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Jaimes YAP, Lozada-Martínez ID, Tosàs MR, Tiraboschi J. Stigma and fear of getting sick in the care of people living with HIV: an exploratory systematic review. LE INFEZIONI IN MEDICINA 2024; 32:168-182. [PMID: 38827831 PMCID: PMC11142417 DOI: 10.53854/liim-3202-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 04/30/2024] [Indexed: 06/05/2024]
Abstract
The aim of the present study was to explore the stigma and fear of getting sick in health professionals who treat people living with HIV. An exploratory systematic review was conducted. The search was limited to the presence of stigma and fear of getting sick on the part of healthcare workers who treat people living with HIV, documented by the health workers or patients themselves. No language restriction was made and systematic reviews, comments or communications were excluded. The sources of information were Scopus, PubMed/MEDLINE, Science Direct, and the CENTRAL Registry, from the last 5 years. The quality of the evidence was assessed with an adapted tool and the synthesis of the results was carried out using a narrative synthesis approach. Twenty-three articles were included, which related structural stigma, stigma by health professionals and fear of getting sick. Among the findings, data stood out such as that more than 50% of patients reported having experienced discrimination due to HIV and even accumulated stigma for other additional causes. Stigma enacted in healthcare settings was related to suboptimal adherence to treatment (OR 1.38; 95% CI: 1.03-1.84; p=0.028). Stigma is a structural barrier in the care of people living with HIV and generates a psychological, physical, and social health impact for these people. Some limitations of the present study are that, despite searching the major databases, important manuscripts may have been left out. Additionally, there are regions that are not represented in this review because no manuscripts from those areas were found.
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Affiliation(s)
| | | | - Mar Rosàs Tosàs
- Blanquerna-Faculty of Health Sciences- Ramon Llull University, Barcelona, Spain
| | - Juan Tiraboschi
- Infectious Diseases Service-Bellvitge-IDIBELL-University Hospital-University of Barcelona. Hospitalet de Llobregat, Spain
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Lin C, Nguyen DB, Nguyen L, Nguyen TT, Li L, Minh Giang L. Navigating cultural and gender aspects of stigma among women living with HIV in Vietnam. CULTURE, HEALTH & SEXUALITY 2024:1-17. [PMID: 38478464 DOI: 10.1080/13691058.2024.2318428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 02/09/2024] [Indexed: 04/21/2024]
Abstract
Women living with HIV often face intersecting challenges of stigma and gender inequality. In Vietnam, this issue is potentially exacerbated by the patriarchal culture. From December 2021 to March 2022, we conducted in-depth interviews with 30 women living with HIV in Hanoi to better understand their experiences and the coping mechanisms to navigate HIV stigma, cultural beliefs and gender norms. The interviews explored various topics including women's social and family roles in Vietnam, HIV-related beliefs, stigma and its impact on one's health and coping strategies. Participants reported stereotypes that assumed that women living with HIV had either engaged in sex work or behaved promiscuously. These stereotypes render them vulnerable to judgement and discrimination owing to widespread expectations of female virtue. As a result, women living with HIV often enacted non-disclosure and self-isolation to avoid stigma. This self-stigmatisation negatively impacted their healthcare-seeking, employment opportunities and ability to fulfil traditional family-caring roles. Conversely, many participants exhibited resilience with the support of family and peers. Overall, the complex interplay between gender, culture and HIV stigma underscores the importance of developing culturally appropriate, multifaceted approaches to engaging family and peers, modifying gender-based discriminatory social practices and enhancing women's self-efficacy and empowerment in Vietnam.
