Stigma reduction in adolescents and young adults newly diagnosed with HIV: findings from the Project ACCEPT intervention.

TitleStigma reduction in adolescents and young adults newly diagnosed with HIV: findings from the Project ACCEPT intervention.
Publication TypePublication
Year of Publication2014
AuthorsHarper GW, Lemos D, Hosek SG
JournalAIDS Patient Care STDS
Date Published2014 Oct
KeywordsAdaptation, Psychological, Adolescent, Cognitive Behavioral Therapy, Female, Follow-Up Studies, HIV Infections, Humans, Male, Prejudice, Program Evaluation, Psychiatric Status Rating Scales, Self Concept, Social Isolation, Social Stigma, Social Support, Stereotyping, Surveys and Questionnaires, Young Adult

<p>This article describes the influence of a group-based behavioral intervention for adolescents and young adults newly diagnosed with HIV (Project ACCEPT) on four dimensions of HIV-related stigma-personalized stigma, disclosure concerns, negative self-image, and concern with public attitudes about people with HIV-as measured by the Berger HIV Stigma Scale. Stigma was addressed in a holistic manner during the intervention by providing HIV/AIDS-related information, facilitating the acquisition of coping skills, and providing contact with other youth living with HIV in order to improve social support. Fifty youth (28 male, 22 female; mean age=19.24 years) newly diagnosed with HIV from four geographically diverse clinics participated in a one-group pretest-posttest design study whereby they received the intervention over a 12-week period, and completed assessments at baseline, post-intervention, and 3-month follow-up. Results from the combined sample (males and females) revealed overall reductions in stigma in three dimensions: personalized stigma, disclosure concerns, and negative self-image, although only the combined-sample effects for negative self-image were maintained at 3-month follow-up. Gender-specific analyses revealed that the intervention reduced stigma for males across all four dimensions of stigma, with all effects being maintained to some degree at the 3-month follow-up. Only personalized stigma demonstrated a decrease for females, although this effect was not maintained at the 3-month follow-up; while the other three types of stigma increased at post-intervention and 3-month follow-up. Findings are discussed in terms of gender specific outcomes and the need for a different type of intervention to reduce stigma for young women.</p>

Alternate JournalAIDS Patient Care STDS
PubMed ID25216106
PubMed Central IDPMC4183905
Grant ListU01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040533-06 / HD / NICHD NIH HHS / United States