HIV and Intersectional Stigma Reduction Among Organizations Providing HIV Services in New York City: A Mixed-Methods Implementation Science Project.

Stigma remains a pervasive barrier to Ending the HIV Epidemic (EHE) in New York City (NYC). As part of an EHE implementation science planning process, we mapped multi-level HIV-related stigma-reduction activities, assessed their evidence base, and characterized barriers and facilitators. We intervie...

Full description

Bibliographic Details
Published in:AIDS & Behavior Vol. 26; no. 5; pp. 1431 - 1448
Main Authors: Rodriguez-Hart, Cristina, Mackson, Grace, Belanger, Dan, West, Nova, Brock, Victoria, Phanor, Jhané, Weigl, Susan, Ahmed, Courtney, Soler, Jorge, Rule, Alana, Cournos, Francine, McKinnon, Karen, Sandfort, Theo G. M.
Format: research tables/charts Journal Article
Published: Springer Nature May2022
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156245033&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 156245033
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10907165
        G1T
      jtl: AIDS & Behavior
      issn: 10907165
      maglogo: N
    pubinfo:
      dt: May2022
      vid: 26
      iid: 5
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        156245033
        153360468
        156245033
        156245033
        10.1007/s10461-021-03498-0
        156245033
      ppf: 1431
      ppct: 17
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: HIV and Intersectional Stigma Reduction Among Organizations Providing HIV Services in New York City: A Mixed-Methods Implementation Science Project.
      aug:
        au:
          Rodriguez-Hart, Cristina
          Mackson, Grace
          Belanger, Dan
          West, Nova
          Brock, Victoria
          Phanor, Jhané
          Weigl, Susan
          Ahmed, Courtney
          Soler, Jorge
          Rule, Alana
          Cournos, Francine
          McKinnon, Karen
          Sandfort, Theo G. M.
        affil: New York City Department of Health and Mental Hygiene, 42-09 28th St, 11101, Long Island City, New York, NY, USA
      sug:
        subj:
          Stigma
          Implementation Science
          HIV Infections New York
          Health Services Accessibility New York
          New York
          Convenience Sample
          Multimethod Studies
          Mental Health
          Mental Health Services
          Substance Use Rehabilitation Programs
          Organizational Structure
          Models, Theoretical
          Interviews
          Descriptive Statistics
          Human
      ab: Stigma remains a pervasive barrier to Ending the HIV Epidemic (EHE) in New York City (NYC). As part of an EHE implementation science planning process, we mapped multi-level HIV-related stigma-reduction activities, assessed their evidence base, and characterized barriers and facilitators. We interviewed and surveyed a convenience sample of 27 HIV prevention and/or treatment services organizations in NYC, March-August, 2020, using an embedded mixed-methods design. The greatest facilitators of stigma reduction included integration of health services, hiring staff who represent the community, and trainings. Intersecting stigmas were primarily addressed through the integration of HIV with mental health and substance use services. Barriers were multilevel, with organizational structure and capacity most challenging. A strong base of stigma-reduction activities was utilized by organizations, but intersectional frameworks and formal evaluation of activities' impact on stigma were lacking. Effectiveness-implementation hybrid research designs are needed to evaluate and increase the uptake of effective stigma-reduction approaches in NYC.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N