Timely linkage to care among men who have sex with men newly diagnosed with <scp>HIV</scp>: A structural equation model adapted from the <scp>HIV</scp>‐related stigma framework

Zhao, Yafang; Li, Zhen; Sheng, Yu

doi:10.1111/nhs.12960

Cited by 7 publications

(6 citation statements)

References 36 publications

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“…Stigma measured at the individual level, such as anticipated stigma, perceived stigma, internalized stigma (also known as self-stigma) and enacted stigma, have been shown to decrease access to HIV services. For example, recent studies have shown that stigma may decrease the uptake of HIV preexposure prophylaxis, antiretroviral treatment [18,19], HIV testing services [20], linkage to care and retention in care services [21][22][23]. Individually measured stigma that is especially salient to the design of health services includes anticipated stigma and internalized stigma.…”

Section: Individualistic Manifestations Of Stigmamentioning

confidence: 99%

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery

Tan

Tang

Tucker

2022

Current Opinion in HIV and AIDS

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Purpose of reviewUnderstanding stigma is important for improving HIV care services and gaps in HIV service delivery have been attributed to stigma. This review article synthesizes recent evidence on stigma and its implications for HIV service design and delivery. Given the intersectional nature of stigma, we will focus on HIV stigma as well as related forms of stigma based on one's race, sexual identity, gender identity and other identities.Recent findingsStigma remains a barrier to achieving equity in HIV services. Individualistic measures of stigma remain influential and are associated with barriers to accessing HIV health services. Recent work also highlights stigma measured at a structural level and its impact on HIV services contexts. Individuals situated at intersections of marginalized identities continue to face greatest injustices, and although intersectional approaches have been adapted to design services at a micro level, few focus on structural change. Recent evidence for mitigating stigma indicates some success for psychosocial interventions that target internalized stigma. Furthermore, community-led approaches show promise in addressing stigma that manifests in HIV health services settings.SummaryInterventions that address individual-level stigma and structural stigma are needed. Theoretical and applied antistigma research is needed to make HIV services more equitable.

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Section: Individualistic Manifestations Of Stigmamentioning

confidence: 99%

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery

Tan

Tang

Tucker

2022

Current Opinion in HIV and AIDS

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“…Zhao et al. (2022) showed that HIV stigma is also associated with family and social support, suggesting that counselling services and support systems should be developed to reduce discrimination regarding the disease.…”

Section: Resultsmentioning

confidence: 99%

“…Zhu's results suggested that perceived discrimination by HIV patients is related to self-reported cognitive ability (Zhu et al, 2019). Zhao et al (2022) showed that HIV stigma is also associated with family and social support, suggesting that counselling services and support systems should be developed to reduce discrimination regarding the disease.…”

Section: Analysis Of Abstract and Research Frontiersmentioning

confidence: 99%

A bibliometric analysis of HIV nursing research between 1999 and 2022

Hao,

Zhang,

et al. 2024

Nursing Open

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AimHuman immunodeficiency virus (HIV) nursing has become more prominent with the increase in chronic HIV infections. This study examined articles related to HIV nursing to determine how the profession has developed and its future direction.DesignA bibliometric analysis was conducted.MethodsHIV nursing‐related articles published in the Web of Science core collection between 1999 and 2022 were searched. VOSviewer was used to identify the contributions of countries, institutions and authors in HIV‐related care. Collaborative maps, hot topics and keywords trends were analysed using VOSviewer and CiteSpace.ResultsA total of 1513 publications were extracted. An increase in articles published between 1999 and 2012 was observed. After 2012, the increase in the number of publications was relatively stable. Since 2016, a downward trend in the number of publications has occurred. The USA, South Africa and the UK were the leading contributors to publications related to HIV nursing. The focus of the HIV nursing research has gradually shifted from “HIV infection”, “risk factors”, and “transmission routes” to “social support”, “depression”, and “public health”. The result shows that increased collaboration among countries/regions can improve the development of HIV nursing and effectively reduce the global HIV infection rate. The mental health of patients has become a research centre in the field of HIV nursing. This study provides direction in clinical practice and future research areas in this field.

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Section: Introductionmentioning

confidence: 99%

“…29 Evidence has shown that internalized and perceived stigma can exacerbate symptoms of depression, 30 and stigma related to HIVand being part of the population of MSM presents a significant barrier to seeking treatment. 31,32 Social support may be a potential mediator to explain how HIV-related stigma leads to poor psychological wellbeing. Social support plays a beneficial role in psychological health, as widely illustrated in the literature.…”

Section: Introductionmentioning

confidence: 99%

Social support as a mediator between mental health and stigma among newly HIV-positive men who have sex with men

Zhao,

Khoshnood,

Sheng

2024

Int J STD AIDS

Self Cite

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Objectives The sociocultural context of China gives rise to unique experiences of HIV-related stigma and adverse impacts on mental health among men who have sex with men (MSM) living with HIV. However, few studies have explored the stigma among families in the cultural context of China and the role of social support as a mediator to explain how HIV-related stigma results in poor psychological well-being. This study aims to test the mediating effect of social support between HIV-related stigma and family stigma on the mental health of MSM. Methods This cross-sectional study recruited newly MSM with HIV in two cities (Beijing and Wuhan) in China as participants from February 2021 to August 2022. A total of 257 MSM with HIV were recruited for the study. The mediating effects were examined using mediation models (SAS PROC CAUSALMED). Results The overall total effect of HIV-related stigma on mental health was β = −1.483 (bootstrap 95% CI = −1.881, −1.104 p < 0.001), and the mediating effect of social support was β = −0.321 (bootstrap 95% CI = −0.571, −0.167 p = .001). A higher level of stigma from family predicts lower mental health with an overall total effect of β = −1.487 (bootstrap 95% CI = −1.823, −1.101 p < 0.001), while the indirect effect (mediation effect) of social support on mental health is β = −0.281 (bootstrap 95% CI = −0.477, −0.142 p = .003). Conclusions Given the mediating effect of social support on mental health, programs enhancing social support and decreasing stigmatization should be designed to improve the mental health of MSM with HIV, the interventions are needed at both the family and community levels. Public health campaigns in China that frame HIV and same-sex behavior as chronic issues and normal phenomena can correct misinformation related to HIV and MSM that leads to stigma and negative emotional reactions.

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Timely linkage to care among men who have sex with men newly diagnosed with HIV: A structural equation model adapted from the HIV‐related stigma framework

Cited by 7 publications

References 36 publications

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery

A bibliometric analysis of HIV nursing research between 1999 and 2022

Social support as a mediator between mental health and stigma among newly HIV-positive men who have sex with men

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