Barcelona 2013
Barcelona 2013
Abstract book - Abstract - 176
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Conference Details
International Committee
Plenary Speakers
Presenting Speakers
Scientific Committee
Abstract #176  -  Stigma and Discrimination
  46.8: Stigma and Discrimination (Parallel) on Wednesday @ 09.00-11.00 in Teatre Chaired by Piedad Arazo,
Joseph Lau

  Presenting Author:   Dr. Chunqing Lin - UCLA, United States
  Additional Authors:  Dr M Paz Berm￿ Dr Gualberto Buela-Casal,  
HIV-related stigma is prevalent worldwide in healthcare settings and poses a major barrier to HIV prevention and treatment adherence. Some intervention studies have showed encouraging outcomes, but a gap continues to exist between what is known and what is actually delivered in medical settings to reduce HIV-related stigma. This article describes the process of implementing a stigma reduction intervention trial in China.
Method / Issue:
The intervention trial involved 1,760 service providers in 40 hospitals in two provinces of China. Guided by Diffusion of Innovation theory, about 15% to 20% of providers were identified and trained as popular opinion leaders (POLs) to disseminate stigma reduction messages in each intervention hospital. The intervention also engaged governmental support in the provision of universal precaution supplies to all participating hospitals. The frequency of message diffusion and reception, perceived improvement in universal precaution practices, and reduction in level of stigma in hospitals were measured at 6- and 12-month follow-up assessments.
Results / Comments:
Within the intervention hospitals, POL providers reported more frequent discussions with their co-workers regarding universal precaution principles, equal treatment of patients, provider-patient relationships, and reducing HIV-related stigma. Service providers in the intervention hospitals reported more desirable intervention outcomes than providers in the control hospitals.
Our evaluation revealed that the POL model is compatible with the target population, and that the unique intervention entry point of enhancing universal precaution and occupational safety was the key to improved acceptance by service providers. The engagement of governmental support in making structural changes and incorporating local elements into the intervention was an important element for sustainability. Lessons learned from the intervention implementation will enrich the development of future programs that integrate this or other intervention models into routine medical practice, with the aim of reducing stigma and improving HIV related services in medical settings.
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