An Analysis of Approaches to Reduction of HIV Stigma across the World through educational interventions: A Scoping Review

Authors

  • Hamideh Ebrahimi Shahid Beheshti University of Medical Sciences
  • Foroozan Atashzadeh Shoorideh Shahid Beheshti University of Medical Sciences
  • Mohammad Reza Sohrabi Shahid Beheshti University of Medical Sciences
  • Masoumeh Ebrahimi Guilan University of Medical Sciences
  • Meimanat Hosseini Shahid Beheshti University of Medical Sciences

DOI:

https://doi.org/10.17533/udea.iee.v42n1e06

Keywords:

health education, social stigma, HIV, systematic review

Abstract

Objective. To determinate the educational interventions for reducing the stigma caused by HIV worldwide.

Methods. This scoping review study analyzed all papers published from early 2000 to the end of 2022 by searching all the scientific databases, Scopus, Web of Science, PubMed, Cochrane, Embase and CINHAL. The quality assessment of the papers was done using the ROBIS tool checklist.

Results. 31papers were admitted to the scoping review process. Stigma reduction intervention was founded on three parts: Society, health and therapeutic services providers, and the patients who had HIV and their families. The interventions included education on the reduction of fear, and shame, observation of protective standards, conducting tests and treatment at the above levels, as well as the support provided by the society, policymakers, religious leaders and families of patients in economic, psychological and cultural terms, together with the establishment of social centres and organization of campaigns.

Conclusion. The stigma associated with HIV is a significant obstacle before treatment, life expectancy and living quality of patients. Therefore, the stigma associated with this disease can be reduced, and the living quality of patients can be raised using approaches such as education of healthcare service providers and afflicted people, as well as economic, social, cultural, and psychological support.

|Abstract
= 560 veces | PDF
= 463 veces| | VIDEO
= 0 veces| | FROM PUBMED-CENTRAL
= 0 veces|

Downloads

Download data is not yet available.

References

1 Ortblad KF, Lozano R, Murray CJ. The burden of HIV: insights from the Global Burden of Disease Study 2010. AIDS (London, England). 2013; 27(13):2003. https://doi.org/10.1097%2FQAD.0b013e328362ba67

2 Feyissa GT, Lockwood C, Woldie M, Munn Z. Reducing HIV-related stigma and discrimination in healthcare settings: A systematic review of quantitative evidence. PloS one. 2019; 14(1):e0211298. https://doi.org/10.1371/journal.pone.0211298

3 Joint U. Programme on HIV/AIDS. Prevention gap report. Geneva: Joint United Nations Programme on HIV. AIDS. 2016;3.

4 UNAIDS. UNAIDS Strategy 2016–2021 UNAIDS; 2016 [cited 01/03/2016 01/03/2016]. Available from: http://www.unaids.org/en/aboutunaids/unaidsstrategygoalsby2015.

5 Pulerwitz J, Bongaarts J. Tackling stigma: fundamental to an AIDS-free future. The Lancet Global Health. 2014; 2(6):e311-e2. https://doi.org/10.1016/S2214-109X(14)70219-0

6 Ma PH, Chan ZC, Loke AY. Self-stigma reduction interventions for people living with HIV/AIDS and their families: a systematic review. AIDS and Behavior. 2019; 23(3):707-41. https://doi.org/10.1007/s10461-018-2304-1

7 Corrigan P. How stigma interferes with mental health care. American psychologist. 2004; 59(7):614. https://psycnet.apa.org/doi/10.1037/0003-066X.59.7.614

8 Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. American journal of public health. 2013;103(5):813-21.

9 Mhode M, Nyamhanga T. Experiences and impact of stigma and discrimination among people on antiretroviral therapy in Dar es Salaam: A qualitative perspective. AIDS Research and Treatment. 2016; 2016. https://doi.org/10.1155/2016/7925052

10 Liu Y, Canada K, Shi K, Corrigan P. HIV-related stigma acting as predictors of unemployment of people living with HIV/AIDS. AIDS care. 2012; 24(1):129-35. https://doi.org/10.1080/09540121.2011.596512

