OBJECTIVES: The objective of the intervention was to reduce service providers' stigmatizing attitudes and behaviors toward people living with HIV. METHODS: The randomized controlled trial was conducted in 40 county-level hospitals in 2 provinces of China between October 2008 and February 2010. Forty-four service providers were randomly selected from each hospital, yielding a total of 1760 study participants. We randomized the hospitals to either an intervention condition or a control condition. In the intervention hospitals, about 15% of the popular opinion leaders were identified and trained to disseminate stigma reduction messages. RESULTS: We observed significant improvements for the intervention group in reducing prejudicial attitudes (P < .001), reducing avoidance intent towards people living with HIV (P < .001), and increasing institutional support in the hospitals (P = .003) at 6 months after controlling for service providers' background factors and clinic-level characteristics. The intervention effects were sustained and strengthened at 12 months. CONCLUSIONS: The intervention reduced stigmatizing attitudes and behaviors among service providers. It has the potential to be integrated into the health care systems in China and other countries.
RCT Entities:
OBJECTIVES: The objective of the intervention was to reduce service providers' stigmatizing attitudes and behaviors toward people living with HIV. METHODS: The randomized controlled trial was conducted in 40 county-level hospitals in 2 provinces of China between October 2008 and February 2010. Forty-four service providers were randomly selected from each hospital, yielding a total of 1760 study participants. We randomized the hospitals to either an intervention condition or a control condition. In the intervention hospitals, about 15% of the popular opinion leaders were identified and trained to disseminate stigma reduction messages. RESULTS: We observed significant improvements for the intervention group in reducing prejudicial attitudes (P < .001), reducing avoidance intent towards people living with HIV (P < .001), and increasing institutional support in the hospitals (P = .003) at 6 months after controlling for service providers' background factors and clinic-level characteristics. The intervention effects were sustained and strengthened at 12 months. CONCLUSIONS: The intervention reduced stigmatizing attitudes and behaviors among service providers. It has the potential to be integrated into the health care systems in China and other countries.
Authors: Jennifer N Sayles; Gery W Ryan; Junell S Silver; Catherine A Sarkisian; William E Cunningham Journal: J Urban Health Date: 2007-09-02 Impact factor: 3.671
Authors: Anish P Mahajan; Jennifer N Sayles; Vishal A Patel; Robert H Remien; Sharif R Sawires; Daniel J Ortiz; Greg Szekeres; Thomas J Coates Journal: AIDS Date: 2008-08 Impact factor: 4.177
Authors: D Scott Batey; Samantha Whitfield; Mazheruddin Mulla; Kristi L Stringer; Modupeoluwa Durojaiye; Lisa McCormick; Bulent Turan; Laura Nyblade; Mirjam-Colette Kempf; Janet M Turan Journal: AIDS Patient Care STDS Date: 2016-11 Impact factor: 5.078
Authors: Lisa A Eaton; Daniel D Driffin; Christopher Kegler; Harlan Smith; Christopher Conway-Washington; Denise White; Chauncey Cherry Journal: Am J Public Health Date: 2015-02 Impact factor: 9.308