Selective disclosure and different levels of support
Strategies for managing intersectional stigma in HIV healthcare engagement
Datos Bibliográficos
| ID | 19441925 |
|---|---|
| Autores | Chen Zhang (0000-0002-1923-2771, University of Rochester, autor de correspondencia), Yadi Zhang (0009-0004-9182-3797, University of Rochester) |
| Año | 2025 |
| Volumen | 37 |
| Número | 11 |
| Páginas | 1978-1989 |
| Fecha de publicación | 2025-11-02 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | AIDS Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Editorial | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2025.2570403 |
| PMID | 41070727 |
| OpenAlex | W4415039614 |
| Idioma | EN |
| Referencias citadas | 40 |
HIV-related stigma has a significant impact on healthcare engagement and disclosure practices among people living with HIV (PLWH). Although stigma's detrimental effects are documented, few studies explore how intersecting stigmas within clinical and social domains collectively shape these behaviors. In this U.S.-based study, qualitative methods are used to examine how intersectional stigma influences healthcare engagement and selective HIV status disclosure among Black PLWH. An integrated theoretical framework combining intersectionality, socio-ecological models, and health belief models guided us in conducting semi-structured interviews with 11 diverse participants to identify patterns in stigma experiences, selective disclosure decisions, and support strategies. Participants reported widespread stigma in healthcare settings, which led to mistrust, delays in care and cautious disclosures. Additionally, social stigma from peers, families, and communities exacerbated isolation and limited access to healthcare. A strategic, adaptive response that relies upon perceived emotional safety and social stigma is needed. As necessary buffers, multilevel social support, ranging from family acceptance and peer networks to community-based organizations. These findings emphasize the complex, multilayered nature of stigma and the need for culturally sensitive, multidimensional interventions that address stigma comprehensively and enhance supportive environments for PLWH
Health care · Psychological intervention · Qualitative research · Self-disclosure · Social isolation · Social support · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Sex work and related issues
A Meta-Analysis of the Effectiveness of Health Belief Model Variables in Predicting Behavior
Associations Between HIV-Related Stigma, Racial Discrimination, Gender Discrimination, and Depression Among HIV-Positive African, Caribbean, and Black Women in Ontario, Canada
Stigma and intersectionality
Impact of HIV‐related stigma on treatment adherence
Historical Origins of the Health Belief Model
Stigma
The need to know
The role of social support in moderating the relationship between HIV centrality, internalised stigma and psychological distress for people living with HIV
HIV/Aids and intersectional stigmas
Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence
Experiences of stigma and HIV care engagement in the context of Treat All in Rwanda
How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes
HIV Stigma Mechanisms and Well-Being Among PLWH
Experiences of, and motivations for, disclosing HIV to social and familial networks
Understanding HIV disclosure
Mapping the Margins
A General Inductive Approach for Analyzing Qualitative Evaluation Data
Stigma and patient work
A qualitative study on intersectional stigma and sexual health among women on opioid substitution treatment in England
Can intersectionality theory enrich population health research
Grounded theory research
| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |