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HIV/AIDS stigma manifestations during clinical interactions with MSM in Puerto Rico

Nelson Varas-Díaz1, Eliut Rivera-Segarra2, Torsten B Neilands3

  • 1Florida International University, Department of Global and Sociocultural Studies, 11200 SW 8th Street, SIPA 316, Miami, Florida, USA 33199, 305-348-2618, nvarasdi@fiu.edu.

Journal of Gay & Lesbian Social Services
|October 8, 2019
PubMed

Insights

Physicians in training displayed more HIV/AIDS stigma behaviors toward simulated patients who were men who have sex with men (MSM) and had HIV. This highlights the need for targeted medical education to combat stigma.

Area of Science:

  • Medical Education
  • Public Health
  • Social Psychology

Background:

  • HIV/AIDS stigma negatively impacts physician-patient relationships.
  • Stigma towards men who have sex with men (MSM) often intersects with HIV/AIDS stigma.
  • Understanding behavioral manifestations of stigma in medical professionals is crucial.

Purpose of the Study:

  • To examine behavioral HIV/AIDS stigma by physicians in training towards simulated MSM patients.
  • To explore the relationship between HIV/AIDS stigma attitudes and behaviors in physicians.
  • To assess the impact of intersectional stigma in clinical settings.

Main Methods:

  • Experimental design utilizing Standardized Patient simulations.
  • Sample of 100 physicians in training in Puerto Rico.
  • Comparison of stigma behaviors between HIV MSM patient and common cold control conditions.

Main Results:

  • A statistically significant difference in stigma behaviors was observed (p<.001).
  • Physicians exhibited more stigma behaviors (M=6.39) in the HIV MSM patient condition compared to the control (M=5.20).
  • Behavioral stigma manifestations towards MSM with HIV were evident.

Conclusions:

  • HIV/AIDS stigma, particularly intersecting with MSM stigma, persists as a barrier in healthcare.
  • Medical training interventions are necessary to address and prevent stigma in physicians.
  • Further research is needed to develop effective anti-stigma strategies in medical education.
Keywords:
BehaviorsHIV/AIDSMSMPhysiciansStigma

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