Systematic review and quantitative and qualitative comparative analysis of interventions to address HIV-related stigma and discrimination.
Journal
AIDS (London, England)
ISSN: 1473-5571
Titre abrégé: AIDS
Pays: England
ID NLM: 8710219
Informations de publication
Date de publication:
01 11 2023
01 11 2023
Historique:
medline:
28
9
2023
pubmed:
23
6
2023
entrez:
23
6
2023
Statut:
ppublish
Résumé
A strong global commitment exists to eliminate HIV-related stigma and discrimination, and multiple strategies to reduce or eliminate stigma and discrimination have been tried. Using a PICOTS framework and applying the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria, we undertook a systematic review to determine the success of interventions aiming to address internalized stigma, stigma and discrimination in healthcare, and at the legal or policy level, and to identify their critical success factors. Random effects meta-analyses summarized results wherever possible. We carried out a component analysis to identify and characterize successful interventions. Internalized stigma interventions were diverse: across all studies, we found a reduction of stigma but it was not statistically significant [standardized mean difference (SMD) 0.56; confidence interval (CI) 0.31-1.02; 17 studies). For interventions to address stigma and discrimination in healthcare settings, effect estimates varied considerably but most studies showed positive effects (SMD 0.71; CI 0.60-0.84, 8 studies). Boosted regression analyses found that a combined approach comprising education, counseling, community participation, support person, and access to a HIV specialist often yielded success. Studies of efforts to address stigma and discrimination through law and policy documented, mostly qualitatively, the effect of court cases and directives. Across a range of settings and populations, promising interventions have been identified that, through diverse pathways, have positively impacted the types of stigma and discrimination studied. This evidence base must be built upon and brought to scale to help reach global HIV-related targets and, most importantly, improve the health and quality of life of people with HIV.
Identifiants
pubmed: 37352492
doi: 10.1097/QAD.0000000000003628
pii: 00002030-202311010-00003
pmc: PMC10552822
doi:
Types de publication
Systematic Review
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1919-1939Informations de copyright
Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.
Références
Joint United Nations Programme on HIV/AIDS. Reduction of HIV-related stigma and discrimination: guidance note . Geneva, Switzerland: UNAIDS; 2014.
Stangl AL, Lloyd JK, Brady LM, Holland CE, Baral S. A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: how far have we come? . J Int AIDS Soc 2013; 16: (3 Suppl 2): 18734.
UNAIDS. Evidence for eliminating HIV-related stigma and discrimination . Gemeva. Switzerland: Joint United Nations Programme on HIV/AIDS; 2020.
United Nations General Assembly. Political Declaration on HIV and AIDS: Ending Inequalities and Getting on Track to End AIDS by 2030. A/RES/75/284 . Geneva, Switzerland: United Nations; 2021.
Ferguson L, Gruskin S, Bolshakova M, Yagyu S, Fu N, Cabrera N, et al. Frameworks and measures for HIV-related internalized stigma, stigma and discrimination in healthcare and in laws and policies: a systematic review . J Int AIDS Soc 2022; 25 Suppl 1:e25915.
Hempel S, Ferguson L, Bolshakova M, Yagyu S, Fu N, Motala A, Gruskin S. Frameworks, measures, and interventions for HIV-related internalised stigma and stigma in healthcare and laws and policies: systematic review protocol . BMJ Open 2021; 11:e053608.
Hempel S, Ferguson L, Bolshakova M, Yagyu S, Motala S, Gruskin S. Getting to the Heart of Stigma: Systematic Review Protocol. PROSPERO 2021 CRD42021249348. 2021. Available at: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=249348 [Accessed 5 May 2022]
PRISMA: transparent reporting of systematic reviews and meta-analyses. Available at: http://www.prisma-statement.org/ [Accessed 5 May 2022]
Agency for Healthcare Research and Quality. SRDR systematic review data repository plus. Available at: https://srdrplus.ahrq.gov/ [Accessed 5 May 2022]
UNAIDS. Key populations. Available at: https://www.unaids.org/en/topic/key-populations . [Accessed 12 January 2021]
Global Network Of People Living with HIV (GNP+). The people living with HIV Stigma Index. 2008. Available at: https://www.stigmaindex.org/ . [Accessed 22 February 2021]
Sterne JA, Hernan MA, Reeves BC, Savovic J, Berkman ND, Viswanathan M, et al. ROBINS-I: a tool for assessing risk of bias in nonrandomised studies of interventions . BMJ 2016; 355:i4919.
