Diffusion of Positive AIDS Care Messages Among Service Providers in China

Li, Li; Cao, Hao; Wu, Zunyou; Wu, Shenghao; Lin, Xiao Jun

doi:10.1521/aeap.2007.19.6.511

Cited by 14 publications

(14 citation statements)

References 14 publications

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“…The POL providers in this study reported significantly higher levels of message diffusion than non-POLs at baseline, suggesting that the strategies used in POL selection were effective in terms of identifying those who were more capable of communications and more willing to share their thoughts with their coworkers. We also found that female providers reported a higher level of message diffusion, and they were more likely to be selected as a POL; this result was consistent with our previous findings (Li et al, 2007a). Previous researchers have reported that women in general are much more involved and active in communication and social activities than men (Behrman, Kohler, & Watkins, 2002; Shklovski, Kraut, & Rainie, 2004).…”

Section: Discussionsupporting

confidence: 92%

“…A scale to measure Diffusion of HIV Care Messages was developed and validated in a previous investigation (Li et al, 2007a). The scale was used in this study to assess the level of communication related to care for PLH with coworkers or friends among service providers.…”

Section: Methodsmentioning

confidence: 99%

“…In a previous study, we identified the potential to adapt the POL intervention model to address HIV stigma and improve quality of care among service providers in China. Service providers are a relatively stable population with their own social network, and there are natural leaders within the network who influence their peer coworkers (Li et al, 2007a). …”

mentioning

confidence: 99%

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Popular Opinion Leader Intervention for HIV Stigma Reduction in Health Care Settings

Li¹,

Guan²,

Liang³

et al. 2013

AIDS Education and Prevention

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This study used the Popular Opinion Leader (POL) model to reduce stigma among service providers. The authors focused on the dissemination of intervention messages from trained POL providers to their peer providers and the change of intervention outcome over time. The sample included 880 service providers from 20 intervention hospitals. The levels of message diffusion, prejudicial attitude toward people living with HIV (PLH), and avoidance intent to serve PLH were self-reported at baseline, 6 months, and 12 months. At 6 months, POL providers showed a significantly higher level of message diffusion and lower levels of prejudicial attitude and avoidance intent than non-POL providers. However, such discrepancies diminished at 12 months. The results support the utility of the POL model in stigma reduction interventions. The observed changes were documented not only in POLs but also in non-POLs after a certain period of time. This finding informed the design and implementation of future stigma reduction efforts and POL intervention programs.

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

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Popular Opinion Leader Intervention for HIV Stigma Reduction in Health Care Settings

Li¹,

Guan²,

Liang³

et al. 2013

AIDS Education and Prevention

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“…Future strategies should also emphasize training for health professionals to reduce stigma and discrimination and increase empathy, thereby creating a more supportive clinical environment for PLHIV ( 20,29,30 ). Li and colleagues ( 31 ) found that stigma reduction was an unintended consequence of an HIV prevention program conducted among community popular opinion leaders.…”

Section: Discussionmentioning

confidence: 99%

HIV and Stigma in Liuzhou, China

et al. 2013

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Objective To describe emergent stigma-related themes from individual descriptions of living with HIV in Liuzhou, China. Materials and Methods Qualitative interviews were conducted with 23 people living with HIV (PLHIV). To provide contextual information, 14 public health personnel and 4 community workers in Liuzhou were also interviewed. Findings PLHIV experienced enacted, anticipated, and internalized HIV-related stigma, which resulted in negative affective, behavioral, and physical health outcomes, including barriers to health care, preemptive self-isolation, suicidal ideation, and poverty. Conclusions To lessen stigma, future programs should aim to increase HIV knowledge and empathy for PLHIV among family members, community workers, and health professionals. HIV programs should also include suicide risk assessment for PLHIV, especially immediately after diagnosis and at the onset of HIV-related symptoms.

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“…The improvement of these interactions requires the development and implementation of multi-layered interventions [17,[45][46][47][48] in health care settings that are underpinned by political will, financial support, and the commitment of institutions to stigma reduction [37,49]. These kinds of macro supports for interpersonal and organizational interventions are imperative if interventions are to be successful.…”

Section: Discussionmentioning

confidence: 99%