Improving Engagement and Retention in Adult Care Settings for Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) Youth Living with HIV: Recommendations for Health Care Providers

The current investigation seeks to examine the attitudes and beliefs of health care providers in Canada about people living with HIV. The line of research consists of three studies. Study 1 was a qualitative study conducted with a critical lens. The critical lens was used in a series of four focus groups when qualitatively soliciting opinions about the range of attitudes, behaviours and cognitions health care providers may have towards people living with HIV. Study 2 used the information gathered from Study 1 to develop a scale to assess HIV stigma in health care providers. Items were created from examples and themes found in the qualitative study, and were tested via exploratory factor analysis, confirmatory factor analysis, test-retest reliability analysis, and assessed for convergent and divergent validity. Study 3 examined the newly developed scale’s relationship to proposed overlapping stigmas and attitudes, and tested the adapted intersectional model of HIV-related stigma with health care trainees using the newly developed HIV stigma scale as an outcome measure. The line of research found that HIV stigma continues to be a significant problem in the health care system. The scale developed in Study 2 demonstrates that HIV stigma can be conceptualized and assessed as a tripartite model of discrimination, stereotyping and prejudice, and that this conceptualization of HIV stigma supports an intersectional model of overlapping stigmas with homophobia, racism, stigma against injection drug use and stigma against sex work.

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Attitude of health care providers in Abia State, Nigeria, to people living with HIV and AIDS

Infectious Agents and Cancer ◽

10.1186/1750-9378-5-s1-a5 ◽

2010 ◽

Vol 5 (S1) ◽

Author(s):

Charles Adisa ◽

Ugochukwu Onyeonoro ◽

Aniele Agu ◽

Ndukauba Eleweke ◽

Umezurike Chisara

Keyword(s):

Health Care ◽

Health Care Providers ◽

Hiv And Aids ◽

People Living With Hiv ◽

Care Providers ◽

Living With Hiv

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Transition from pediatric to adult care: Opinions and current practices of health care providers in Chicago, USA

Diabetes Research and Clinical Practice ◽

10.1016/s0168-8227(00)81426-6 ◽

2000 ◽

Vol 50 ◽

pp. 419 ◽

Cited By ~ 1

Author(s):

Kingsley U Onyemere ◽

Rebecca B Lipton ◽

Hilary K Kupelian ◽

Kamal El Deirawi ◽

Michael G Walsh ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Care Providers ◽

Adult Care ◽

Current Practices

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Stigmatizing attitudes toward people living with HIV/AIDS (PLWHA) among primary health care providers in Kinta District, Perak

Malaysian Family Physician ◽

10.51866/oa0001 ◽

2021 ◽

Vol 16 (1) ◽

pp. 31-38

Author(s):

Yuen Ching Chan ◽

Maliza Mawardi ◽

Adibah Hanim Ismail@Daud

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care Providers ◽

People Living With Hiv ◽

Care Providers ◽

Primary Health ◽

Primary Health Care Providers ◽

Stigmatizing Attitudes ◽

Living With Hiv ◽

Hiv Aids

Background: Stigmatizing attitudes expressed by health care providers prevent some members of at-risk populations from accessing human immunodeficiency virus (HIV) screening and care. This attitude contributes to the continuity of the infection dissemination within our community, which gives an impact on the healthcare service and the curtailment of the global HIV/acquired immunodeficiency syndrome (AIDS) pandemic. Objective: This study was conducted to identify stigmatizing attitudes toward people living with HIV/AIDS (PLWHA) and their determinants among primary health care providers in Kinta District, Perak. Methodology: A cross-sectional study was conducted in 36 primary care clinics in Kinta District, Perak. Using stratified random sampling, 365 primary health care providers were recruited into the study. A validated self-administered questionnaire was used to obtain sociodemographic data as well as information on the healthcare experiences of healthcare providers, their knowledge of HIV/AIDS, and attitudes toward PLWHA. Determinants were identified using multiple linear regression. Results: More than half of the respondents (54.1%) had never provided care to HIV/AIDS patients. A minority (29.9%) had received training on HIV/AIDS. This study shows that doctors (Coef.= -9.50, 95% CI: -18.93, -0.07, p= 0.048), respondents with HIV-positive relatives, (Coef.= -5.61, 95% CI: -10.57, -0.65, p= 0.027), those who had provided care to HIV/AIDS patients (Coef.= -2.38, 95% CI: -4.31, -0.45, p= 0.016), and those with a higher knowledge score on HIV/AIDS (Coef.= -0.86, 95% CI: -1.59, -0.13, p= 0.021) were less likely to show stigmatizing attitudes toward PLWHA. Conclusion: The issue of stigmatizing attitudes toward PLWHA among primary health care providers needs to be addressed. This study finds that knowledge, profession, experiences with caring for PLWHA, gender, and having HIV-positive relatives are significant predictors of stigmatizing attitudes toward PLWHA among primary health care providers in Kinta District, Perak. Interventional programs to improve knowledge and awareness, as well as decrease stigma toward PLWHA, should be implemented among all health care providers, especially those who have no opportunity to provide direct care.