Cochrane Methods Bias. RoB 2: A revised Cochrane risk-of-bias tool for randomized trials. Available at: https://methods.cochrane.org/bias/resources/rob-2-revised-cochrane-risk-bias-tool-randomized-trials . [Accessed 12 January 2020]
Ma PHX, Chan ZCY, Loke AY. Self-stigma reduction interventions for people living with HIV/AIDS and their families: a systematic review . AIDS Behav 2019; 23:707–741.
Pantelic M, Steinert JI, Park J, Mellors S, Murau F. ’Management of a spoiled identity’: systematic review of interventions to address self-stigma among people living with and affected by HIV . BMJ Glob Health 2019; 4:e001285.
Geter A, Herron AR, Sutton MY. HIV-related stigma by healthcare providers in the United States: a systematic review . AIDS Patient Care STDS 2018; 32:418–424.
Feyissa GT, Lockwood C, Woldie M, Munn Z. Reducing HIV-related stigma and discrimination in healthcare settings: a systematic review of quantitative evidence . PLoS One 2019; 14:e0211298.
Nyblade L, Stockton MA, Giger K, Bond V, Ekstrand ML, Lean RM, et al. Stigma in health facilities: why it matters and how we can change it . BMC Med 2019; 17:25.
Feyissa GT, Lockwood C, Woldie M, Munn Z. Reducing HIV-related stigma and discrimination in healthcare settings: a systematic review of guidelines, tools, standards of practice, best practices, consensus statements and systematic reviews . J Multidiscip Healthc 2018; 11:405–416.
Kaladharan S, Daken K, Mullens AB, Durham J. Tools to measure HIV knowledge, attitudes & practices (KAPs) in healthcare providers: a systematic review . AIDS Care 2020; 33:1500–1506.
Pleuhs B, Quinn KG, Walsh JL, Petroll AE, John SA. Healthcare provider barriers to HIV pre-exposure prophylaxis in the United States: a systematic review . AIDS Patient Care STDS 2020; 34:111–123.
Cheema E, Abbas A, Al-Hamid A. Healthcare-related factors affecting the management of HIV infected patients: a systematic review of qualitative evidence . Int J STD AIDS 2019; 30:1350–1361.
Phillips JC, Caine V, Dewart G, de Padua A, dela Cruz AM, Rickards T, et al. Teaching HIV-specific content for prelicensure nursing and health professions students: a review and synthesis . AIDS Care Psychol Socio-Med Asp Aids-HIV 2018; 30:1614–1621.
Siegfried N, Beanland R. Systematic review on the evidence-base for eliminating stigma and discrimination in healthcare settings (prepared for CDC and ICAP). April 2017. 1–236.
Brown L, Macintyre K, Trujillo L. Interventions to reduce HIV/AIDS stigma: what have we learned? . AIDS Educ Prev 2003; 15:49–69.
Ragin CC. The comparative method: moving beyond qualitative and quantitative strategies . California: University of California Press; 1989.
Oana IE, Schneider CQ, Thomann E. Qualitative comparative analysis using R: a beginner's guide . Cambridge: Cambridge University Press; 2021.
GRADE working group. GRADE. Available at: https://www.gradeworkinggroup.org/ . [Accessed 12 January 2020]
Adia AC, Restar AJ, Lee CJ, Payawal MP, Quilantang MI, Nazareno J, Operario D. Sword and Shield: Perceptions of law in empowering and protecting HIV-positive men who have sex with men in Manila, Philippines . Global Public Health 2020; 15:52–63.
Arora SS, Jyoti S, Chakravarty S. Effectiveness of an empowering programme on student nurses’ understanding and beliefs about HIV/AIDS . Int J Nurs Educ 2014; 6:88–92.
Barroso J, Relf MV, Williams MS, Arscott J, Moore ED, Caiola C, Silva SG. A randomized controlled trial of the efficacy of a stigma reduction intervention for HIV-infected women in the Deep South . AIDS Patient Care STDS 2014; 28:489–498.
Batchelder AW, Moskowitz JT, Jain J, Cohn M, Earle MA, Carrico AW. A novel technology-enhanced internalized stigma and shame intervention for HIV-positive persons with substance use disorders . Cogn Behav Pract 2020; 27:55–69.
Bauermeister JA, Muessig KE, LeGrand S, Flores DD, Choi SK, Dong W, et al. HIV and sexuality stigma reduction through engagement in online forums: results from the HealthMPowerment Intervention . AIDS Behav 2019; 23:742–752.
