Trends in HIV Stigma Experienced by People Living With HIV in the Netherlands: A Comparison of Cross-Sectional Surveys Over Time

Sarah E. Stutterheim*, Kyran J. R. Kuijpers, Moon I Waldén, Renee N N Finkenflügel, Pieter A R Brokx, Arjan E. R. Bos

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

We investigated whether HIV stigma has changed in recent years. We compared data on stigma settings and manifestations from 2007 (n = 667) and, specifically for health care, 2009 (n = 262), to data acquired in 2019/2020 (n = 258). Results showed reductions in stigma from friends, family, acquaintances, at work, in the financial services sector, and in media, but stigmatizing messages in media remained highly prevalent. Stigma in the LGBTQI+ community, with sexual partners, and while partying also remained prevalent and, disconcertingly, relatively unchanged. Stigma in health care increased. HIV stigma was positively related to psychological distress, and negatively related to social support and medication adherence. Further, most participants were familiar with U=U and PrEP, but 13.3% questioned the accuracy of U=U. Stigma reduction efforts should focus on reducing stigma in media, in the LGBTQI+ community and while dating, and in health care, with U=U as a key message.

Original languageEnglish
Pages (from-to)33-52
Number of pages20
JournalAids Education and Prevention
Volume34
Issue number1
DOIs
Publication statusPublished - Feb 2022

Keywords

  • ADHERENCE
  • AFRO-CARIBBEAN COMMUNITIES
  • ASSOCIATION
  • GAY MEN
  • HEALTH-CARE
  • HIV
  • LGBTQI
  • MANIFESTATIONS
  • MEDICATION
  • PSYCHOLOGICAL DISTRESS
  • RELIABILITY
  • SOCIAL SUPPORT
  • health care
  • media
  • stigma
  • survey

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