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

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

• Stigma reduction interventions in people living with HIV to improve health-related quality of life

  Open Access•Galit Zeluf Andersson, Maria Reinius et al.•The Lancet HIV•2020

  Incluir item

• Finding meaning in life while living with HIV

  Open Access•Carolyn M Audet, Lois J Wagner et al.•BMC Psychology•2015

  Incluir item

• The association between ethnicity, stigma, beliefs about medicines and adherence in people living with HIV in a rural area in Indonesia

  Open Access•E I Sianturi, Dyah Aryani Perwitasari et al.•BMC Public Health•2019

  Incluir item

• Higher rates of mental health screening of adolescents recorded after provider training using simulated patients in a Kenyan HIV clinic

  Open Access•Tessa Concepcion, Peter Mogere et al.•Frontiers in Public Health•2023

  Incluir item

• Protective’ silence surrounding Aids

  Open Access•Sandra Monteiro, Wilza Villela et al.•Global Public Health•2016

  Incluir item

• Mental health among men who have sex with men in Cambodia

  Open Access•Siyan Yi, Sovannary Tuot et al.•International Journal for Equity…•2016

  Incluir item

• Depressive Symptoms Mediate the Effect of HIV-Related Stigmatization on Medication Adherence Among HIV-Infected Men Who Have Sex with Men

  Open Access•Luke D Mitzel, Peter A Vanable et al.•AIDS and Behavior•2015

  Incluir item

• Measuring Unmet Needs among Persons Living with HIV at Different Stages of the Care Continuum

  Open Access•T Sangaramoorthy, Meredith Haddix et al.•AIDS and Behavior•2021

  Incluir item

• Vets, denialists and rememberers

  Treena Orchard, Kate Salters et al.•AIDS Care•2015

  Incluir item

• Interventions and approaches to integrating HIV and mental health services

  Open Access•Fiona Leh Hoon Chuah, Victoria Elizabeth Haldane et al.•Health Policy and Planning•2017

  Incluir item

• Longitudinal Stigma Reduction in People Living with HIV Experiencing Homelessness or Unstable Housing Diagnosed With Mental Health or Substance Use Disorders

  Manisha H Maskay, Howard J Cabral et al.•American Journal of Public Health•2018

  Incluir item

• The Association of Stigma with Self-Reported Access to Medical Care and Antiretroviral Therapy Adherence in Persons Living with HIV/Aids

  Open Access•Jennifer N Sayles, Michael D Wong et al.•Journal of General Internal…•2009

  Incluir item

• Social Stigma Concerns and HIV Medication Adherence

  Lance S Rintamaki, Terry C Davis et al.•AIDS Patient Care and STDs•2006

  Incluir item

• Evidence-based therapy relationships

  John C Norcross, Bruce E Wampold•Psychotherapy•2011

  Incluir item

• Prospective Associations Between HIV-Related Stigma, Transmission Risk Behaviors, and Adverse Mental Health Outcomes in Men Who Have Sex with Men

  Mark L Hatzenbuehler, Conall O’cleirigh et al.•Annals of Behavioral Medicine•2011

  Incluir item

• Meta-analysis of experiments with matched groups or repeated measures designs.

  William P Dunlap, Jose M Cortina et al.•Psychological Methods•1996

  Incluir item

• HIV Interventions to Reduce HIV/Aids Stigma

  Open Access•Sohini Sengupta, Bahby Banks et al.•AIDS and Behavior•2011

  Incluir item

• Outcomes of an inner-city HIV mental health programme integrated with primary care and emphasizing cultural responsiveness

  Mark G Winiarski, Emily Beckett et al.•AIDS Care•2005

  Incluir item

• Why some MSM present late for HIV testing

  Lucy Dowson, Catherine Kober et al.•AIDS Care•2012

  Incluir item

• Meta-analysis of health and demographic correlates of stigma towards people living with HIV

  C Logie, T M Gadalla•AIDS Care•2009

  Incluir item

• HIV Stigma and Depressive Symptoms are Related to Adherence and Virological Response to Antiretroviral Treatment Among Immigrant and Indigenous HIV Infected Patients

  Open Access•I Marion Sumari-de Boer, Mirjam A G Sprangers et al.•AIDS and Behavior•2011

  Incluir item

• Impact of HIV-Related Stigma on Health Behaviors and Psychological Adjustment Among HIV-Positive Men and Women

  Open Access•Peter A Vanable, Michael P Carey et al.•AIDS and Behavior•2006

  Incluir item

• Measuring Stigma in Older and Younger Adults with HIV/Aids

  Open Access•Charles A Emlet•Research on Social Work Practice•2005

  Incluir item

• HIV-Related Stigma and Knowledge in the United States

  Gregory M Herek, John P Capitanio et al.•American Journal of Public Health•2002

  Incluir item

• An epidemic of stigma

  Gregory M Herek, Eric K Glunt•American Psychologist•1988

  Incluir item