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Entertainment-education to reduce internalized stigma, increase intimate partner status disclosure intentions, and increase antiretroviral medical adherence intentions: A randomized controlled trial targeting black women living with HIV in the Southern U.S

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  • Bryant, Jazmyne V.
  • Carcioppolo, Nick
  • Lun, Di
  • Potter, JoNell

Abstract

Black women in the Southern U.S. account for 67% of all new HIV diagnoses across women of all races and ethnicities. In comparison to women of other racial and ethnic identities, Black women disproportionately experience internalized stigma, lower levels of disclosure self-efficacy, and lower rates of medical adherence. The disclosure processes model hypothesizes that persons living with HIV can be disclosure avoidance oriented or disclosure approach oriented. Disclosure avoidance is facilitated by various forms of stigma and negative outcome expectations. While disclosure approach orientation is facilitated by factors such as positive disclosure attitudes and disclosure self-efficacy. Despite the important role of disclosure in ending the HIV epidemic, extant interventions are limited. Recent research suggests entertainment-education (EE) may be an effective intervention for HIV status disclosure. Entertainment-education is a persuasive strategy that consists of intentionally embedding health and social messages into entertaining content.

Suggested Citation

  • Bryant, Jazmyne V. & Carcioppolo, Nick & Lun, Di & Potter, JoNell, 2023. "Entertainment-education to reduce internalized stigma, increase intimate partner status disclosure intentions, and increase antiretroviral medical adherence intentions: A randomized controlled trial t," Social Science & Medicine, Elsevier, vol. 327(C).
  • Handle: RePEc:eee:socmed:v:327:y:2023:i:c:s0277953623003027
    DOI: 10.1016/j.socscimed.2023.115945
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    References listed on IDEAS

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    1. Simmons, Jazmyne V. & Carcioppolo, Nick & Peng, Wei & Huang, Qian & Seelig, Michelle & Katz, Rachel & Potter, JoNell, 2021. "90 DAYS: An investigation of a short entertainment-education film to improve HIV status disclosure among black women living with HIV in Miami-Dade County," Social Science & Medicine, Elsevier, vol. 270(C).
    2. Chaudoir, Stephenie R. & Fisher, Jeffrey D. & Simoni, Jane M., 2011. "Understanding HIV disclosure: A review and application of the Disclosure Processes Model," Social Science & Medicine, Elsevier, vol. 72(10), pages 1618-1629, May.
    3. Cook, Jonathan E. & Purdie-Vaughns, Valerie & Meyer, Ilan H. & Busch, Justin T.A., 2014. "Intervening within and across levels: A multilevel approach to stigma and public health," Social Science & Medicine, Elsevier, vol. 103(C), pages 101-109.
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