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Perspectives of Clients and Providers on Factors Influencing Medication Assisted Treatment Uptake Among People Who Use Drugs in Indonesia, Ukraine and Vietnam: HPTN 074 Study

10.21203/rs.3.rs-42695/v1 ◽

2020 ◽

Author(s):

Tetiana Kiriazova ◽

Vivian F. Go ◽

Rebecca B. Hershow ◽

Erica L. Hamilton ◽

Riza Sarasvita ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Addiction Treatment ◽

Financial Burden ◽

Hiv Treatment ◽

People Who Use Drugs ◽

Care Providers ◽

Medication Assisted Treatment ◽

Lack Of Information ◽

Living With Hiv

Abstract Background: Medication-assisted treatment (MAT) is an effective method of addiction treatment and HIV prevention. However, globally, people who inject drugs (PWID) have insufficient MAT uptake. To expand MAT access and uptake, policy-makers, program-developers and health care providers should be aware of barriers to and facilitators of MAT uptake among PWID. Methods: As a part of the HPTN 074 study, which assessed the feasibility of an intervention to facilitate HIV treatment and MAT in PWID living with HIV in Indonesia, Ukraine, and Vietnam, we conducted in-depth interviews with 37 HIV-positive PWID and 25 health care providers to explore barriers to and facilitators of MAT uptake. All interviews were audio-recorded, transcribed, translated into English, and coded in NVivo for analysis. We developed matrices to identify emergent themes and patterns. Results: Despite some reported country-specific factors, PWID and health care providers at all geographic locations reported similar barriers to MAT initiation, such as complicated procedures to initiate MAT, problematic clinic access, lack of information on MAT, misconceptions about methadone, financial burden, and stigma towards PWID. However, while PWID reported fear of drug interaction (MAT and antiretroviral therapy), providers perceived that PWID prioritized drug use over caring for their health and hence were less motivated to take up ART and MAT. Motivation for a life change and social support were reported to be facilitators.Conclusion: These results highlight a need for support for PWID to initiate and retain in drug treatment. To expand MAT in all three countries, it is necessary to facilitate access and ensure low-threshold, financially affordable MAT programs for PWID, accompanied with supporting interventions. PWID attitudes and beliefs about MAT indicate the need for informational campaigns to counter misinformation and stigma associated with addiction and MAT (especially methadone).

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Engagement with health care providers as a mediator between social capital and quality of life among a sample of people living with HIV in the United States: Path-analysis

SSM - Population Health ◽

10.1016/j.ssmph.2017.05.001 ◽

2017 ◽

Vol 3 ◽

pp. 448-454 ◽

Cited By ~ 2

Author(s):

SoSon Jong ◽

Adam Carrico ◽

Bruce Cooper ◽

Lisa Thompson ◽

Carmen Portillo

Keyword(s):

Quality Of Life ◽

United States ◽

Health Care ◽

Social Capital ◽

Health Care Providers ◽

The United States ◽

People Living With Hiv ◽

Care Providers ◽

Living With Hiv

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Stigma and discrimination among health care providers towards people living with HIV/AIDS (PLWHA)

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v8i1.17081 ◽

2019 ◽

Vol 8 (1) ◽

pp. 36

Author(s):

Mohamed Osman Elamin ◽

Yahiya Rajaa ◽

Hamed Ademola Adetunji ◽

Sufian Khalid ◽

Remah Siddiq

Keyword(s):

Health Care ◽

Health Care Providers ◽

Personal Data ◽

Hiv And Aids ◽

People Living With Hiv ◽

Care Providers ◽

Hiv Patients ◽

Cross Sectional ◽

Stigma And Discrimination ◽

Living With Hiv

Stigma and discrimination among medical care providers (MCPs) towards HIV patients is a common observed problem that can compromise effectiveness of prevention and treatment efforts by discouraging individuals from being tested or seeking information on how to protect themselves and others. This research aimed to determine the existence of stigma and discrimination among health care providers towards people living with HIV and AIDS (PLWHA) in River Nile state. A descriptive cross sectional hospital based study conducted in Atbara, Edamer and Berber hospitals. Questionnaire containing six parts covering the personal data, knowledge about HIV, attitude, availability of PPDs and discriminatory practices of MCPs was used. The data was analyzed using the SPSS. Three hundred and nighty participated consisting of 136 doctors, 219 nurses, and 35 midwives. Out of these, 68.2% of participants had overall satisfactory knowledge, 30% had good knowledge, while only 1.8% had poor knowledge. Majority (74.4%) stated that MCPs were discriminatory in their practices towards HIV patients. There wa correlation between common discriminatory practices and total attitude, and availability of PPDs (p<0.05). No correlation between the common discriminatory practices and total knowledge scores.

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