A Review of the State of the Science of HIV and Stigma: Context, Conceptualization, Measurement, Interventions, Gaps, and Future Priorities
Stigma is a fundamental cause of health inequities. As such, stigma is a major barrier to HIV prevention, care, and treatment. This review will examine the concept of stigma, explicating the mechanisms of action of HIV-related stigma while also examining intersectional stigma and structural stigma....
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| Published in | The Journal of the Association of Nurses in AIDS Care Vol. 32; no. 3; pp. 392 - 407 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Wolters Kluwer
01.05.2021
Lippincott Williams & Wilkins Ovid Technologies |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Stigma is a fundamental cause of health inequities. As such, stigma is a major barrier to HIV prevention, care, and treatment. This review will examine the concept of stigma, explicating the mechanisms of action of HIV-related stigma while also examining intersectional stigma and structural stigma. Instruments to measure HIV-related stigma and its mechanisms of action, as well as stigma enacted and experienced by HIV health care providers, will also be reviewed. This article will conclude with a review of stigma interventions, gaps in the literature, and priorities for future HIV, intersectional, and structural stigma research. |
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| AbstractList | Stigma is a fundamental cause of health inequities. As such, stigma is a major barrier to HIV prevention, care, and treatment. This review will examine the concept of stigma, explicating the mechanisms of action of HIV-related stigma while also examining intersectional stigma and structural stigma. Instruments to measure HIV-related stigma and its mechanisms of action, as well as stigma enacted and experienced by HIV health care providers, will also be reviewed. This article will conclude with a review of stigma interventions, gaps in the literature, and priorities for future HIV, intersectional, and structural stigma research. Stigma is a fundamental cause of health inequities. As such, stigma is a major barrier to HIV prevention, care, and treatment. This review will examine the concept of stigma, explicating the mechanisms of action of HIV-related stigma while also examining intersectional stigma and structural stigma. Instruments to measure HIV-related stigma and its mechanisms of action, as well as stigma enacted and experienced by HIV health care providers, will also be reviewed. This article will conclude with a review of stigma interventions, gaps in the literature, and priorities for future HIV, intersectional, and structural stigma research.ABSTRACTStigma is a fundamental cause of health inequities. As such, stigma is a major barrier to HIV prevention, care, and treatment. This review will examine the concept of stigma, explicating the mechanisms of action of HIV-related stigma while also examining intersectional stigma and structural stigma. Instruments to measure HIV-related stigma and its mechanisms of action, as well as stigma enacted and experienced by HIV health care providers, will also be reviewed. This article will conclude with a review of stigma interventions, gaps in the literature, and priorities for future HIV, intersectional, and structural stigma research. |
| Author | Nyblade, Laura Relf, Michael V. Ellis Caiola, Courtney Holt, Lauren L. Holzemer, William |
| AuthorAffiliation | Michael V. Relf, PhD, RN, AACRN, ACNS-BC, CNE, ANEF, FAAN, is Associate Dean for Global and Community Health Affairs, Duke University School of Nursing, and Associate Research Professor, Duke Global Health Institute, Durham, North Carolina, USA. William L. Holzemer, PhD, RN, FAAN, is Distinguished Professor and Dean Emeritus, Rutgers University School of Nursing, Newark, New Brunswick, & Blackwood, New Jersey, USA. Lauren Holt, MSN, RN, is a PhD Student, Duke University School of Nursing, Durham, North Carolina, USA. Laura Nyblade, PhD, is Fellow and Senior Technical Advisor, Stigma and Discrimination, Research Triangle International, Washington, DC, USA. Courtney Ellis Caiola, PhD, MPH, RN, CNE, is Assistant Professor, East Carolina University, College of Nursing, Greenville, North Carolina, USA |
| AuthorAffiliation_xml | – name: Michael V. Relf, PhD, RN, AACRN, ACNS-BC, CNE, ANEF, FAAN, is Associate Dean for Global and Community Health Affairs, Duke University School of Nursing, and Associate Research Professor, Duke Global Health Institute, Durham, North Carolina, USA. William L. Holzemer, PhD, RN, FAAN, is Distinguished Professor and Dean Emeritus, Rutgers University School of Nursing, Newark, New Brunswick, & Blackwood, New Jersey, USA. Lauren Holt, MSN, RN, is a PhD Student, Duke University School of Nursing, Durham, North Carolina, USA. Laura Nyblade, PhD, is Fellow and Senior Technical Advisor, Stigma and Discrimination, Research Triangle International, Washington, DC, USA. Courtney Ellis Caiola, PhD, MPH, RN, CNE, is Assistant Professor, East Carolina University, College of Nursing, Greenville, North Carolina, USA |
| Author_xml | – sequence: 1 givenname: Michael V. surname: Relf fullname: Relf, Michael V. organization: Michael V. Relf, PhD, RN, AACRN, ACNS-BC, CNE, ANEF, FAAN, is Associate Dean for Global and Community Health Affairs, Duke University School of Nursing, and Associate Research Professor, Duke Global Health Institute, Durham, North Carolina, USA. William L. Holzemer, PhD, RN, FAAN, is Distinguished Professor and Dean Emeritus, Rutgers University School of Nursing, Newark, New Brunswick, & Blackwood, New Jersey, USA. Lauren Holt, MSN, RN, is a PhD Student, Duke University School of Nursing, Durham, North Carolina, USA. Laura Nyblade, PhD, is Fellow and Senior Technical Advisor, Stigma and Discrimination, Research Triangle International, Washington, DC, USA. Courtney Ellis Caiola, PhD, MPH, RN, CNE, is Assistant Professor, East Carolina University, College of Nursing, Greenville, North Carolina, USA – sequence: 2 givenname: William surname: L. Holzemer fullname: L. Holzemer, William – sequence: 3 givenname: Lauren surname: Holt fullname: Holt, Lauren – sequence: 4 givenname: Laura surname: Nyblade fullname: Nyblade, Laura – sequence: 5 givenname: Courtney surname: Ellis Caiola fullname: Ellis Caiola, Courtney |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23 M. V. Relf was involved with the conceptualization, funding acquisition, visualization of tables, writing the original draft, and review and editing. W. Holzemer was involved with the conceptualization, visualization of tables, writing the original draft, and review and editing. Lauren Holt was involved with the conceptualization, and review and editing. L. Nyblade was involved with the conceptualization, funding acquisition, and review and editing. C. Caiola was involved with the conceptualization, writing the original draft, and review and editing. Author Contributions |
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| SubjectTerms | Concept Formation Health care Health disparities Health Personnel - psychology HIV HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - psychology Human immunodeficiency virus Humans Intersectionality Intersectoral Collaboration Intervention Measurement Medical personnel Medical research Nurses - psychology Nursing Research Prevention programs Preventive medicine Research methodology Social Stigma Stigma |
| Title | A Review of the State of the Science of HIV and Stigma: Context, Conceptualization, Measurement, Interventions, Gaps, and Future Priorities |
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