Chenneville Tiffany, Kosyluk Kristin, Gabbidon Kemesha, Franke Molly, Serpas Dylan, Galea Jerome T
Department of Psychology, University of South Florida, St. Petersburg, FL, United States.
Department of Pediatrics, University of South Florida, Tampa, FL, United States.
Front Glob Womens Health. 2024 Nov 27;5:1469465. doi: 10.3389/fgwh.2024.1469465. eCollection 2024.
HIV stigma among people living with HIV (PLWH) is well documented and linked to adverse physical and mental health outcomes among this population. Further, stigma may affect HIV disclosure decisions, which has important individual and public health implications. For women, HIV stigma and disclosure may be compounded by gender-based discrimination and violence. Despite the ill effects of HIV stigma, particularly for women, few evidence-based disclosure interventions to reduce stigma among PLWH exist. However, there is strong evidence for the efficacy of Honest, Open, Proud (HOP), a disclosure-based stigma-reduction intervention for people with mental illness. Given that mental illness and HIV are similar in that they are both stigmatized yet concealable conditions, we propose using the ADAPT-ITT model to adapt HOP into Positive, Open, Proud, a disclosure-based stigma-reduction intervention for PLWH, describing its unique potential for women living with HIV.
艾滋病毒感染者（PLWH）中的艾滋病毒污名化现象已有充分记录，并且与该人群不良的身心健康结果相关。此外，污名化可能会影响艾滋病毒披露决策，这对个人和公共卫生都具有重要影响。对于女性而言，艾滋病毒污名化和披露可能会因性别歧视和暴力而加剧。尽管艾滋病毒污名化存在不良影响，尤其是对女性，但几乎没有基于证据的披露干预措施来减少艾滋病毒感染者中的污名化现象。然而，有强有力的证据表明，“诚实、开放、自豪”（HOP）对患有精神疾病的人来说是一种基于披露的减少污名化干预措施，具有显著效果。鉴于精神疾病和艾滋病毒有相似之处，即它们都是有污名化但可隐瞒的病症，我们建议使用ADAPT-ITT模型将HOP改编为“积极、开放、自豪”，这是一种针对艾滋病毒感染者的基于披露的减少污名化干预措施，并描述其对感染艾滋病毒的女性的独特潜力。
