Changes in Stigma and Social Support among Participants in a Randomized Trial of a Novel Expanded Social Network-based HIV Testing Intervention in KwaZulu-Natal, South Africa.

HIV-related stigma is a well-documented barrier to HIV testing in South Africa, and may be particularly likely to create reluctance to test among South African men, who have reported feeling blamed for HIV by their partners and communities. The present study presents a novel expanded social network...

Descripción completa

Detalles Bibliográficos
Publicado en:AIDS & Behavior Vol. 28; no. 8; pp. 2619 - 2630
Autores principales: Williams, Leslie D., van Heerden, Alastair, Friedman, Samuel R., Chibi, Buyisile, Rodriguez, Wendy Avila, Memela, Phumlani
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Aug2024
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178677553&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 178677553
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10907165
        G1T
      jtl: AIDS & Behavior
      issn: 10907165
      maglogo: N
    pubinfo:
      dt: Aug2024
      vid: 28
      iid: 8
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        178677553
        177645882
        178677553
        178677553
        10.1007/s10461-024-04379-y
        178677553
      ppf: 2619
      ppct: 11
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Changes in Stigma and Social Support among Participants in a Randomized Trial of a Novel Expanded Social Network-based HIV Testing Intervention in KwaZulu-Natal, South Africa.
      aug:
        au:
          Williams, Leslie D.
          van Heerden, Alastair
          Friedman, Samuel R.
          Chibi, Buyisile
          Rodriguez, Wendy Avila
          Memela, Phumlani
        affil: https://ror.org/02mpq6x41 Division of Community Health Sciences, University of Illinois Chicago School of Public Health, Chicago, IL, USA
      sug:
        subj:
          HIV Infections
          Health Screening Methods
          Social Networks
          Program Development
          Stigma Prevention and Control
          Support, Social
          South Africa
          Human
          Randomized Controlled Trials
          Descriptive Statistics
          Data Analysis Software
          Chi Square Test
          T-Tests
          Male
          Female
          Adult
          Multiple Linear Regression
          Adult: 19-44 years
          Male
          Female
      ab: HIV-related stigma is a well-documented barrier to HIV testing in South Africa, and may be particularly likely to create reluctance to test among South African men, who have reported feeling blamed for HIV by their partners and communities. The present study presents a novel expanded social network recruitment to HIV testing (E-SNRHT) intervention explicitly designed to reduce stigma as a barrier to testing by asking people to recruit anyone they know to testing, thus allowing them to avoid the potential for increased stigma and/or blame associated with direct risk partner recruitment, and helping to normalize openly discussing HIV among social networks. We examined baseline and 6-10-week follow-up data from a 2022–2023 randomized trial in KwaZulu-Natal, South Africa that recruited 110 individuals who had been newly diagnosed with HIV and randomly assigned them to recruit people to HIV testing either via the E-SNRHT intervention or via risk network recruitment. Participants in the E-SNRHT intervention reported significant decreases in anticipated and enacted HIV-related stigma between baseline and follow-up; and the E-SNRHT intervention was more effective at decreasing enacted HIV-related stigma than was risk network recruitment. Individuals newly diagnosed with HIV by the E-SNRHT intervention reported significant increases in social support between intervention enrollment and follow-up, and all of these individuals reported participating in positive conversations about HIV services with peers in the 6–10 weeks after intervention enrollment. These findings suggest that E-SNRHT is a potentially important strategy to reduce HIV-related stigma as a barrier to HIV testing among peer networks in KwaZulu-Natal.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N