266606 Factors associated with HIV-related stigmatizing attitudes and early findings on impact of a comprehensive chronic disease prevention video aimed at reducing HIV-related stigma among an urban, low income population in New York City, 2009-2011

Tuesday, October 30, 2012 : 8:30 AM - 8:45 AM

Alexis Rivera, MPH , Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY
Natalie Crawford, PhD , Center for Social Epidemiology and Population Health, University of Michigan School of Public Health, Ann Arbor, MI
Alezandria Turner, PhD , Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY
Silvia Amesty, MD, MPH, MSEd , Center for Family and Community Medicine, Columbia University, College of Physicians and Surgeons, New York, NY
Katherine Harripersaud, MPH , Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY
Autumn Austin, MPH , Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY
Crystal Fuller, PhD, MPH , Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY
     
Background: HIV-related stigma has been shown to be associated with high-risk sexual behaviors, infrequent HIV testing, HIV status non-disclosure, delays in care, and HIV treatment non-adherence. We aim to determine factors associated with HIV-related stigmatizing attitudes and decreases in stigmatizing attitudes after viewing a video aimed at reducing HIV-associated stigma.

Methods: Injection drug users (IDUs), their peers, and underinsured pharmacy customers were recruited by IDU peers and pharmacy staff from low-income neighborhoods participating in a pharmacy-based aimed at reducing HIV-related stigma. Two of three study arms included a 10-minute “healthy lifestyle video” focused on the importance of chronic disease screening, and a control arm (no video). To test the integrity of the intervention, a stigma scale was conducted pre- and post-video in the intervention arms. Logistic regression was used to identify factors related to (1) baseline stigmatizing attitudes, and (2) post-video decrease in stigmatizing attitudes.

Results: Among 667 participants, 67.3% were male, 52.1% Latino(a), and mean age 44.9 years. Having at least one HIV-related stigmatizing attitude (63.5%) was associated with having an IDU-related stigmatizing attitude (AOR=3.25), being female (AOR=0.63), higher education (AOR=0.38), and employment (AOR=0.49). Those whose stigmatizing attitudes decreased after the video (51.5%) were more likely to be an IDU peer recruit (AOR=2.62) and HIV-positive (AOR=3.96).

Conclusions: These data suggests that low-income high-risk groups beyond IDUs should be targeted with interventions aimed at reducing HIV-related stigma. Use of a comprehensive disease prevention video may assist in decreasing HIV-related stigma and should be further explored, particularly among HIV-positives, and underway.

Learning Areas:
Epidemiology
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
To describe factors associated with HIV-related stigmatizing attitudes and decreases in stigmatizing attitudes after viewing a comprehensive chronic disease prevention video aimed at reducing HIV-associated stigma.

Keywords: HIV/AIDS, HIV Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the project director of multiple federally funded grants focused on interventions targeted towards drug use and HIV.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4042.0: HIV Studies in Specific Groups/Regions