primary care. Participants completed a self-report instrument that provided a multidimensional measure of perceived HIV stigma, including distancing, blaming, and discrimination dimensions. This scale was administered at the baseline mental health service visit and then re-administered at the three-month follow-up point. Study results showed reductions in self-reported perceived HIV stigma over time for the distancing (t = 4.01, p = 0.000, d = 0.43), blaming (t = 2.79, p = 0.008, d = 0.35), and discrimination (t = 2.90, p = 0.006, d = 0.42) dimensions of stigma. These findings suggest that participation in HIV mental health services may have a favorable impact on perceived HIV stigma. Implications of these findings are discussed, including possible mechanisms that might explain the observed results as well as suggested directions for future research in this area. Randomized controlled trials would represent an important next step to investigate the extent to which HIV mental health services can reduce levels of perceived HIV stigma

Disease · Distancing · Family medicine · Mental health · Psychiatry · Social distance · Social stigma · Clinical Psychology · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology