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Randomized Controlled Trial
. 2013 Feb;103(2):286-92.
doi: 10.2105/AJPH.2012.300854. Epub 2012 Dec 13.

Reducing HIV-related stigma in health care settings: a randomized controlled trial in China

Li Li  1 , Zunyou Wu, Li-Jung Liang, Chunqing Lin, Jihui Guan, Manhong Jia, Keming Rou, Zhihua Yan
Affiliations
Randomized Controlled Trial

Reducing HIV-related stigma in health care settings: a randomized controlled trial in China

Li Li et al. Am J Public Health. 2013 Feb.

Abstract

Objectives: The objective of the intervention was to reduce service providers' stigmatizing attitudes and behaviors toward people living with HIV.

Methods: The randomized controlled trial was conducted in 40 county-level hospitals in 2 provinces of China between October 2008 and February 2010. Forty-four service providers were randomly selected from each hospital, yielding a total of 1760 study participants. We randomized the hospitals to either an intervention condition or a control condition. In the intervention hospitals, about 15% of the popular opinion leaders were identified and trained to disseminate stigma reduction messages.

Results: We observed significant improvements for the intervention group in reducing prejudicial attitudes (P < .001), reducing avoidance intent towards people living with HIV (P < .001), and increasing institutional support in the hospitals (P = .003) at 6 months after controlling for service providers' background factors and clinic-level characteristics. The intervention effects were sustained and strengthened at 12 months.

Conclusions: The intervention reduced stigmatizing attitudes and behaviors among service providers. It has the potential to be integrated into the health care systems in China and other countries.

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Figures

FIGURE 1—
FIGURE 1—
Flow of study participants: White Coat, Warm Heart Intervention Trial; Yunnan and Fujian Provinces, China; October 2008–February 2010.
FIGURE 2—
FIGURE 2—
Plots of means (±2 SE) over time for (a) prejudicial attitude, (b) avoidance intent, and (c) institutional support: White Coat, Warm Heart Intervention Trial; Yunnan and Fujian Provinces, China; October 2008–February 2010.
See this image and copyright information in PMC

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