Stigma Reduction Strategies for HIV Prevention Engagement

This trial tests a new method to help healthcare workers reduce stigma around anal sex, which can impact how gay and bisexual men access HIV services. The goal is to facilitate access to necessary care by addressing stigma in healthcare settings through specific implementation strategies. Men who have had or plan to have anal sex with another man in the past or next year, along with healthcare workers involved in HIV-related services, can participate. Participants must communicate in English and reside in the United States. As an unphased trial, this study offers participants the chance to contribute to groundbreaking research that could transform healthcare experiences for gay and bisexual men.

The trial information does not specify whether you need to stop taking your current medications. It's best to ask the trial coordinators for more details.

Research has shown that methods to reduce sexual stigma and discrimination are generally safe and well-received. A review of various strategies to address stigma in healthcare found no major safety issues.

These methods often involve improved education and communication, aiming to make healthcare more welcoming and less judgmental. By focusing on positive changes and building trust, these methods can help reduce stigma without causing harm.

Researchers are excited about these stigma reduction strategies for HIV prevention because they tackle the root cause of disengagement from prevention efforts, which is sexual stigma. Unlike existing treatments that focus on biomedical solutions like antiretroviral therapy or pre-exposure prophylaxis (PrEP), these strategies aim to change social perceptions and reduce stigma, potentially leading to greater community acceptance and participation in prevention programs. By addressing stigma directly, this approach could enhance the effectiveness of existing biomedical interventions by encouraging more individuals to engage with them.

Research has shown that reducing HIV-related stigma can improve engagement with HIV treatment and prevention. For example, strategies to lessen stigma have proven effective in helping individuals adhere to their HIV medications or preventive treatments. Studies also indicate that reducing stigma makes people living with HIV feel more supported and less isolated. By addressing stigma, these efforts can facilitate access to health services without fear of judgment. This trial will evaluate a set of implementation strategies to reduce sexual stigma using a pre-post design. Reducing stigma might help more people receive the care they need.⁶⁷⁸⁹¹⁰