Anticipated Stigma and Social Barriers to Communication Between Transgender Women Newly Diagnosed with HIV and Health Care Providers: A Mediation Analysis

Amarante, Isabella Chypriades Junqueira; Lippman, Sheri A; Sevelius, Jae M.; Saggese, Gustavo Santa Roza; da Silva, Antônio Augusto Moura; Veras, Maria Amélia de Sousa Mascena

doi:10.1089/lgbt.2023.0041

Cited by 1 publication

(2 citation statements)

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“…However, due to a lack of education and awareness about HIV, as well as the associated negative stereotypes, many people still suffer from self-stigma, feeling guilty and self-recriminating in a situation that goes far beyond their responsibility [1][2][3][4]. Regarding anticipated stigma, this refers to the prejudices and negative stereotypes that exist in society about HIV and that lead to the exclusion and marginalization of people who could be at risk of con-tracting it [5,6]. It can manifest as irrational fear and an attitude of rejection towards people who are considered to carry or be at risk of acquiring HIV, such as those who are in "risk" groups such as sex workers, intravenous drug users, men who have sex with men (MSM) or LGBTQ+ people [5][6][7][8].…”

Section: Summary N Introductionmentioning

confidence: 99%

“…Regarding anticipated stigma, this refers to the prejudices and negative stereotypes that exist in society about HIV and that lead to the exclusion and marginalization of people who could be at risk of con-tracting it [5,6]. It can manifest as irrational fear and an attitude of rejection towards people who are considered to carry or be at risk of acquiring HIV, such as those who are in "risk" groups such as sex workers, intravenous drug users, men who have sex with men (MSM) or LGBTQ+ people [5][6][7][8]. However, the stigma promulgated towards PLWH by health professionals is a worrying problem.…”

Section: Summary N Introductionmentioning

confidence: 99%

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Stigma and fear of getting sick in the care of people living with HIV: an exploratory systematic review

2024

Infez Med

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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 CEN-TRAL 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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