- Limited or no HIV stigma training among providers coupled with historically negative portrayals of at-risk, people living with HIV (PLWH), and persons seeking HIV prevention/care services are important drivers of HIV-related stigma.
Why this matters
- Stigmatizing provider attitudes, especially at the primary care level, act as barriers to HIV prevention, treatment, and care-seeking behavior.
- Adopt policies that help normalize HIV testing (e.g., opt-out testing, less focus on risk-based testing only).
- 6 studies; sample size range, 14-651 providers.
- Attitudes/beliefs/behaviors (n=6): factors varied by sex, race, religion, provider category, clinical setting.
- White, male, primary care physicians with limited/no HIV-stigma training in past 12 months were most stigmatizing.
- Stigmatizing beliefs linked to negative portrayals of at-risk, PLWH, persons seeking prevention/care.
- Patient care quality (n=3): fear of acquiring HIV through occupational exposure reduced care quality, increased care refusal, anxiety.
- Fear was higher among physicians with limited awareness/access to preexposure prophylaxis.
- Education/training (n=2): limited opportunity for clinical education/practice for non-HIV specialty providers facilitated HIV stigma.
- Systematic review examining HIV-related stigma by U.S. health care providers.
- Funding: None disclosed.
- Limited sample, nongeneralizable.
- Social desirability, personal bias.
- Geographical bias.
- Data limited to U.S.