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HIV/AIDS stigma manifestations during clinical interactions with MSM in Puerto Rico.

Nelson Varas-DíazEliut Rivera-SegarraTorsten B NeilandsPaola Carminelli-CorretjerFabián RiveraEmil Varas-RodríguezNerian OrtizYasmín PedrogoMarinilda Rivera Díaz
Published in: Journal of gay & lesbian social services (2019)
HIV/AIDS stigma can have detrimental effects on physician/patient interactions when manifested by health professionals. Unfortunately, HIV/AIDS stigma is usually manifested in an intersectional manner with other pre-existing stigmas, including stigma towards men who have sex with men (MSM). Therefore, our study aimed to examine the behavioral manifestations of HIV/AIDS stigma among physicians in training during simulated clinical interactions with MSM, and explore the interrelation between HIV/AIDS stigma attitudes and behaviors. We implemented an experimental design using Standardized Patient simulations with a sample of 100 physicians in training in Puerto Rico. Results show a significant difference in the two groups' means (p<.001), with a higher number of stigma behaviors in the HIV MSM patient condition (M=6.39) than the common cold control condition (M=5.20). Results evidence that stigma manifestations towards MSM with HIV may continue to be an obstacle for public health in Puerto Rico, and that medical training to prevent stigma is still needed.
Keyphrases
  • hiv aids
  • men who have sex with men
  • antiretroviral therapy
  • hiv testing
  • hiv positive
  • human immunodeficiency virus
  • public health
  • hiv infected
  • primary care
  • emergency department
  • healthcare
  • mental illness
  • south africa