Bhatta DN, Liabsuetrakul T. Efficacy of a social self-value empowerment intervention to improve quality of life of HIV infected people receiving antiretroviral treatment in Nepal: a randomized controlled trial . AIDS Behav 2016; 21:1620–1631.
Bogart LM, Barreras JL, Gonzalez A, Klein DJ, Marsh T, Agniel D, et al. Pilot randomized controlled trial of an intervention to improve coping with intersectional stigma and medication adherence among HIV-positive Latinx sexual minority men . AIDS Behav 2021; 25:1647–1660.
Brito M. On an alternative to a punitive standard in response to a more modern understanding of the HIV/AIDS epidemic in Florida notes and comments . Nova L Rev 2015; 40:285–348.
Chidrawi HC, Greeff M, Temane QM, et al. HIV stigma experiences and stigmatisation before and after an intervention . Health SA Gesondheid 2016; 21:196–205.
Denison JA, Burke VM, Miti S, Nonyane BAS, Frimpong C, Merrill KG, et al. Project YES! Youth engaging for success: a randomized controlled trial assessing the impact of a clinic-based peer mentoring program on viral suppression, adherence and internalized stigma among HIV-positive youth (15-24 years) in Ndola, Zambia . PLoS One 2020; 15:e0230703.
Denison JA, Packer C, Nyambe N, Hershow RB, Caldas S, Miti S, et al. Family Connections randomized controlled trial: assessing the feasibility and acceptability of an intervention with adolescents living with HIV and their caregivers in Ndola, Zambia . AIDS Care 2021; 34:459–468.
France NF, Macdonald SHF, Conroy RR, Chiroro P, Cheallaigh DN, Nyamucheta M, et al. ‘We are the change’—An innovative community-based response to address self-stigma: a pilot study focusing on people living with HIV in Zimbabwe . PLoS One 2019; 14:24.
Galletly CL, Pinkerton SD, DiFranceisco W. A quantitative study of Michigan's criminal HIV exposure law . AIDS Care 2012; 24:174–179.
Go VF, Frangakis C, Minh NL, Latkin C, Ha TV, Mo TT, et al. Efficacy of a multilevel intervention to reduce injecting and sexual risk behaviors among HIV-infected people who inject drugs in Vietnam: a four-arm randomized controlled trial . PLoS One 2015; 10:e0125909.
Gruskin S, Safreed-Harmon K, Ezer T, Gathumbi A, Cohen J, Kameri-Mbote P. Access to justice: evaluating law, health and human rights programmes in Kenya . J Int AIDS Soc 2013; 16: (3 Suppl 2): 18726.
Harper GW, Lemos D, Hosek SG. Stigma reduction in adolescents and young adults newly diagnosed with HIV: findings from the Project ACCEPT intervention . AIDS Patient Care STDS 2014; 28:543–554.
Hickey MD, Ouma GB, Mattah B, Pederson B, DesLauriers NR, Mohamed P, et al. The Kanyakla study: randomized controlled trial of a microclinic social network intervention for promoting engagement and retention in HIV care in rural western Kenya . PLoS One 2021; 16:e0255945.
Kaponda CP, Jere DL, Chimango JL, Chimwaza AF, Crittenden KS, Kachingwe SI, et al. Impacts of a peer-group intervention on HIV-related knowledge, attitudes, and personal behaviors for urban hospital workers in Malawi . J Assoc Nurses AIDS Care 2009; 20:230–242.
Lane HH. Kiyutin v. Russia: The European Court of Human Rights Acknowledges the Need for Protection of a Class of Individuals with HIV/AIDS Recent Developments . Tul J Int’l & Comp L 2011; 20:505–518.
Li L, Wu Z, Liang LJ, Lin C, Guan J, Jia M, et al. Reducing HIV-related stigma in healthcare settings: a randomized controlled trial in China . Am J Public Health 2013; 103:286–292.
Lifson AR, Workneh S, Hailemichael A, Demisse W, Slater L, Shenie T. Implementation of a peer HIV Community Support Worker Program in Rural Ethiopia to Promote Retention in Care . J Int Assoc Provid AIDS Care 2017; 16:75–80.
Lohiniva AL, Benkirane M, Numair T, Mahdy A, Saleh H, Zahran A, et al. HIV stigma intervention in a low-HIV prevalence setting: a pilot study in an Egyptian healthcare facility . AIDS Care 2016; 28:644–652.