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Affiliation(s)
- Chunqing Lin
- Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior University of California, Center for Community Health, Los Angeles, CA, USA
| | - Diep Bich Nguyen
- Center for Training and Research on Substance Use & HIV, Hanoi Medical University, Hanoi, Vietnam
| | - Lynn Nguyen
- David Geffen School of Medicine, University of California, Los Angeles, CA, USA
| | - Trang Thu Nguyen
- Center for Training and Research on Substance Use & HIV, Hanoi Medical University, Hanoi, Vietnam
| | - Li Li
- Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior University of California, Center for Community Health, Los Angeles, CA, USA
| | - Le Minh Giang
- David Geffen School of Medicine, University of California, Los Angeles, CA, USA
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Moen M, Sublette N, Alves J, Walker CM. Policy Challenges and Resiliency Related to Ending the HIV Epidemic in the Southern and Rural United States: A Call to Action. J Assoc Nurses AIDS Care 2024; 35:161-172. [PMID: 38306307 DOI: 10.1097/jnc.0000000000000454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2024]
Abstract
ABSTRACT In this commentary, we describe current policy trends and their implications for the health of populations in the Southern and rural United States. We outline policy changes that threaten the prevention, care, and treatment of people at risk for HIV or with HIV and sociopolitical factors contributing to these policy trends. We also issue a call-to-action for individuals with Southern and rural US policy expertise and lived or living experience to collaboratively engage on a systematic policy analysis to thoroughly document relevant policies and deepen our understanding of the influences behind these policies. Finally, we provide examples of individual, community, and national level resiliency and courage-strategies that inspire advocacy and hope in the face of policy setbacks.
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Affiliation(s)
- Marik Moen
- Marik Moen, PhD, MPH, RN, is an Assistant Professor, University of Maryland Baltimore School of Nursing, Baltimore, Maryland, USA
- Nina Sublette, PhD, APRN-FNP, AACRN, SANE-P, is an Assistant Professor, University of Tennessee Health Sciences Center College of Nursing, Memphis, Tennessee, USA
- Justin Alves, MSN, FNP-BC, ACRN, CARN, CNE, is a Clinical Nurse Educator with Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, Boston, Massachusetts, USA
- Crystal Martin Walker, PhD, DNP, FNP-C, is an Assistant Professor, University of Tennessee Health Sciences Center College of Nursing, Memphis, Tennessee, USA
| | - Nina Sublette
- Marik Moen, PhD, MPH, RN, is an Assistant Professor, University of Maryland Baltimore School of Nursing, Baltimore, Maryland, USA
- Nina Sublette, PhD, APRN-FNP, AACRN, SANE-P, is an Assistant Professor, University of Tennessee Health Sciences Center College of Nursing, Memphis, Tennessee, USA
- Justin Alves, MSN, FNP-BC, ACRN, CARN, CNE, is a Clinical Nurse Educator with Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, Boston, Massachusetts, USA
- Crystal Martin Walker, PhD, DNP, FNP-C, is an Assistant Professor, University of Tennessee Health Sciences Center College of Nursing, Memphis, Tennessee, USA
| | - Justin Alves
- Marik Moen, PhD, MPH, RN, is an Assistant Professor, University of Maryland Baltimore School of Nursing, Baltimore, Maryland, USA
- Nina Sublette, PhD, APRN-FNP, AACRN, SANE-P, is an Assistant Professor, University of Tennessee Health Sciences Center College of Nursing, Memphis, Tennessee, USA
- Justin Alves, MSN, FNP-BC, ACRN, CARN, CNE, is a Clinical Nurse Educator with Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, Boston, Massachusetts, USA
- Crystal Martin Walker, PhD, DNP, FNP-C, is an Assistant Professor, University of Tennessee Health Sciences Center College of Nursing, Memphis, Tennessee, USA
| | - Crystal Martin Walker
- Marik Moen, PhD, MPH, RN, is an Assistant Professor, University of Maryland Baltimore School of Nursing, Baltimore, Maryland, USA
- Nina Sublette, PhD, APRN-FNP, AACRN, SANE-P, is an Assistant Professor, University of Tennessee Health Sciences Center College of Nursing, Memphis, Tennessee, USA
- Justin Alves, MSN, FNP-BC, ACRN, CARN, CNE, is a Clinical Nurse Educator with Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, Boston, Massachusetts, USA
- Crystal Martin Walker, PhD, DNP, FNP-C, is an Assistant Professor, University of Tennessee Health Sciences Center College of Nursing, Memphis, Tennessee, USA
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