Author
Listed:
- Chadwick K. Campbell
(Herbert Wertheim School of Public Health and Human Longevity, University of California San Diego, La Jolla, CA 92093, USA)
- Kimberly A. Koester
(Department of Medicine, University of California San Francisco, San Francisco, CA 94143, USA)
- Xavier A. Erguera
(Division of HIV, ID & Global Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USA)
- Lissa Moran
(Division of HIV, ID & Global Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USA)
- Noelle LeTourneau
(Division of HIV, ID & Global Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USA)
- Janessa Broussard
(School of Nursing, University of California San Francisco, San Francisco, CA 94143, USA)
- Pierre-Cédric Crouch
(UCSF Alliance Health Project, San Francisco, CA 94102, USA)
- Elizabeth Lynch
(Division of HIV, ID & Global Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USA)
- Christy Camp
(Division of HIV, ID & Global Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USA)
- Sandra Torres
(Division of HIV, ID & Global Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USA)
- John Schneider
(Howard Brown Health Center, Chicago, IL 60637, USA)
- Lyndon VanderZanden
(Howard Brown Health Center, Chicago, IL 60637, USA)
- Susa Coffey
(Division of HIV, ID & Global Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USA)
- Katerina A. Christopoulos
(Division of HIV, ID & Global Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USA)
Abstract
HIV stigma has a negative influence on antiretroviral therapy (ART) initiation and persistence and viral suppression. Immediate access to ART (RAPID ART) has been shown to accelerate viral suppression (VS) that is sustained up to one year after HIV diagnosis. Little is known about the role of RAPID ART in reducing individual-level stigma. We explored how stigma manifests in RAPID ART encounters and whether RAPID ART interventions influence individual-level HIV stigma during and in the time immediately after the diagnosis experience. We conducted in-depth interviews with 58 RAPID ART patients from three health clinics in San Francisco, CA, and Chicago, IL. Interviews were transcribed, coded, and thematically analyzed. In the results, we discuss three main themes. First, Pre-Diagnosis HIV Beliefs, which included three sub-themes: HIV is “gross” and only happens to other people; HIV (Mis)education; and People are “living long and strong” with HIV. Second, Positive and Reassuring Messages During the RAPID Experience, which included two sub-themes: Correcting Misinformation and Early Interactions with People Living with HIV. Third, The RAPID ART Process Can Disrupt Stigma. RAPID ART encounters served as a potent mechanism to disrupt internalized stigma by providing accurate information and dispelling unhelpful myths through verbal and nonverbal messages. Reducing internalized stigma and misinformation about HIV at this early stage has the potential to reduce the effect of HIV stigma on ART initiation and adherence over time.
Suggested Citation
Chadwick K. Campbell & Kimberly A. Koester & Xavier A. Erguera & Lissa Moran & Noelle LeTourneau & Janessa Broussard & Pierre-Cédric Crouch & Elizabeth Lynch & Christy Camp & Sandra Torres & John Schn, 2024.
"Effective Messages to Reduce Stigma among People Newly Diagnosed with HIV during Rapid ART Initiation,"
IJERPH, MDPI, vol. 21(9), pages 1-14, August.
Handle:
RePEc:gam:jijerp:v:21:y:2024:i:9:p:1133-:d:1465330
Download full text from publisher
References listed on IDEAS
- Ofole Mgbako & Magdalena E. Sobieszczyk & Susan Olender & Peter Gordon & Jason Zucker & Susan Tross & Delivette Castor & Robert H. Remien, 2020.
"Immediate Antiretroviral Therapy: The Need for a Health Equity Approach,"
IJERPH, MDPI, vol. 17(19), pages 1-10, October.
- Bird, J.D.P. & Voisin, D.R., 2013.
""You're an open target to be abused": A qualitative study of stigma and HIV self-disclosure among black men who have sex with men,"
American Journal of Public Health, American Public Health Association, vol. 103(12), pages 2193-2199.
Full references (including those not matched with items on IDEAS)
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