Lowther K, Harding R, Simms V, Gikaara N, Ahmed A, Ali Z, et al. Effect of participation in a randomised controlled trial of an integrated palliative care intervention on HIV-associated stigma . AIDS Care 2018; 30:1180–1188.
Mahajan AP, Kinsler JJ, Cunningham WE, James S, Makam L, Manchanda R, et al. Does the Centers for Disease Control and Prevention's Recommendation of opt-out HIV screening impact the effect of stigma on HIV test acceptance? . AIDS Behav 2016; 20:107–114.
Mak WW, Cheng SS, Law RW, Cheng WW, Chan F. Reducing HIV-related stigma among health-care professionals: a game-based experiential approach . AIDS Care 2015; 27:855–859.
Maluccio JA, Wu F, Rokon RB, Rawat R, Kadiyala S. Assessing the impact of food assistance on stigma among people living with HIV in Uganda using the HIV/AIDS Stigma Instrument-PLWA (HASI-P) . AIDS Behav 2017; 21:766–782.
Masquillier C, Wouters E, Mortelmans D, le Roux Booysen F. The impact of community support initiatives on the stigma experienced by people living with HIV/AIDS in South Africa . AIDS Behav 2015; 19:214–226.
Mbeba MM, Kaponda CP, Jere DL, Kachingwe SI, Crittenden KS, McCreary LL, et al. Peer group intervention reduces personal HIV risk for Malawian health workers . J Nurs Scholarsh 2011; 43:72–81.
Miller RL, Rutledge J, Ayala G. Breaking down barriers to HIV care for gay and bisexual men and transgender women: the Advocacy and Other Community Tactics (ACT) Project . AIDS Behav 2021; 25:2551–2567.
Mockiene V, Suominen T, Valimaki M, Razbadauskas A, Martinkenas A, Caplinskas S. The impact of an education intervention to change nurses’ HIV-related knowledge and attitudes in Lithuania: a randomized controlled trial . J Assoc Nurses AIDS Care 2011; 22:140–149.
Nestadt DF, Saisaengjan C, McKay MM, Bunupuradah T, Pardo G, Lakhonpon S, et al. CHAMP+ Thailand: Pilot randomized control trial of a family-based psychosocial intervention for perinatally HIV-infected early adolescents . AIDS Patient Care and STDs 2019; 33:227–236.
Norr KF, Ferrer L, Cianelli R, Crittenden KS, Irarrazabal L, Cabieses B, et al. Peer group intervention for HIV prevention among health workers in Chile . J Assoc Nurses AIDS Care 2012; 23:73–86.
Nyamathi A, Ekstrand M, Salem BE, Sinha S, Ganguly KK, Leake B. Impact of Asha intervention on stigma among rural Indian women with AIDS . West J Nurs Res 2013; 35:867–883.
Nyblade L, Addo NA, Atuahene K, Alsoufi N, Gyamera E, Jacinthe S, et al. Results from a difference-in-differences evaluation of health facility HIV and key population stigma-reduction interventions in Ghana . J Int AIDS Soc 2020; 23:e25483.
Nyblade L, Mbuya-Brown RJ, Sabasaba AN, Ezekiel M, Kiwia P, et al . Understanding and responding to stigma and discrimination in health facilities in Tanzania. In. Washington, DC: Palladium, Health Policy Plus; 2018.
Odeny TA, Penner J, Lewis-Kulzer J, Leslie H H, Shade S B, Adero W, et al. Integration of HIV care with primary healthcare services: effect on patient satisfaction and stigma in Rural Kenya . AIDS Res Treat 2013; 2013:485715.
Onyemelukwe C. Discrimination on the basis of HIV status: an analysis of recent developments in Nigerian Law and Jurisprudence . Int J Discrimination Law 2017; 17:160–179.
Peltzer K, Babayigit S, Rodriguez VJ, Jean J, Sifunda S, Jones DL. Effect of a multicomponent behavioural PMTCT cluster randomised controlled trial on HIV stigma reduction among perinatal HIV positive women in Mpumalanga province, South Africa . Sahara J 2018; 15:80–88.
Petersen I, Hanass Hancock J, Bhana A, Govender K. A group-based counselling intervention for depression comorbid with HIV/AIDS using a task shifting approach in South Africa: a randomized controlled pilot study . J Affect Disord 2014; 158:78–84.
Prinsloo CD, Greeff M, Kruger A, Khumalo IP. HIV stigma experiences and stigmatisation before and after a HIV stigma-reduction community ‘hub’ intervention . Afr J AIDS Res 2017; 16:203–213.
