Meta-analysis and systematic review of studies on the effectiveness of HIV stigma reduction programs
The present study conducted a meta-analysis and systematic review on studies evaluating the effectiveness of stigma reduction programs in improving knowledge and reducing negative attitudes towards people living with HIV (PLHIV). Meta-analysis (k = 42 studies) found significant and small effect size...
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| Veröffentlicht in: | Social science & medicine (1982) 2017-09, Vol.188, p.30-40 |
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| creator | Mak, Winnie W.S. Mo, Phoenix K.H. Ma, Gloria Y.K. Lam, Maggie Y.Y. |
| description | The present study conducted a meta-analysis and systematic review on studies evaluating the effectiveness of stigma reduction programs in improving knowledge and reducing negative attitudes towards people living with HIV (PLHIV).
Meta-analysis (k = 42 studies) found significant and small effect sizes in the improvement of the participants' knowledge of HIV/AIDS from interventions with (Cohen's d = 0.48, 95% CI [0.30, 0.66]) and without control groups (Cohen's d = 0.42, 95% CI [0.28, 0.57]). Significant and small effect sizes were found in the improvement of the participants' attitudes toward PLHIV from interventions with (Cohen's d = 0.39, 95% CI [0.23, 0.55]) and without control groups (Cohen's d = 0.25, 95% CI [0.11, 0.39]). Significant and small effect sizes were sustained at the follow-up assessments. Subgroup analysis showed that number of intervention sessions, intervention settings, and sample type significantly moderated the effect sizes in the meta-analysis. Findings from the systematic review of 35 studies indicated that most of the included studies showed positive results in reducing negative attitudes toward PLHIV and improving HIV-related knowledge. Most of the included studies tended to have low methodological quality.
The present meta-analysis and systematic review indicated that the studies generally found small improvement in HIV-related knowledge and reduction in negative attitudes towards PLHIV among the stigma reduction programs being evaluated. High-quality stigma reduction programs with multidimensional stigma indicators and psychometrically sound outcome measures are highly warranted.
•Studies show small effects in improving HIV knowledge.•They also have small effects reducing negative attitudes toward PLHIV.•Stigma reduction programs are more effective among professional samples.•Programs with multiple sessions are more effective.•Programs conducted in community settings are more effective. |
| doi_str_mv | 10.1016/j.socscimed.2017.06.045 |
| format | Article |
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Meta-analysis (k = 42 studies) found significant and small effect sizes in the improvement of the participants' knowledge of HIV/AIDS from interventions with (Cohen's d = 0.48, 95% CI [0.30, 0.66]) and without control groups (Cohen's d = 0.42, 95% CI [0.28, 0.57]). Significant and small effect sizes were found in the improvement of the participants' attitudes toward PLHIV from interventions with (Cohen's d = 0.39, 95% CI [0.23, 0.55]) and without control groups (Cohen's d = 0.25, 95% CI [0.11, 0.39]). Significant and small effect sizes were sustained at the follow-up assessments. Subgroup analysis showed that number of intervention sessions, intervention settings, and sample type significantly moderated the effect sizes in the meta-analysis. Findings from the systematic review of 35 studies indicated that most of the included studies showed positive results in reducing negative attitudes toward PLHIV and improving HIV-related knowledge. Most of the included studies tended to have low methodological quality.
The present meta-analysis and systematic review indicated that the studies generally found small improvement in HIV-related knowledge and reduction in negative attitudes towards PLHIV among the stigma reduction programs being evaluated. High-quality stigma reduction programs with multidimensional stigma indicators and psychometrically sound outcome measures are highly warranted.
