Assessing HIV-related stigma in the clinical setting: are providers in Florida interested?

AIDS Care. 2024 Feb;36(2):248-254. doi: 10.1080/09540121.2023.2279981. Epub 2024 Jan 30.

Abstract

HIV-related stigma is a key contributor to poor HIV-related health outcomes. The purpose of this study is to explore implementing a stigma measure into routine HIV care focusing on the 10-item Medical Monitoring Project measure as a proposed measure. Healthcare providers engaged in HIV-related care in Florida were recruited. Participants completed an interview about their perceptions of measures to assess stigma during clinical care. The analysis followed a directed content approach. Fifteen participants completed the interviews (87% female, 47% non-Hispanic White, case manager 40%). Most providers thought that talking about stigma would be helpful (89%). Three major themes emerged from the analysis: acceptability, subscales of interest, and utility. In acceptability, participants mentioned that assessing stigma could encourage patient-centered care and serve as a conversation starter, but some mentioned not having enough time. Participants thought that the disclosure concerns and negative self-image subscales were most relevant. Some worried they would not have resources for patients or that some issues were beyond their influence. Participants were generally supportive of routinely addressing HIV-related stigma in clinical care, but were concerned that resources, especially to address concerns about disclosure and negative self-image, were not available.

Keywords: HIV; healthcare; mental health; screening; stigma.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anxiety
  • Disclosure
  • Female
  • Florida
  • HIV Infections*
  • Humans
  • Male
  • Social Stigma