1. Effectiveness of HIV Stigma Interventions for Men who have Sex with Men (MSM) With and Without HIV in the United States: A Systematic Review and Meta-Analyses.
- Author
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Gunn JKL, Rooks-Peck C, Wichser ME, Denard C, McCree DH, Jeffries WL 4th, DeLuca JB, Ross LW, Herron A, Barham T, Flores SA, and Higa DH
- Subjects
- Female, Homosexuality, Male, Humans, Male, Social Stigma, United States epidemiology, Unsafe Sex, HIV Infections epidemiology, HIV Infections prevention & control, Sexual and Gender Minorities
- Abstract
Stigma may contribute to HIV disparities for men who have sex with men (MSM). This systematic review quantified the effects of HIV stigma interventions for MSM on stigma and sex risk. We conducted a systematic search to identify US-based studies published between 2000 and June 2019 focused on HIV and MSM, and either measured stigma pre-post or included a stigma intervention component. Twenty-nine articles, representing 26 unique studies met inclusion criteria. Random effect models showed no intervention effect for reducing stigma and a non-significant increase in HIV testing. Significant decreases in condomless sex with males, condomless sex with females, and substance-influenced sex were found. Few intervention studies measured stigma pre-post. Findings suggest that including a stigma reduction component in interventions can improve HIV testing and reduce sex risk for MSM. Developing interventions to address stigma may be important in decreasing HIV infection among MSM and ending the HIV epidemic., (© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.)
- Published
- 2022
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