IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i9p1133-d1465330.html
   My bibliography  Save this article

Effective Messages to Reduce Stigma among People Newly Diagnosed with HIV during Rapid ART Initiation

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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/9/1133/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/21/9/1133/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nguyen K. Tran & Neal D. Goldstein & Seth L. Welles, 2018. "Bias Adjustment Techniques Are Underutilized in HIV Sexual Risk Estimation: A Systematic Review," IJERPH, MDPI, vol. 15(8), pages 1-15, August.
    2. Latrice C. Pichon & Terrinieka Williams Powell & Andrea Williams Stubbs & Nicole Becton-Odum & Siri Ogg & Trisha Arnold & Idia B. Thurston, 2020. "An Exploration of U.S. Southern Faith Leaders’ Perspectives of HIV Prevention, Sexuality, and Sexual Health Teachings," IJERPH, MDPI, vol. 17(16), pages 1-13, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:9:p:1133-:d:1465330. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.