What do we know about interventions to reduce intersectional stigma and discrimination in the context of HIV? A systematic review.

Stangl, Anne L., Atkins, Kaitlyn, Leddy, Anna M., Sievwright, Kirsty M., Sevelius, Jae M., Lippman, Sheri A., Veras, Maria Amélia, Zamudio-Haas, Sophia, Smith, M. Kumi, Pachankis, John E., Logie, Carmen H., Rao, Deepa Weiser, and Sheri Nyblade, Laura, (2023). What do we know about interventions to reduce intersectional stigma and discrimination in the context of HIV? A systematic review.. Stigma and Health, 393-408

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  • Sub-type Journal article
    Author Stangl, Anne L.
    Atkins, Kaitlyn
    Leddy, Anna M.
    Sievwright, Kirsty M.
    Sevelius, Jae M.
    Lippman, Sheri A.
    Veras, Maria Amélia
    Zamudio-Haas, Sophia
    Smith, M. Kumi
    Pachankis, John E.
    Logie, Carmen H.
    Rao, Deepa Weiser,
    Sheri Nyblade, Laura
    Title What do we know about interventions to reduce intersectional stigma and discrimination in the context of HIV? A systematic review.
    Appearing in Stigma and Health
    Publication Date 2023-08-01
    Place of Publication N/A
    Publisher American Psychological Association
    Start page 393
    End page 408
    Language eng
    Abstract There is ample literature on interventions to reduce human immunodeficiency virus (HIV) stigma and discrimination and extant theory around intersectionality. However, the integration of intersectionality into the design and implementation of stigma reduction interventions is nascent. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we reviewed 23 studies from six countries to examine the state of the evidence on interventions to reduce intersectional stigma in the context of HIV. Thirteen studies made explicit reference to intersectionality, 11 of which addressed all three stigma domains: drivers, facilitators, and manifestations. Most interventions were multilevel and multistrategy, yet only five included a structural component. Thirteen studies focused on four or more intersections (e.g., HIV, race, sexual identity, gender), five on three intersections, and five on two intersections. Twenty studies (87%) reported medium (n = 5) to high (n = 15) community engagement. The majority of studies (19/23) assessed HIV-related (e.g., antiretroviral therapy [ART] adherence) and/or empowerment-based outcomes (e.g., self-esteem, coping), with 91% reporting some positive intervention effects. Of 13 studies that measured stigma outcomes, only seven (54%) documented some improvement in the stigma measures assessed. Our review revealed a range of sophisticated, intersectionality-informed interventions that were mostly successful at improving HIV, sexual health, and empowerment-based outcomes, but less successful at reducing the aspects of stigma measured. Future research should encompass wider geographical regions, use validated measures of intersectional stigma, and test structural interventions and approaches that challenge the systems of power and oppression that fuel stigma, inequality, and poor health outcomes among multiply marginalized populations. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
    Keyword Immunodeficiency virus (HIV)
    Stigma and Discrimination
    Copyright Holder American Psychological Association
    Copyright Year 2023
    Copyright type All rights reserved
    DOI 10.1037/sah0000414
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    Created: Wed, 25 Sep 2024, 01:44:46 JST by Haideh Beigi on behalf of UNU INWEH