Thirty-Five Years Later

Houston, Patricia; Powell, Edwin; Khan, Javed Masood; Sultana, Shirin; Kwagyan, John; Kharfen, Michael; Rana, Sohail

doi:10.1097/jnc.0000000000000060

Cited by 8 publications

(6 citation statements)

References 24 publications

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“…First, stigmatic thoughts and behavior were more frequently disclosed by younger healthcare providers. These findings contrasted to other studies pinpointing stigmatization more among older healthcare providers [18,19]. Reasons for this difference might be less work experience, limited exposure to people with HIV, and limited knowledge on HIV transmission and HIV stigma.…”

Section: Discussioncontrasting

confidence: 99%

“…A recent Dutch study on the perspectives of people with HIV showed an increase in HIV stigma in Dutch healthcare settings over the past decade [15]. However, quantitative data on HIV stigma among healthcare providers working in hospitals where people with HIV usually receive their care in high-income countries are nearly absent [17][18][19][20]. Most of the studies available were conducted among healthcare providers who worked in hospitals in low-and middle-income countries [21][22][23][24][25][26][27].…”

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confidence: 99%

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Unmasking Individual and Institutional HIV Stigma in Hospitals: Perspectives of Dutch Healthcare Providers

Jordans,

Vliegenthart-Jongbloed,

van Bruggen

et al. 2024

AIDS Behav

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People with HIV continue to experience HIV stigma. Quantitative data on HIV stigma perpetrated by healthcare providers of hospitals providing HIV care in high-income countries are limited. The aim of this study is to investigate factors associated with HIV stigma in Dutch healthcare settings from the healthcare providers’ perspective. We conducted a cross-sectional study using the questionnaire ‘Measuring HIV Stigma and Discrimination Among Health Facility Staff – Monitoring Tool for Global Indicators’ to assess HIV stigma among healthcare providers (n = 405) in two academic hospitals. Healthcare providers licensed to provide medical care were eligible for inclusion. The primary outcome was the self-reported prevalence of at least one manifestation of HIV stigma measured by six stigma indicators (four individual, two institutional). Secondary outcomes were the prevalence of HIV stigma per indicator, per occupation, per department, and factors associated with individual stigma indicators. HIV stigma was prevalent among 88.1% (95%CI 84.5% − 91.2%) of participants. Stigma was mostly driven by negative attitudes towards people with HIV and worry to acquire HIV. Multivariate analysis showed that several factors were associated with HIV stigma, including younger age, male sex, working at one of the surgical departments, and working as a nurse. Having received any training on HIV stigma and/or discrimination was associated with less HIV stigma among all indicators. In conclusion, HIV stigma is highly prevalent among Dutch healthcare providers. Targeted approaches, including training on HIV stigma and discrimination, are needed to reduce HIV stigma in healthcare and should, among others, focus on younger healthcare providers.

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Section: Discussioncontrasting

confidence: 99%

mentioning

confidence: 99%

Unmasking Individual and Institutional HIV Stigma in Hospitals: Perspectives of Dutch Healthcare Providers

Jordans,

Vliegenthart-Jongbloed,

van Bruggen

et al. 2024

AIDS Behav

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“…Reducing HIV-related S&D in healthcare setting is paramount because they are the first line of care, treatment and support services that PLHIV can access to help them manage their response to HIV (Houstan et al, 2019). Aside from access to services, other critical reasons for reducing HIV-related S&D is the negative effect on self-esteem and mental health (Vorasane et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Aside from access to services, other critical reasons for reducing HIV-related S&D is the negative effect on self-esteem and mental health (Vorasane et al, 2017). Anxiety, depression, suicidal ideation, emotional health, psychological well-being, life satisfaction and quality of life have all been reported to be negatively impacted by S&D (Vorasane et al, 2017;Houstan et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

HIV-Related Stigma and Discrimination (S&D) among Healthcare Workers (HCW) in Government Healthcare Facilities in Malaysia: Is It Real?

Yadzir¹,

Ramly²,

Suleiman³

2021

GJHS

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Stigma and discrimination (S&D) undermine quality of life of people living with HIV (PLHIV) and their access to health services. In this context, an understanding of current stigmatizing attitudes among HCW towards PLHIV from the perspective of Malaysia healthcare setting is crucial to plan for service delivery improvement that is non-stigmatizing and non-discriminatory. The objective of this study was to examine and measure the level of S&D towards PLHIV among HCW in selected government facilities. A cross-sectional study was undertaken from July to August 2020 in five government hospitals and six government health clinics in Malaysia. Two sets of a validated self-administered questionnaires, one for HCW and another one for PLHIV were used to assess HIV-related S&D. This survey was conducted via web-based platform. Overall, 3880 HCW and 1173 PLHIV participated in this study. This study found significant proportion of HCW were having stigmatizing attitudes towards PLHIV. This includes fear of taking blood from PLHIV (87%) and double gloving when attending PLHIV (64%) probably due to fear of contracting HIV. In addition, 45% of HCW agreed that women living with HIV (WLHIV) should be prohibited from having children. Although HCW have fears for contracting HIV, their consciences and integrity allowed them to display some positive attitudes towards PLHIV with the majority of HCW 84% and 79% stated that they having observed others in their facility expressed willingness to care and providing good care to PLHIV. On PLHIV experience, only 12% of them reported that they had ever experienced stigma when accessing health services. The findings of this study shared a worrying magnitude of stigma towards PLHIV among HCW in Malaysia. Nevertheless, ethics and professionalism are upheld through giving good care and services to PLHIV. However, stigma reduction intervention programmes are still needed for HCW to ensure continuous excellent service delivery.

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“…Challenges related to knowledge and widespread stigmatizing beliefs and attitudes are well documented among healthcare providers (HCPs) [ [7] , [8] , [9] , [10] ]. These challenges interfere with preventative care and management, creating access barriers to patients seeking information, testing, and medical care [ 8 , 11 , 12 ]. There is a paucity of published literature on the topic in Jordan.…”

Section: Introductionmentioning

confidence: 99%

HIV- related knowledge, attitude, practices, and stigma among healthcare providers caring for HIV in Jordan: Identification of several organizational challenges

Saad,

Khader,

Aqel

et al. 2024

Heliyon

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Thirty-Five Years Later

Cited by 8 publications

References 24 publications

Unmasking Individual and Institutional HIV Stigma in Hospitals: Perspectives of Dutch Healthcare Providers

Unmasking Individual and Institutional HIV Stigma in Hospitals: Perspectives of Dutch Healthcare Providers

HIV-Related Stigma and Discrimination (S&D) among Healthcare Workers (HCW) in Government Healthcare Facilities in Malaysia: Is It Real?

HIV- related knowledge, attitude, practices, and stigma among healthcare providers caring for HIV in Jordan: Identification of several organizational challenges

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