Impact of Mass Media on HIV/AIDS Stigma Reduction: A Systematic Review and Meta-analysis.

HIV-related stigma is a major barrier to HIV testing and care engagement. Despite efforts to use mass media to address HIV-related stigma, their impact on reducing HIV-related stigma remains unclear. Thus, we conducted a systematic review and meta-analysis of peer-reviewed publications quantitativel...

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Published in:AIDS & Behavior Vol. 27; no. 10; pp. 3414 - 3430
Main Authors: Aghaei, Atefeh, Sakhaei, Ayoub, Khalilimeybodi, Ali, Qiao, Shan, Li, Xiaoming
Format: meta analysis research systematic review tables/charts Journal Article
Published: Springer Nature Oct2023
Online Access:View this record in EBSCOhost
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      dt: Oct2023
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        atl: Impact of Mass Media on HIV/AIDS Stigma Reduction: A Systematic Review and Meta-analysis.
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          Aghaei, Atefeh
          Sakhaei, Ayoub
          Khalilimeybodi, Ali
          Qiao, Shan
          Li, Xiaoming
        affil: https://ror.org/02b6qw903 Department of Health Promotion Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
      sug:
        subj:
          HIV Infections Prevention and Control
          Acquired Immunodeficiency Syndrome Prevention and Control
          Stigma Prevention and Control
          Communications Media Utilization
          Human
          Male
          Female
          Systematic Review
          Meta Analysis
          Quantitative Studies
          Population Characteristics
          Prospective Studies
          Health Policy
          Policy Making
          Developing Countries
          Male
          Female
      ab: HIV-related stigma is a major barrier to HIV testing and care engagement. Despite efforts to use mass media to address HIV-related stigma, their impact on reducing HIV-related stigma remains unclear. Thus, we conducted a systematic review and meta-analysis of peer-reviewed publications quantitatively examining the impact of mass media exposure on HIV-related stigma reduction and published from January 1990 to December 2020. Of 388 articles found in the initial screening from scientific databases, 19 met the inclusion criteria and were included in the systematic review. Sixteen articles reported the quantitative effect of mass media exposure on HIV-related stigma and were included in the meta-analysis. Systematic review results showed considerable heterogeneity in studied populations with a few interventions and longitudinal studies. Results suggested a higher interest in utilizing mass media by health policymakers in developing countries with greater HIV prevalence to reduce HIV-related stigma. Meta-analysis results showed a modest impact of mass media use on HIV-related stigma reduction. Despite heterogeneity in the impact of mass media on HIV-related stigma, Egger's regression test and funnel graph indicated no evidence for publication bias. Results demonstrated an increase in the impact of mass media on reducing HIV-related stigma over time and no correlation between the HIV prevalence in countries and the impact of mass media. In summary, mass media exposure has a modest and context-specific impact on HIV-related stigma reduction. More large-scale mass media interventions and studies addressing the impact of mass media on different forms of stigma are required to inform policies.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
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        Journal Article
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    language: English
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