HIV Stigma: A Clinical Provider Sample in the Southern U.S.

PURPOSE: Dimensions of HIV Stigma perceptions have not been examined in medical providers in the southern U.S. This study examined the prediction of HIV knowledge on multiple dimensions of stigma beliefs.

METHODS

We assessed clinical staff (N = 153) in rural clinics (2017) HIV stigma beliefs and knowledge. Using multiple regression, we examined the ability of knowledge to predict stigma beliefs organized into meaningful dimensions.

RESULTS

There was high variability in HIV knowledge among the medical professionals surveyed with a score of 70/100 (i.e., a 'C'). Of the five stigma factors explored, only two had a score greater than 80 (ie., a 'B' score on the 'test'). Controlling for demographic factors, there was a significant effect of HIV Knowledge on Discrimination (F (4,146) = 2.02, p = 0.03), Prejudice (F (4,146) = 2.13, p = 0.04), Service Provision (F (4,145) = 2.30. p = 0.02), and Perceived Risk in Practice (F (4,91) = 5.75, p < 0.01).

CONCLUSIONS

The relatively low knowledge score and link between knowledge and stigma beliefs indicated a need for continued basic HIV education. Increased education around HIV risk is critical in the eradication of HIV given the link between high stereotyping beliefs and low testing rate.