TY - JOUR
T1 - Stigma and fear of getting sick in the care of people living with HIV
T2 - an exploratory systematic review
AU - Picón Jaimes, Yelson Alejandro
AU - Lozada-Martínez, Ivan David
AU - Rosàs Tosàs, Mar
AU - Tiraboschi, Juan
N1 - Publisher Copyright:
© 2024, EDIMES Edizioni Medico Scientifiche. All rights reserved.
PY - 2024
Y1 - 2024
N2 - The aim of the present study was to explore the stigma and fear of getting sick in health professionals who treat people living with HIV. An exploratory systematic review was conducted. The search was limited to the presence of stigma and fear of getting sick on the part of healthcare workers who treat people living with HIV, documented by the health workers or patients themselves. No language restriction was made and systematic reviews, comments or communications were excluded. The sources of information were Scopus, PubMed/MEDLINE, Science Direct, and the CENTRAL Registry, from the last 5 years. The quality of the evidence was assessed with an adapted tool and the synthesis of the results was carried out using a narrative synthesis approach. Twenty-three articles were included, which related structural stigma, stigma by health professionals and fear of getting sick. Among the findings, data stood out such as that more than 50% of patients reported having experienced discrimination due to HIV and even accumulated stigma for other additional causes. Stigma enacted in healthcare settings was related to suboptimal adherence to treatment (OR 1.38; 95% CI: 1.03-1.84; p=0.028). Stigma is a structural barrier in the care of people living with HIV and generates a psychological, physical, and social health impact for these people. Some limitations of the present study are that, despite searching the major data-bases, important manuscripts may have been left out. Additionally, there are regions that are not represented in this review because no manuscripts from those areas were found.
AB - The aim of the present study was to explore the stigma and fear of getting sick in health professionals who treat people living with HIV. An exploratory systematic review was conducted. The search was limited to the presence of stigma and fear of getting sick on the part of healthcare workers who treat people living with HIV, documented by the health workers or patients themselves. No language restriction was made and systematic reviews, comments or communications were excluded. The sources of information were Scopus, PubMed/MEDLINE, Science Direct, and the CENTRAL Registry, from the last 5 years. The quality of the evidence was assessed with an adapted tool and the synthesis of the results was carried out using a narrative synthesis approach. Twenty-three articles were included, which related structural stigma, stigma by health professionals and fear of getting sick. Among the findings, data stood out such as that more than 50% of patients reported having experienced discrimination due to HIV and even accumulated stigma for other additional causes. Stigma enacted in healthcare settings was related to suboptimal adherence to treatment (OR 1.38; 95% CI: 1.03-1.84; p=0.028). Stigma is a structural barrier in the care of people living with HIV and generates a psychological, physical, and social health impact for these people. Some limitations of the present study are that, despite searching the major data-bases, important manuscripts may have been left out. Additionally, there are regions that are not represented in this review because no manuscripts from those areas were found.
KW - Acquired Immunodeficiency Syndrome
KW - HIV
KW - Prejudice
KW - Social Stigma
UR - http://www.scopus.com/inward/record.url?scp=85195404428&partnerID=8YFLogxK
U2 - 10.53854/liim-3202-6
DO - 10.53854/liim-3202-6
M3 - Review
AN - SCOPUS:85195404428
SN - 1124-9390
VL - 32
SP - 168
EP - 182
JO - Infezioni in Medicina
JF - Infezioni in Medicina
IS - 2
ER -