HIV-Related Stigma Among Healthcare Providers in the Deep South

AIDS Behav. 2016 Jan;20(1):115-25. doi: 10.1007/s10461-015-1256-y.

Abstract

Stigma towards people living with HIV (PLWH) in healthcare settings is a barrier to optimal treatment. However, our understanding of attitudes towards PLWH from healthcare providers' perspective in the United States is limited and out-of-date. We assessed HIV-related stigma among healthcare staff in Alabama and Mississippi, using online questionnaires. Participants included 651 health workers (60 % White race; 83 % female). Multivariate regression suggests that several factors independently predict stigmatizing attitudes: Protestant compared to other religions (β = 0.129, p ≤ 0.05), White race compared to other races (β = 0.162, p ≤ 0.001), type of clinic (HIV/STI clinic: β = 0.112, p ≤ 0.01), availability of post-exposure prophylaxis (yes: β = -0.107, p ≤ 0.05), and perceptions of policy enforcement (policies not enforced: β = 0.058, p = p ≤ 0.05). These findings may assist providers wishing to improve the quality care for PLWH. Enforcement of policies prohibiting discrimination may be a useful strategy for reducing HIV-related stigma among healthcare workers.

Keywords: HIV/AIDS; Healthcare workers; Stigma; United States.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alabama
  • Attitude of Health Personnel / ethnology*
  • Female
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • Health Personnel / psychology*
  • Humans
  • Middle Aged
  • Mississippi
  • Multivariate Analysis
  • Post-Exposure Prophylaxis
  • Regression Analysis
  • Social Stigma*
  • Stereotyping*
  • Surveys and Questionnaires
  • Young Adult