Self-Stigma Reduction Interventions for People Living with HIV/AIDS and Their Families: A Systematic Review

Stigma is a primary concern for people living with human immunodeficiency virus (HIV)/AIDS (PLWHA), and has great impact on their and their family members’ health. While previous reviews have largely focused on the public stigma, this systematic review aims to evaluate the impact of HIV/acquired imm...

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Bibliographic Details
Published in:AIDS and behavior 2019-03, Vol.23 (3), p.707-741
Main Authors: Ma, Polly H. X., Chan, Zenobia C. Y., Loke, Alice Yuen
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Community involvement
Community participation
Discrimination (Psychology)
Education
Evidence-based medicine
Families & family life
Health Psychology
HIV
HIV Infections - psychology
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Medical treatment
Medicine
Medicine & Public Health
Participation
Prejudice - prevention & control
Prejudice - psychology
Prescription drugs
Psychotherapy
Public Health
Reduction
Self Efficacy
Social Stigma
Stereotyping
Stigma
Substantive Review
Systematic review
Treatment compliance
Viruses
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Summary:Stigma is a primary concern for people living with human immunodeficiency virus (HIV)/AIDS (PLWHA), and has great impact on their and their family members’ health. While previous reviews have largely focused on the public stigma, this systematic review aims to evaluate the impact of HIV/acquired immunodeficiency syndrome (AIDS)-related self-stigma reduction interventions among PLWHA and their families. A literature search using eight databases found 23 studies meeting the inclusion criteria. Five types of intervention approaches were identified: (1) psycho-educational intervention, (2) supportive intervention for treatment adherence (antiretroviral therapy), (3) psychotherapy intervention, (4) narrative intervention, and (5) community participation intervention. Overall, the reviewed articles suggested a general trend of promising effectiveness of these interventions for PLWHA and their family members. Psycho-educational interventions were the main approach. The results highlighted the need for more interventions targeting family members of PLWHA, and mixed-methods intervention studies.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-018-2304-1