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HIV-Related Stigma by Healthcare Providers in the United States: A Systematic Review
Open accessAbstract
Reducing HIV-related stigma may enhance the quality of HIV prevention and care services and is a national prevention goal. The objective of this systematic review was to identify studies of HIV-related stigma among healthcare providers. For studies published between 2010 and 2017, we: (1) searched databases using our keywords, (2) excluded nonpeer reviewed studies, (3) limited the findings to the provider perspective and studies conducted in the United States, (4) extracted and summarized the data, and (5) conducted a contextual review to identify common themes. Of 619 studies retrieved, 6 were included, with 3 themes identified: (1) attitudes, beliefs, and behaviors (n = 6), (2) quality of patient care (n = 3), and (3) education and training (n = 2). Factors associated with HIV-related stigma varied by gender, race, provider category, and clinical setting. Providers with limited recent HIV-stigma training were more likely to exhibit stigmatizing behaviors toward patients. Developing provider-centered stigma-reduction interventions may help advance national HIV prevention and care goals.
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While there are manifold efforts aiming to reduce providers' and the public's stigmatizing attitudes, evidence on the effectiveness of stigma interventions specifically targeting people with HIV who inject drugs in order to facilitate care engagement is limited.
“While there are manifold efforts aiming to reduce providers' and the public's stigmatizing attitudes,16,17 evidence on the effectiveness of stigma interventions specifically targeting people with HIV who inject drugs in order to facilitate care engagement is limited.1,18”
From An acceptance-based, intersectional stigma coping intervention for people with HIV who inject drugs—a randomized clinical trial (2023) · cites this paper as [17]
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Turan, B., Henna Budhwani, P., Fazeli, P. L., Browning, W. R., Raper, J. L., Mugavero, M. J., & Turan, J. M. (2016) · AIDS and Behavior · doi:10.1007/s10461-016-1451-5 · Cited by 491
Eaton, L. A., Driffin, D. D., Kegler, C., Smith, H., Conway-Washington, C., White, D., & Cherry, C. (2014) · American Journal of Public Health · doi:10.2105/ajph.2014.302322 · Cited by 415
HIV-Related Stigma Among Healthcare Providers in the Deep South
Stringer, K. L., Turan, B., McCormick, L. C., Durojaiye, M., Nyblade, L. C., Kempf, M.-C., Lichtenstein, B., & Turan, J. M. (2015) · AIDS and Behavior · doi:10.1007/s10461-015-1256-y · Cited by 206
Batey, D. S., Whitfield, S., Mulla, M. M., Stringer, K. L., Durojaiye, M., McCormick, L. C., Turan, B., Nyblade, L. C., Kempf, M.-C., & Turan, J. M. (2016) · AIDS Patient Care and STDs · doi:10.1089/apc.2016.0223 · Cited by 86
Walcott, M. M., Kempf, M.-C., Merlin, J. S., & Turan, J. M. (2015) · Culture Health & Sexuality · doi:10.1080/13691058.2015.1110255 · Cited by 76
Measuring HIV-related stigma among healthcare providers: a systematic review
Marshall, S. A., Brewington, K. M., Allison, M. K., Haynes, T. F., & Zaller, N. D. (2017) · AIDS Care · doi:10.1080/09540121.2017.1338654 · Cited by 71
Patient and provider priorities for self-reported domains of HIV clinical care
Fredericksen, R. J., Edwards, T. C., Merlin, J. S., Gibbons, L. E., Rao, D., Batey, D. S., Dant, L., Páez, E., Church, A. E., Crane, P. K., et al. (2015) · AIDS Care · doi:10.1080/09540121.2015.1050983 · Cited by 60
Religion and HIV/AIDS stigma: Implications for health professionals in Puerto Rico
Varas‐Díaz, N., Neilands, T. B., Malave-Rivera, S. M., et al. (2010) · Global Public Health · doi:10.1080/17441690903436581 · Cited by 57
A Grounded Theory Study of HIV-Related Stigma in U.S.-Based Health Care Settings
Davtyan, M., Olshansky, E. F., Brown, B. J., et al. (2017) · Journal of the Association of Nurses in AIDS Care · doi:10.1016/j.jana.2017.07.007 · Cited by 40
Smith, D. K., Handel, M. M. V., & Huggins, R. A. (2017) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000001532 · Cited by 37
HIV Stigma in Prisons and Jails: Results from a Staff Survey
Belenko, S., Dembo, R., Copenhaver, M., et al. (2015) · AIDS and Behavior · doi:10.1007/s10461-015-1098-7 · Cited by 29
Johnston, S. E., Kendall, C., Hogel, M., et al. (2015) · PLoS ONE · doi:10.1371/journal.pone.0136757 · Cited by 15
Aggarwal, S., Lee, D. H., Minteer, W. B., Fenning, R. T. H., Raja, S. K., Bernstein, M. E., Raman, K. R., Denny, S. P., Patel, P. A., Lieber, M., et al. (2017) · AIDS Patient Care and STDs · doi:10.1089/apc.2016.0175 · Cited by 9
Lancet, T. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61193-4 · Cited by 8
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Luoma, J. B., Rossi, S. L., Sereda, Y., Pavlov, N., Toussova, O., Vetrova, M., Bendiks, S., Kiriazova, T., Krupitsky, E., Lioznov, D., et al. (2023) · The Lancet Regional Health - Europe · doi:10.1016/j.lanepe.2023.100611 · Cited by 16
Metadata
- Authors
- Geter, A., Herron, A. R., & Sutton, M. Y.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Geter, Angelica
- Venue
- AIDS Patient Care and STDs
- Publisher
- SAGE Publications
- Published
- 2018-10
- Volume
- 32
- Issue
- 10
- Pages
- 418-424
- ISSN
- 1087-2914 (ISSN-L)
- 1557-7449
- PMC
- PMC6410696
- OpenAlex
- W2895388154
- Cited by
- 264
- References
- 14
- Citations by year
- 2026: 27 · 2025: 44 · 2024: 32 · 2023: 48 · 2022: 48 · 2021: 31 · 2020: 18 · 2019: 14 · 2018: 2
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- AIDS Patient Care and STDs (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (CC999999)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- HIV stigma, healthcare workers, stigma reduction, quality of care, provider education and training, stigma reduction interventions, HIV prevention, HIV care, gender and race differences, clinical settings
- MeSH terms
- Acquired Immunodeficiency Syndrome, Attitude of Health Personnel, Discrimination, Psychological, Health Personnel, Humans, Stereotyping, United States, HIV Infections, Social Stigma
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