11 Dlamini PS, Kohi TW, Uys LR, Phetlhu RD, Chirwa ML, Naidoo JR, et al. Verbal and physical abuse and neglect as manifestations of HIV/AIDS stigma in five African countries. Public health nursing. 2007; 24(5):389-99. https://doi.org/10.1111/j.1525-1446.2007.00649.x

12 Earnshaw VA, Chaudoir SR. From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures. AIDS and Behavior. 2009; 13(6):1160-77. https://doi.org/10.1007/s10461-009-9593-3

13 Nyblade LC. Measuring HIV stigma: existing knowledge and gaps. Psychology, Health & Medicine. 2006; 11(3):335-45. https://doi.org/10.1080/13548500600595178

14 Turan JM, Nyblade L. HIV-related stigma as a barrier to achievement of global PMTCT and maternal health goals: a review of the evidence. AIDS and Behavior. 2013; 17(7):2528-39. https://doi.org/10.1007/s10461-013-0446-8

15 Musheke M, Ntalasha H, Gari S, Mckenzie O, Bond V, Martin-Hilber A, et al. A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa. BMC Public Health. 2013; 13(1):1-16. https://doi.org/10.1186/1471-2458-13-220

16 Darlington CK, Hutson SP. Understanding HIV-related stigma among women in the Southern United States: A literature review. AIDS and Behavior. 2017; 21(1):12-26. https://doi.org/10.1007/s10461-016-1504-9

17 Rueda S, Mitra S, Chen S, Gogolishvili D, Globerman J, Chambers L, et al. Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: a series of meta-analyses. BMJ Open. 2016; 6(7):e011453. http://dx.doi.org/10.1136/bmjopen-2016-011453

18 Turan B, Budhwani H, Fazeli PL, Browning WR, Raper JL, Mugavero MJ, et al. How does stigma affect people living with HIV? The mediating roles of internalized and anticipated HIV stigma in the effects of perceived community stigma on health and psychosocial outcomes. AIDS and Behavior. 2017; 21(1):283-91. https://doi.org/10.1007/s10461-016-1451-5

19 SeyedAlinaghi S, Paydary K, Kazerooni PA, Hosseini M, Sedaghat A, Emamzadeh-Fard S, et al. Evaluation of stigma index among people living with HIV/AIDS (PLWHA) in six cities in Iran. Thrita. 2013; 2(4):69-75. https://doi.org/10.5812/thrita.11801

20 Demmer C. Experiences of families caring for an HIV-infected child in KwaZulu-Natal, South Africa: an exploratory study. AIDS care. 2011; 23(7):873-9. https://doi.org/10.1080/09540121.2010.542123

21 Organization WH. Global health sector strategy on HIV 2016-2021. Towards ending AIDS. World Health Organization; 2016.

22 Mak WW, Mo PK, Ma GY, Lam MY. Meta-analysis and systematic review of studies on the effectiveness of HIV stigma reduction programs. Social Science & Medicine. 2017; 188:30-40. https://doi.org/10.1016/j.socscimed.2017.06.045

23 Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMAScR): Checklist and Explanation. Annals of Internal Medicine. 2018; 169:467–473. doi: 10.7326/M18-0850.

24 The Cochrane RoB tool Website. Available from: https://www.riskofbias.info/. 2008.

25 Nyblade L, Addo NA, Atuahene K, Alsoufi N, Gyamera E, Jacinthe S, et al. Results from a difference‐in‐differences evaluation of health facility HIV and key population stigma‐reduction interventions in Ghana. Journal of the International AIDS Society. 2020; 23(4):e25483. https://doi.org/10.1002/jia2.25483

26 Machowska A, Bamboria BL, Bercan C, Sharma M. Impact of ‘HIV-related stigma-reduction workshops’ on knowledge and attitude of healthcare providers and students in Central India: a pre-test and post-test intervention study. BMJ Open. 2020; 10(4):e033612. http://dx.doi.org/10.1136/bmjopen-2019-033612

27 Ekstrand ML, Raj T, Heylen E, Nyblade L, Devdass D, Pereira M, et al. Reducing HIV stigma among healthcare providers in India using a partly tablet-administered intervention: the DriSti trial. AIDS Care. 2020; 32(sup2):14-22. https://doi.org/10.1080/09540121.2020.1739221