Pulerwitz J, Oanh KT, Akinwolemiwa D, Ashburn K, Nyblade L. Improving hospital-based quality of care by reducing HIV-related stigma: evaluation results from Vietnam . AIDS Behav 2015; 19:246–256.
Rao D, Desmond M, Andrasik M, Rasberry T, Lambert N, Cohn SE, Simoni J. Feasibility, acceptability, and preliminary efficacy of the unity workshop: an internalized stigma reduction intervention for African American women living with HIV . AIDS Patient Care STDS 2012; 26:614–620.
Rao D, Kemp CG, Huh D, Nevin PE, Turan J, Cohn SE, et al. Stigma reduction among African American women with HIV: UNITY Health Study . J Acquir Immune Defic Syndr 2018; 78:269–275.
Rongkavilit C, Wang B, Naar-King S, Bunupuradah T, Parsons JT, Panthong A, et al. Motivational interviewing targeting risky sex in HIV-positive young Thai men who have sex with men . Arch Sex Behav 2015; 44:329–340.
Schwartz SR, Nowak RG, Orazulike I, Keshinro B, Ake J, Kennedy S, et al. The immediate effect of the Same-Sex Marriage Prohibition Act on stigma, discrimination, and engagement on HIV prevention and treatment services in men who have sex with men in Nigeria: analysis of prospective data from the TRUST cohort . Lancet HIV 2015; 2:e299–e306.
Sears B, Cooper C, Younai FS, Donohoe T. HIV discrimination in dental care: results of a testing study in Los Angeles County. 2012.
Shamsaei F, Tahour N, Sadeghian E. Effect of stress management training on stigma and social phobia in HIV-positive women . J Int Assoc Provid AIDS Care 2020; 19: 2325958220918953.
Singh RJ, Sarna A, Schensul JJ, Mahapatra B, Ha T, Schensul SL. A multilevel intervention to reduce stigma among alcohol consuming men living with HIV receiving antiretroviral therapy: findings from a randomized control trial in India . AIDS 2020; 34: (Suppl 1): S83–S92.
Siraprapasiri T, Srithanaviboonchai K, Chantcharas P, Suwanphatthana N, Ongwandee S, Khemngern P, et al. Integration and scale-up of efforts to measure and reduce HIV-related stigma: the experience of Thailand . AIDS 2020; 34: (Suppl 1): S103–S114.
Skinta MD, Lezama M, Wells G, Dilley JW. Acceptance and compassion-based group therapy to reduce HIV stigma . Cogn Behav Pract 2015; 22:481–490.
Sommerland N, Masquillier C, Rau A, Engelbrecht M, Kigozi G, Pliakas T, et al. Reducing HIV- and TB-Stigma among healthcare co-workers in South Africa: results of a cluster randomised trial . Soc Sci Med 2020; 266:113450.
Srinivasan K, Heylen E, Raj T, Nyblade L, Devadass D, Pereira M, et al. Reduction in stigma drivers partially mediates the effect of a stigma reduction intervention among nursing students in India: the DriSti Cluster Randomized Controlled Trial . J Acquir Immune Defic Syndr 2021; 86:182–190.
Step MM, Knight K, McMillen Smith J, Lewis SA, Russell TJ, Avery AK. Positive peers mobile application reduces stigma perception among young people living with HIV . Health Promot Pract 2020; 21:744–754.
The Center for HIV Law & Policy. HIV Criminalization in the United States: A Sourcebook on State and Federal HIV Criminal Law and Practice. 3rd ed; 2022. Available at: https://www.hivlawandpolicy.org/sites/default/files/HIV%20Criminalization%20in%20the%20U.S.%20A%20Sourcebook%20on%20State%20Fed%20HIV%20Criminal%20Law%20and%20Practice%20022722.pdf [Accessed 22 June 2023]
Tsai AC, Bangsberg DR, Bwana M, Haberer JE, Frongillo EA, Muzoora C, et al. How does antiretroviral treatment attenuate the stigma of HIV? Evidence from a cohort study in rural Uganda . AIDS Behav 2013; 17:2725–2731.
Tsai AC, Hatcher AM, Bukusi EA, Weke E, Lemus Hufstedler L, Dworkin SL, et al. A livelihood intervention to reduce the stigma of HIV in rural Kenya: longitudinal qualitative study . AIDS Behav 2017; 21:248–260.