•Studies show small effects in improving HIV knowledge.•They also have small effects reducing negative attitudes toward PLHIV.•Stigma reduction programs are more effective among professional samples.•Programs with multiple sessions are more effective.•Programs conducted in community settings are more effective.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/j.socscimed.2017.06.045</identifier><identifier>PMID: 28704645</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Acquired immune deficiency syndrome ; Adult ; AIDS ; Analysis ; Attitude to Health ; Attitudes ; Attitudes towards PLHIV ; Effectiveness ; Female ; HIV ; HIV Infections - psychology ; HIV stigma ; HIV-related knowledge ; Human immunodeficiency virus ; Humans ; Intervention ; Knowledge ; Male ; Meta-analysis ; Narrative synthesis ; People living with HIV (PLHIV) ; Program Evaluation - standards ; Social Stigma ; Stigma ; Stigma reduction interventions ; Systematic review</subject><ispartof>Social science & medicine (1982), 2017-09, Vol.188, p.30-40</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Sep 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-938361aa13c9e895dba174404088379390bb961bce147a602d8c1c18a2c243923</citedby><cites>FETCH-LOGICAL-c399t-938361aa13c9e895dba174404088379390bb961bce147a602d8c1c18a2c243923</cites><orcidid>0000-0002-9714-7847</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.socscimed.2017.06.045$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27911,27912,33761,45982</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28704645$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mak, Winnie W.S.</creatorcontrib><creatorcontrib>Mo, Phoenix K.H.</creatorcontrib><creatorcontrib>Ma, Gloria Y.K.</creatorcontrib><creatorcontrib>Lam, Maggie Y.Y.</creatorcontrib><title>Meta-analysis and systematic review of studies on the effectiveness of HIV stigma reduction programs</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>The present study conducted a meta-analysis and systematic review on studies evaluating the effectiveness of stigma reduction programs in improving knowledge and reducing negative attitudes towards people living with HIV (PLHIV).
Meta-analysis (k = 42 studies) found significant and small effect sizes in the improvement of the participants' knowledge of HIV/AIDS from interventions with (Cohen's d = 0.48, 95% CI [0.30, 0.66]) and without control groups (Cohen's d = 0.42, 95% CI [0.28, 0.57]). Significant and small effect sizes were found in the improvement of the participants' attitudes toward PLHIV from interventions with (Cohen's d = 0.39, 95% CI [0.23, 0.55]) and without control groups (Cohen's d = 0.25, 95% CI [0.11, 0.39]). Significant and small effect sizes were sustained at the follow-up assessments. Subgroup analysis showed that number of intervention sessions, intervention settings, and sample type significantly moderated the effect sizes in the meta-analysis. Findings from the systematic review of 35 studies indicated that most of the included studies showed positive results in reducing negative attitudes toward PLHIV and improving HIV-related knowledge. Most of the included studies tended to have low methodological quality.
The present meta-analysis and systematic review indicated that the studies generally found small improvement in HIV-related knowledge and reduction in negative attitudes towards PLHIV among the stigma reduction programs being evaluated. High-quality stigma reduction programs with multidimensional stigma indicators and psychometrically sound outcome measures are highly warranted.
•Studies show small effects in improving HIV knowledge.•They also have small effects reducing negative attitudes toward PLHIV.•Stigma reduction programs are more effective among professional samples.•Programs with multiple sessions are more effective.•Programs conducted in community settings are more effective.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Analysis</subject><subject>Attitude to Health</subject><subject>Attitudes</subject><subject>Attitudes towards PLHIV</subject><subject>Effectiveness</subject><subject>Female</subject><subject>HIV</subject><subject>HIV Infections - psychology</subject><subject>HIV stigma</subject><subject>HIV-related knowledge</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Intervention</subject><subject>Knowledge</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>Narrative synthesis</subject><subject>People living with HIV (PLHIV)</subject><subject>Program Evaluation - standards</subject><subject>Social Stigma</subject><subject>Stigma</subject><subject>Stigma reduction interventions</subject><subject>Systematic review</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkc1u1TAQhS0EopfCK0AkNmwSxj_xz7KqoK1UxAbYWo4zKb66SYonaXXfhmfhyeqr27Jgw8qS5ztnNOcw9o5Dw4Hrj9uG5kgxjdg3ArhpQDeg2mdsw62RdSuVec42IIypXSv1CXtFtAUADla-ZCfCGlBatRuGX3AJdZjCbk-JqjD1Fe1pwTEsKVYZ7xLeV_NQ0bL2Camap2r5iRUOA8Yl3eGEVD6HP78vr34UKN2Moaj6tQwLepvnmxxGes1eDGFH-ObxPWXfP3_6dn5ZX3-9uDo_u66jdG6pnbRS8xC4jA6ta_sucKMUKLBWGicddJ3TvIvIlQkaRG8jj9wGEYWSTshT9uHoWxb_WpEWPyaKuNuFCeeVPHfCtuVybQr6_h90O6-55HCgWiMEKCsLZY5UzDNRxsHf5jSGvPcc_KEJv_V_m_CHJjxoX5ooyreP_mt3mD3pnqIvwNkRwBJIiTn74oJTxD7lkq3v5_TfJQ9psZ6X</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Mak, Winnie W.S.