28 Jacobi CA, Atanga PN, Bin LK, Fru AJC, Eppel G, Mbome VN, et al. “My Friend with HIV Remains a Friend”: HIV/AIDS Stigma Reduction through Education in Secondary Schools—A Pilot Project in Buea, Cameroon. Journal of the International Association of Providers of AIDS Care (JIAPAC). 2020; 19:2325958219900713. https://doi.org/10.1177/2325958219900713

29 Camlin CS, Charlebois ED, Getahun M, Akatukwasa C, Atwine F, Itiakorit H, et al. Pathways for reduction of HIV‐related stigma: a model derived from longitudinal qualitative research in Kenya and Uganda. Journal of the International AIDS Society. 2020; 23(12):e25647 https://doi.org/10.1002/jia2.25647.

30 Bauermeister J, Muessig K, LeGrand S, Flores D, Choi S, Dong W, et al. HIV and sexuality stigma reduction through engagement in online forums: results from the HealthMPowerment intervention. AIDS and Behavior. 2019; 23(3):742-52 https://doi.org/10.1007/s10461-018-2256-5.

31 Rao D, Kemp CG, Huh D, Nevin PE, Turan J, Cohn SE, et al. Stigma reduction among African American women with HIV: UNITY health study. Journal of acquired immune deficiency syndromes (1999). 2018; 78(3):269. https://doi.org/10.1097%2FQAI.0000000000001673

32 Li AT-W, Fung KP-L, Maticka-Tyndale E, Wong JP-H. Effects of HIV stigma reduction interventions in diasporic communities: insights from the CHAMP study. AIDS Care. 2018; 30(6):739-45. https://doi.org/10.1080/09540121.2017.1391982

33 Payne-Foster P, Bradley EL, Aduloju-Ajijola N, Yang X, Gaul Z, Parton J, et al. Testing our FAITHH: HIV stigma and knowledge after a faith-based HIV stigma reduction intervention in the Rural South. AIDS Care. 2018; 30(2):232-9. https://doi.org/10.1080/09540121.2017.1371664

34 Jaworsky D, Gardner S, Thorne JG, Sharma M, McNaughton N, Paddock S, et al. The role of people living with HIV as patient instructors–reducing stigma and improving interest around HIV care among medical students. AIDS Care. 2017; 29(4):524-31. https://doi.org/10.1080/09540121.2016.1224314

35 Tsai AC, Hatcher AM, Bukusi EA, Weke E, Lemus Hufstedler L, Dworkin SL, et al. A livelihood intervention to reduce the stigma of HIV in rural Kenya: longitudinal qualitative study. AIDS and Behavior. 2017; 21(1):248-60. https://doi.org/10.1007/s10461-015-1285-6

36 Prinsloo CD, Greeff M, Kruger A, Khumalo IP. HIV stigma experiences and stigmatisation before and after a HIV stigma-reduction community “hub” intervention. African Journal of AIDS Research. 2017; 16(3):203-13. https://doi.org/10.2989/16085906.2017.1349683

37 Derose KP, Griffin BA, Kanouse DE, Bogart LM, Williams MV, Haas AC, et al. Effects of a pilot church-based intervention to reduce HIV stigma and promote HIV testing among African Americans and Latinos. AIDS and Behavior. 2016; 20(8):1692-705. https://doi.org/10.1007/s10461-015-1280-y

38 Varas-Díaz N, Neilands TB, Rodríguez-Madera SL, Padilla M. The role of emotions in the reduction of HIV/AIDS stigma among physicians in training. AIDS care. 2016; 28(3):376-83. https://doi.org/10.1080/09540121.2015.1090537

39 Pretorius JB, Greeff M, Freeks FE, Kruger A. A HIV stigma reduction intervention for people living with HIV and their families. Health Sa Gesondheid. 2016; 21:187-95. http://dx.doi.org/10.1016/j.hsag.2015.11.005

40 Skinta MD, Lezama M, Wells G, Dilley JW. Acceptance and compassion-based group therapy to reduce HIV stigma. Cognitive and Behavioral Practice. 2015; 22(4):481-90. https://doi.org/10.1016/j.cbpra.2014.05.006