Tshabalala J, Visser M. Developing a cognitive behavioural therapy model to assist women to deal with HIV and stigma . S Afr J Psychol 2011; 41:17–28.
UNAIDS. Legal and policy trends impacting people living with HIV and key populations in Asia and the Pacific 2014-2019. 2021. Available at: https://www.unaids.org/sites/default/files/media_asset/legal-and-policy-trends-asia-pacific_en.pdf [Accessed 20 April 2021]
UNDP. Evaluation of the ‘Building capacity for reform of HIV-related law and policy in Jamaica’ Project’ 2016. Available at: https://erc.undp.org/evaluation/evaluations/detail/7308 [Accessed 20 April 2021]
UNDP. End-term review HIV Law SIDA Project (Africa). 2019. Available at: https://erc.undp.org/evaluation/evaluations/detail/9379 [Accessed 20 April 2021]
UNDP. Global Project for the Evaluation of the Global Commission on HIV and the Law. 2021. Available at: https://erc.undp.org/evaluation/evaluations/detail/9380# [Accessed 20 April 2021]
Uys L, Chirwa M, Kohi T, Greeff M, Naidoo J, Makoae L, et al. Evaluation of a health setting-based stigma intervention in five African countries . AIDS Patient Care STDS 2009; 23:1059–1066.
Van Tam V, Larsson M, Pharris A, Diedrichs B, Nguyen HP, Nguyen CT, et al. Peer support and improved quality of life among persons living with HIV on antiretroviral treatment: a randomised controlled trial from north-eastern Vietnam . Health Qual Life Outcomes 2012; 10:53.
Varas-Díaz N, Neilands TB, Cintrón-Bou F, Marzán-Rodríguez M, Santos-Figueroa A, Santiago-Negrón S, et al. Testing the efficacy of an HIV stigma reduction intervention with medical students in Puerto Rico: the SPACES project . J Int AIDS Soc 2013; 16: (3 Suppl 2): 18670.
Wagner GJ, Ghosh-Dastidar B, Garnett J, et al. Impact of HIV antiretroviral therapy on depression and mental health among clients with HIV in Uganda . Psychosom Med 2012; 74:883–890.
Watt MH, Aronin EH, Maman S, Thielman N, Laiser J, John M. Acceptability of a group intervention for initiates of antiretroviral therapy in Tanzania . Glob Public Health 2011; 6:433–446.
Watt MH, Minja L, Knettel BA, Mwamba RN, Osaki H, Ngocho JS, et al. Pilot outcomes of Maisha: an HIV stigma reduction intervention developed for antenatal care in Tanzania . AIDS Behav 2020; 25:1171–1184.
Wu S, Li L, Wu Z, Liang LJ, Cao H, Yan Z, Li J. A brief HIV stigma reduction intervention for service providers in China . AIDS Patient Care STDS 2008; 22:513–520.
Yigit I, Modi RA, Weiser SD, Johnson MO, Mugavero MJ, Turan JM, Turan B. Effects of an intervention on internalized HIV-related stigma for individuals newly entering HIV care . AIDS 2020; 34 Suppl 1: (Suppl 1): S73–S82.
Yiu JW, Mak WW, Ho WS, Chui YY. Effectiveness of a knowledge-contact program in improving nursing students’ attitudes and emotional competence in serving people living with HIV/AIDS . Soc Sci Med 2010; 71:38–44.
Hightow-Weidman L, Legrand S, Simmons R, Egger J, Choi SK, Muessig KE. healthMpowerment: Effects of a mobile phone-optimized, Internet-based intervention on condomless anal intercourse among young black men who have sex with men and transgender women.9th IAS Conference on HIV Science . Paris, France; 23–26 July 2017.
Prinsloo CD, Greeff M. A Community ‘Hub’ network intervention for HIV stigma reduction: a case study . J Assoc Nurses AIDS Care 2016; 27:166–179.
Fabian K, Molina Y, Kemp CG, Nevin PE, McCoy K, Simoni JM, et al. Internalized HIV-related stigma and breast health beliefs among African-American women receiving care for HIV in the USA . J Racial Ethn Health Disparities 2020; 7:45–51.
Bowleg L. The problem with the phrase women and minorities: intersectionality-an important theoretical framework for public health . Am J Public Health 2012; 102:1267–1273.
Pinnock H, Epiphaniou E, Sheikh A, Griffiths C, Eldridge S, Craig P, Taylor SJ. Developing standards for reporting implementation studies of complex interventions (StaRI): a systematic review and e-Delphi . Implement Sci 2015; 10:42.