Sunday, December 20, 2015

HIV-Related Stigma among Healthcare Providers in the Deep South

Stigma towards people living with HIV (PLWH) in healthcare settings is a barrier to optimal treatment. However, our understanding of attitudes towards PLWH from healthcare providers' perspective in the United States is limited and out-of-date. 

We assessed HIV-related stigma among healthcare staff in Alabama and Mississippi, using online questionnaires. Participants included 651 health workers (60 % White race; 83 % female). 

Multivariate regression suggests that several factors independently predict stigmatizing attitudes: Protestant compared to other religions, White race compared to other races, type of clinic (HIV/STI clinic), availability of post-exposure prophylaxis (yes: β = -0.107, p ≤ 0.05), and perceptions of policy enforcement (policies not enforced: β = 0.058, p = p ≤ 0.05). 

These findings may assist providers wishing to improve the quality care for PLWH. Enforcement of policies prohibiting discrimination may be a useful strategy for reducing HIV-related stigma among healthcare workers.

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  • 1Department of Sociology, College of Arts and Sciences, University of Alabama at Birmingham, HHB 460, 1720 2nd Ave South, Birmingham, AL, 35294-1152, USA. kristi.stringer.uab@gmail.com.
  • 2Department of Psychology, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
  • 3Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
  • 4RTI, International, Washington, DC, USA.
  • 5Department of Family, Community and Health Systems, School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
  • 6Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
  • 7Department of Criminal Justice, College of Arts and Sciences, University of Alabama, Tuscaloosa, AL, USA. 

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