</creator><creator>Mo, Phoenix K.H.</creator><creator>Ma, Gloria Y.K.</creator><creator>Lam, Maggie Y.Y.</creator><general>Elsevier Ltd</general><general>Pergamon Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9714-7847</orcidid></search><sort><creationdate>201709</creationdate><title>Meta-analysis and systematic review of studies on the effectiveness of HIV stigma reduction programs</title><author>Mak, Winnie W.S. ; Mo, Phoenix K.H. ; Ma, Gloria Y.K. ; Lam, Maggie Y.Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-938361aa13c9e895dba174404088379390bb961bce147a602d8c1c18a2c243923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adult</topic><topic>AIDS</topic><topic>Analysis</topic><topic>Attitude to Health</topic><topic>Attitudes</topic><topic>Attitudes towards PLHIV</topic><topic>Effectiveness</topic><topic>Female</topic><topic>HIV</topic><topic>HIV Infections - psychology</topic><topic>HIV stigma</topic><topic>HIV-related knowledge</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Intervention</topic><topic>Knowledge</topic><topic>Male</topic><topic>Meta-analysis</topic><topic>Narrative synthesis</topic><topic>People living with HIV (PLHIV)</topic><topic>Program Evaluation - standards</topic><topic>Social Stigma</topic><topic>Stigma</topic><topic>Stigma reduction interventions</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mak, Winnie W.S.</creatorcontrib><creatorcontrib>Mo, Phoenix K.H.</creatorcontrib><creatorcontrib>Ma, Gloria Y.K.</creatorcontrib><creatorcontrib>Lam, Maggie Y.Y.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mak, Winnie W.S.</au><au>Mo, Phoenix K.H.</au><au>Ma, Gloria Y.K.</au><au>Lam, Maggie Y.Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meta-analysis and systematic review of studies on the effectiveness of HIV stigma reduction programs</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2017-09</date><risdate>2017</risdate><volume>188</volume><spage>30</spage><epage>40</epage><pages>30-40</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><abstract>The present study conducted a meta-analysis and systematic review on studies evaluating the effectiveness of stigma reduction programs in improving knowledge and reducing negative attitudes towards people living with HIV (PLHIV).
Meta-analysis (k = 42 studies) found significant and small effect sizes in the improvement of the participants' knowledge of HIV/AIDS from interventions with (Cohen's d = 0.48, 95% CI [0.30, 0.66]) and without control groups (Cohen's d = 0.42, 95% CI [0.28, 0.57]). Significant and small effect sizes were found in the improvement of the participants' attitudes toward PLHIV from interventions with (Cohen's d = 0.39, 95% CI [0.23, 0.55]) and without control groups (Cohen's d = 0.25, 95% CI [0.11, 0.39]). Significant and small effect sizes were sustained at the follow-up assessments. Subgroup analysis showed that number of intervention sessions, intervention settings, and sample type significantly moderated the effect sizes in the meta-analysis. Findings from the systematic review of 35 studies indicated that most of the included studies showed positive results in reducing negative attitudes toward PLHIV and improving HIV-related knowledge. Most of the included studies tended to have low methodological quality.
The present meta-analysis and systematic review indicated that the studies generally found small improvement in HIV-related knowledge and reduction in negative attitudes towards PLHIV among the stigma reduction programs being evaluated. High-quality stigma reduction programs with multidimensional stigma indicators and psychometrically sound outcome measures are highly warranted.
•Studies show small effects in improving HIV knowledge.•They also have small effects reducing negative attitudes toward PLHIV.•Stigma reduction programs are more effective among professional samples.•Programs with multiple sessions are more effective.•Programs conducted in community settings are more effective.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28704645</pmid><doi>10.1016/j.socscimed.2017.06.045</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-9714-7847</orcidid></addata></record> |
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| ispartof | Social science & medicine (1982), 2017-09, Vol.188, p.30-40 |
| issn | 0277-9536 1873-5347 |
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| source | MEDLINE; Sociological Abstracts; ScienceDirect Journals (5 years ago - present) |
| subjects | Acquired immune deficiency syndrome Adult AIDS Analysis Attitude to Health Attitudes Attitudes towards PLHIV Effectiveness Female HIV HIV Infections - psychology HIV stigma HIV-related knowledge Human immunodeficiency virus Humans Intervention Knowledge Male Meta-analysis Narrative synthesis People living with HIV (PLHIV) Program Evaluation - standards Social Stigma Stigma Stigma reduction interventions Systematic review |
| title | Meta-analysis and systematic review of studies on the effectiveness of HIV stigma reduction programs |
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