41 Rivera AV, DeCuir J, Crawford ND, Amesty S, Harripersaud K, Lewis CF. Factors associated with HIV stigma and the impact of a nonrandomized multi-component video aimed at reducing HIV stigma among a high-risk population in New York City. AIDS Care. 2015; 27(6):772-6. https://doi.org/10.1080/09540121.2014.998611

42 Pulerwitz J, Oanh KTH, Akinwolemiwa D, Ashburn K, Nyblade L. Improving hospital-based quality of care by reducing HIV-related stigma: evaluation results from Vietnam. AIDS and Behavior. 2015; 19(2):246-56. https://doi.org/10.1007/s10461-014-0935-4

43 Shah SM, Heylen E, Srinivasan K, Perumpil S, Ekstrand ML. Reducing HIV stigma among nursing students: a brief intervention. Western Journal of Nursing Research. 2014; 36(10):1323-37. https://doi.org/10.1177/0193945914523685

44 French H, Greeff M, Watson MJ. Experiences of people living with HIV and people living close to them of a comprehensive HIV stigma reduction community intervention in an urban and a rural setting. SAHARA-J: Journal of Social Aspects of HIV/AIDS. 2014; 11(1):105-15. http://dx.doi.org/10.1080/17290376.2014.938104

45 Barroso J, Relf MV, Williams MS, Arscott J, Moore ED, Caiola C, et al. A randomized controlled trial of the efficacy of a stigma reduction intervention for HIV-infected women in the Deep South. AIDS Patient Care and STDs. 2014; 28(9):489-98. https://doi.org/10.1089/apc.2014.0014

46 Varas‐Díaz N, Neilands TB, Cintrón‐Bou F, Marzán‐Rodríguez M, Santos‐Figueroa A, Santiago‐Negrón S, et al. Testing the efficacy of an HIV stigma reduction intervention with medical students in Puerto Rico: the SPACES project. Journal of the international AIDS Society. 2013; 16:18670. https://doi.org/10.7448/IAS.16.3.18670

47 Li L, Guan J, Liang L-J, Lin C, Wu Z. Popular opinion leader intervention for HIV stigma reduction in health care settings. AIDS education and prevention. 2013; 25(4):327. https://doi.org/10.1521/aeap.2013.25.4.327

48 Jain A, Nuankaew R, Mongkholwiboolphol N, Banpabuth A, Tuvinun R, Oranop na Ayuthaya P, et al. Community‐based interventions that work to reduce HIV stigma and discrimination: results of an evaluation study in Thailand. Journal of the International AIDS Society. 2013; 16:18711. https://doi.org/10.7448/IAS.16.3.18711

49 Rao D, Desmond M, Andrasik M, Rasberry T, Lambert N, Cohn SE, et al. Feasibility, acceptability, and preliminary efficacy of the unity workshop: an internalized stigma reduction intervention for African American women living with HIV. AIDS patient care and STDs. 2012; 26(10):614-20. https://doi.org/10.1089/apc.2012.0106

50 Li L, Liang L-J, Lin C, Wu Z, Rotheram-Borus MJ, Group NCHSPT. HIV prevention intervention to reduce HIV-related stigma: evidence from China. AIDS. 2010; 24(1):115-22. https://doi.org/10.1097%2FQAD.0b013e3283313e83

51 Rimal RN, Creel AH. Applying social marketing principles to understand the effects of the radio diaries program in reducing HIV/AIDS stigma in Malawi. Health Marketing Quarterly. 2008; 25(1-2):119-46. https://doi.org/10.1080/07359680802126186

52 Wu S, Li L, Wu Z, Liang L-J, Cao H, Yan Z, et al. A brief HIV stigma reduction intervention for service providers in China. AIDS Patient Care and STDs. 2008; 22(6):513-20. https://doi.org/10.1089/apc.2007.0198

53 Thapa S, Hannes K, Cargo M, Buve A, Aro AR, Mathei C. Building a conceptual framework to study the effect of HIV stigma-reduction intervention strategies on HIV test uptake: a scoping review. Journal of the Association of Nurses in AIDS Care. 2017; 28(4):545-60. https://doi.org/10.1016/j.jana.2017.04.004

54 Andersson GZ, Reinius M, Eriksson LE, Svedhem V, Esfahani FM, Deuba K, et al. Stigma reduction interventions in people living with HIV to improve health-related quality of life. The Lancet HIV. 2020; 7(2):e129-e40. https://doi.org/10.1016/S2352-3018(19)30343-1

