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HIV-Related Stigma Assessment Through an Integrated Digital Strategy in Routine Clinical Care
Patricia Torres-Tendero1,2,3, Ana Cortés-Martínez3,4, Miguel Górgolas1,3
1Division of Infectious Diseases, Fundación Jiménez Díaz (FJD) University Hospital, Universidad Autónoma de Madrid, Madrid, Spain.
AIDS Patient Care and Stds
|May 28, 2026
Summary
HIV-related stigma persists, impacting disclosure and public attitudes. Younger adults living with HIV experience greater internalized stigma, highlighting the need for ongoing assessment and person-centered care.
Area of Science:
- Public Health
- Psychology
- Sociology
Background:
- HIV-related stigma persists despite advances in treatment and awareness.
- Stigma negatively impacts psychosocial well-being and healthcare engagement for people with HIV.
- Understanding stigma dimensions is crucial for effective patient care.
Purpose of the Study:
- To assess HIV-related stigma across four dimensions using Berger's HIV Stigma Scale.
- To compare stigma levels between different age groups (≤50 vs. >50 years).
- To identify psychosocial vulnerability in people living with HIV within a clinical setting.
Main Methods:
- An observational study involving 1296 adults living with HIV at a Spanish tertiary hospital (2019-2024).
- Utilized a validated online version of Berger's HIV Stigma Scale integrated into electronic medical records.
- Analyzed stigma dimensions overall and compared by age group.
Main Results:
- A high burden of stigma was observed across all dimensions.
- Concerns about disclosure (91.8% cautious) and concealment (88.3%) were most prevalent.
- Participants ≤50 years reported higher internalized stigma, including negative self-image and personalized stigma.
Conclusions:
- HIV-related stigma remains a significant issue in routine clinical care.
- Systematic stigma assessment is vital for identifying psychosocial vulnerability.
- Findings support the need for person-centered care strategies to address stigma.
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