Department of Health Promotion Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
, 915 Greene St., Discovery I Bldg., Floor 4, Columbia, SC, 29208, USA.
AIDS Behav. 2023 Oct;27(10):3414-3429. doi: 10.1007/s10461-023-04057-5. Epub 2023 Apr 12.
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.
HIV 相关污名是 HIV 检测和护理参与的主要障碍。尽管已经努力利用大众媒体来解决与 HIV 相关的污名问题，但它们对减少与 HIV 相关的污名的影响仍不清楚。因此，我们对 1990 年 1 月至 2020 年 12 月期间发表的同行评议出版物进行了系统回顾和荟萃分析，定量研究了大众媒体对减少与 HIV 相关的污名的影响。在对科学数据库进行初步筛选后，共发现 388 篇文章，其中 19 篇符合纳入标准，被纳入系统综述。16 篇文章报告了大众媒体接触对与 HIV 相关的污名减少的定量影响，并被纳入荟萃分析。系统综述结果表明，研究人群存在很大的异质性，干预措施和纵向研究较少。结果表明，在 HIV 流行率较高的发展中国家，卫生政策制定者对利用大众媒体减少与 HIV 相关的污名更感兴趣。荟萃分析结果表明，大众媒体的使用对减少与 HIV 相关的污名有一定的影响。尽管大众媒体对与 HIV 相关的污名的影响存在异质性，但 Egger 回归检验和漏斗图表明不存在出版偏倚的证据。结果表明，随着时间的推移，大众媒体对减少与 HIV 相关的污名的影响有所增加，而且各国的 HIV 流行率与大众媒体的影响之间没有相关性。总之，大众媒体的接触对减少与 HIV 相关的污名有适度的、特定于情境的影响。需要开展更多的大规模大众媒体干预措施和研究，以了解大众媒体对不同形式的污名的影响，为相关政策提供信息。
