TY - JOUR
KW - Adult
KW - Analysis of Variance
KW - Community Mental Health Services/organization & administration
KW - Delivery of Health Care, Integrated/organization & administration
KW - Female
KW - Follow-Up Studies
KW - HIV Infections/psychology
KW - Humans
KW - Male
KW - Middle Aged
KW - Perception
KW - Personal Satisfaction
KW - Prejudice
KW - Primary Health Care/organization & administration
KW - Questionnaires
KW - Self Report
KW - Social Stigma
AU - E. W. Farber
AU - A. A. Shahane
AU - J. L. Brown
AU - P. E. Campos
A1 - 
AB - HIV stigma remains a significant challenge for individuals living with HIV disease that can adversely affect overall well-being and patterns of HIV health service engagement. Finding ways to effectively address stigma concerns is, therefore, an important consideration in the clinical management of HIV disease. This study examined changes in perceived stigma in a sample of 48 adults living with HIV disease as an outcome of their participation in a mental health services program integrated with community-based HIV primary care. Participants completed a self-report instrument that provided a multidimensional measure of perceived HIV stigma, including distancing, blaming, and discrimination dimensions. This scale was administered at the baseline mental health service visit and then re-administered at the three-month follow-up point. Study results showed reductions in self-reported perceived HIV stigma over time for the distancing (t = 4.01, p = 0.000, d = 0.43), blaming (t = 2.79, p = 0.008, d = 0.35), and discrimination (t = 2.90, p = 0.006, d = 0.42) dimensions of stigma. These findings suggest that participation in HIV mental health services may have a favorable impact on perceived HIV stigma. Implications of these findings are discussed, including possible mechanisms that might explain the observed results as well as suggested directions for future research in this area. Randomized controlled trials would represent an important next step to investigate the extent to which HIV mental health services can reduce levels of perceived HIV stigma.
BT - AIDS Care
C5 - Healthcare Disparities
CP - 6
CY - England
DO - 10.1080/09540121.2013.845285
IS - 6
JF - AIDS Care
N2 - HIV stigma remains a significant challenge for individuals living with HIV disease that can adversely affect overall well-being and patterns of HIV health service engagement. Finding ways to effectively address stigma concerns is, therefore, an important consideration in the clinical management of HIV disease. This study examined changes in perceived stigma in a sample of 48 adults living with HIV disease as an outcome of their participation in a mental health services program integrated with community-based HIV primary care. Participants completed a self-report instrument that provided a multidimensional measure of perceived HIV stigma, including distancing, blaming, and discrimination dimensions. This scale was administered at the baseline mental health service visit and then re-administered at the three-month follow-up point. Study results showed reductions in self-reported perceived HIV stigma over time for the distancing (t = 4.01, p = 0.000, d = 0.43), blaming (t = 2.79, p = 0.008, d = 0.35), and discrimination (t = 2.90, p = 0.006, d = 0.42) dimensions of stigma. These findings suggest that participation in HIV mental health services may have a favorable impact on perceived HIV stigma. Implications of these findings are discussed, including possible mechanisms that might explain the observed results as well as suggested directions for future research in this area. Randomized controlled trials would represent an important next step to investigate the extent to which HIV mental health services can reduce levels of perceived HIV stigma.
PP - England
PY - 2014
SN - 1360-0451; 0954-0121
SP - 750
EP - 753
EP - 
T1 - Perceived stigma reductions following participation in mental health services integrated within community-based HIV primary care
T2 - AIDS Care
TI - Perceived stigma reductions following participation in mental health services integrated within community-based HIV primary care
U1 - Healthcare Disparities
U2 - 24093931
U3 - 10.1080/09540121.2013.845285
VL - 26
VO - 1360-0451; 0954-0121
Y1 - 2014
ER -