55 Stangl AL, Lloyd JK, Brady LM, Holland CE, Baral S. A systematic review of interventions to reduce HIV‐related stigma and discrimination from 2002 to 2013: how far have we come? Journal of the International AIDS Society. 2013; 16:18734. https://doi.org/10.7448/IAS.16.3.18734

56 Mahajan AP, Sayles JN, Patel VA, Remien RH, Ortiz D, Szekeres G, et al. Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS (London, England). 2008; 22(Suppl 2):S67. https://doi.org/10.1097%2F01.aids.0000327438.13291.62

57 Tabatabaii S A, Soltani P, Khanbabaee G, Sharma D. SARS Coronavirus 2, Severe Acute Respiratory Syndrome, and Middle East Respiratory Syndrome in Children: A Review on Epidemiology, Clinical Presentation, and Diagnosis. Archives Archives of Pediatric Infectious Diseases. 2020; 8(4): e104860. https://doi.org/10.1001/jamapediatrics.2020.1467.

58 Dadashzadeh N, Farshid S, Valizadeh R, Nanbakhsh M, Rahimi MM. Acute respiratory distress syndrome in COVId-19 disease. Immunopathol Persa. 2020; 6(2): e16. https://doi.org/10.34172/ipp.2020.16

59 Besharat S, Alamda NM, Dadashzadeh N, Talaie R, Mousavi SS, Barzegar A, et al. Clinical and Demographic Characteristics of Patients with COVID-19 Who Died in Modarres Hospital. Open Access Macedonian Journal of Medical Sciences. 2020; 8(T1):144-9. https://doi.org/10.3889/oamjms.2020.5013

60 Barzegar A, Ghadipasha M, Rezaei N, Forouzesh M, Valizadeh R. New hope for treatment of respiratory involvement following COVID-19 by bromhexine. Journal of Nephropharmacoly. 2021; 10(2): e11. https://doi.org/10.34172/npj.2021.11

61 Valizadeh R, Dadashzadeh N, Zakeri R, James Kelllner S, Rahimi MM. Drug therapy in hospitalized patients with very severe symptoms following COVID-19. Journal of Nephropharmacology. 2020; 9(2): e21. https://doi.org/10.34172/npj.2020.21

62 Rahimi MM, Jahantabi E, Lotfi B, Forouzesh M, Valizadeh R, Farshid S. Renal and liver injury following the treatment of COVID-19 by remdesivir. Journal of Nephropharmacology. 2021; 10(2): e10. https://doi.org/10.34172/jnp.2021.10

63 Lotfi B, Farshid S, Dadashzadeh N, Valizadeh R, Rahimi M M. Is Coronavirus Disease 2019 (COVID-19) Associated with Renal Involvement? A Review of Century Infection. Jundishapur Journal of Microbiology. 2020; 13(4): e102899. https://doi.org/10.5812/jjm.102899

64 Daneshfar M, Dadashzadeh N, Ahmadpour M, Ragati Haghi H, Rahmani V, Forouzesh M, et al. Lessons of mortality following COVID-19 epidemic in the United States especially in the geriatrics. Journal of Nephropharmacology. 2021; 10(1): e06. https://doi.org/10.34172/npj.2021.06

65 Faghir-Gangi M, Khezri R, Mohammadpour Y, Valizadeh R. Lessons learned about virtual education during the COVID-19 pandemic. Investigación y Educación en Enfermería. 2023; 41(2):e01. https://doi.org/10.17533/udea.iee.v41n2e01.

Published

2024-04-02 — Updated on 2024-08-17

Versions

How to Cite

Ebrahimi, H., Atashzadeh Shoorideh, F., Reza Sohrabi, M., Ebrahimi, M., & Hosseini, M. (2024). An Analysis of Approaches to Reduction of HIV Stigma across the World through educational interventions: A Scoping Review. Investigación Y Educación En Enfermería, 42(1). https://doi.org/10.17533/udea.iee.v42n1e06 (Original work published April 2, 2024)

Issue

Section

REVIEW ARTICLE / ARTÍCULO DE REVISIÓN / ARTIGO DE REVISÃO