Blocking the benefit of group-based HIV-prevention efforts during adolescence: The problem of HIV-related stigma

David H. Barker; Rebecca R. Swenson; Larry K. Brown; Bonita F. Stanton; Peter A. Vanable; Michael P. Carey; Robert F. Valois; Ralph J. DiClemente; Laura F. Salazar; Daniel Romer

doi:10.1007/s10461-011-0101-1

Blocking the benefit of group-based HIV-prevention efforts during adolescence: The problem of HIV-related stigma

David H. Barker, Rebecca R. Swenson, Larry K. Brown, Bonita F. Stanton, Peter A. Vanable, Michael P. Carey, Robert F. Valois, Ralph J. DiClemente, Laura F. Salazar, Daniel Romer

Department of Psychology

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

HIV-related stigma has been shown to impede HIV-antibody testing and safer sexual practices in adults. Less is known about its effects on prevention programs among at-risk youth. This study examined the longitudinal relationships between HIV-stigma and HIV-knowledge following completion of a validated group-based intervention. Data were provided by 1,654 African-American adolescents who participated in a large multi-city prevention trial (Project iMPACCS). Participants were randomly assigned to an empirically-validated skill-based intervention or a general health promotion control group. Both stigma and knowledge were assessed at baseline and post-intervention. Results suggested that adolescents participating in the intervention showed improvements in knowledge and decreases in stigma when compared to controls. Improvements in stigma appeared to be partly driven by improvements in knowledge. Higher baseline stigma was shown to reduce gains in knowledge in both the treatment and control groups. Results suggest that HIV-stigma can interfere with how youth identify with and internalize messages from group-based prevention trials.

Original language	English (US)
Pages (from-to)	571-577
Number of pages	7
Journal	AIDS and Behavior
Volume	16
Issue number	3
DOIs	https://doi.org/10.1007/s10461-011-0101-1
State	Published - Apr 2012

Keywords

Adolescence
HIV
Knowledge
Prevention
Stigma

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-011-0101-1

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title = "Blocking the benefit of group-based HIV-prevention efforts during adolescence: The problem of HIV-related stigma",

abstract = "HIV-related stigma has been shown to impede HIV-antibody testing and safer sexual practices in adults. Less is known about its effects on prevention programs among at-risk youth. This study examined the longitudinal relationships between HIV-stigma and HIV-knowledge following completion of a validated group-based intervention. Data were provided by 1,654 African-American adolescents who participated in a large multi-city prevention trial (Project iMPACCS). Participants were randomly assigned to an empirically-validated skill-based intervention or a general health promotion control group. Both stigma and knowledge were assessed at baseline and post-intervention. Results suggested that adolescents participating in the intervention showed improvements in knowledge and decreases in stigma when compared to controls. Improvements in stigma appeared to be partly driven by improvements in knowledge. Higher baseline stigma was shown to reduce gains in knowledge in both the treatment and control groups. Results suggest that HIV-stigma can interfere with how youth identify with and internalize messages from group-based prevention trials.",

keywords = "Adolescence, HIV, Knowledge, Prevention, Stigma",

author = "Barker, {David H.} and Swenson, {Rebecca R.} and Brown, {Larry K.} and Stanton, {Bonita F.} and Vanable, {Peter A.} and Carey, {Michael P.} and Valois, {Robert F.} and DiClemente, {Ralph J.} and Salazar, {Laura F.} and Daniel Romer",

note = "Funding Information: Acknowledgments This research was supported by National Institutes of Health grant UO1 MH066785, a collaborative project awarded to participating sites: Rhode Island Hospital, Emory University, Syracuse University, University of South Carolina, and University of Pennsylvania and by a National Institutes of Mental Health Program in Child/Adolescent Biobehavioral HIV Research Training at Rhode Island Hospital/Brown University (T32-MH-07878, PI: L. Brown).",

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doi = "10.1007/s10461-011-0101-1",

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AU - Barker, David H.

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AU - Stanton, Bonita F.

AU - Vanable, Peter A.

AU - Carey, Michael P.

AU - Valois, Robert F.

AU - DiClemente, Ralph J.

AU - Salazar, Laura F.

AU - Romer, Daniel

N1 - Funding Information: Acknowledgments This research was supported by National Institutes of Health grant UO1 MH066785, a collaborative project awarded to participating sites: Rhode Island Hospital, Emory University, Syracuse University, University of South Carolina, and University of Pennsylvania and by a National Institutes of Mental Health Program in Child/Adolescent Biobehavioral HIV Research Training at Rhode Island Hospital/Brown University (T32-MH-07878, PI: L. Brown).

PY - 2012/4

Y1 - 2012/4

N2 - HIV-related stigma has been shown to impede HIV-antibody testing and safer sexual practices in adults. Less is known about its effects on prevention programs among at-risk youth. This study examined the longitudinal relationships between HIV-stigma and HIV-knowledge following completion of a validated group-based intervention. Data were provided by 1,654 African-American adolescents who participated in a large multi-city prevention trial (Project iMPACCS). Participants were randomly assigned to an empirically-validated skill-based intervention or a general health promotion control group. Both stigma and knowledge were assessed at baseline and post-intervention. Results suggested that adolescents participating in the intervention showed improvements in knowledge and decreases in stigma when compared to controls. Improvements in stigma appeared to be partly driven by improvements in knowledge. Higher baseline stigma was shown to reduce gains in knowledge in both the treatment and control groups. Results suggest that HIV-stigma can interfere with how youth identify with and internalize messages from group-based prevention trials.

AB - HIV-related stigma has been shown to impede HIV-antibody testing and safer sexual practices in adults. Less is known about its effects on prevention programs among at-risk youth. This study examined the longitudinal relationships between HIV-stigma and HIV-knowledge following completion of a validated group-based intervention. Data were provided by 1,654 African-American adolescents who participated in a large multi-city prevention trial (Project iMPACCS). Participants were randomly assigned to an empirically-validated skill-based intervention or a general health promotion control group. Both stigma and knowledge were assessed at baseline and post-intervention. Results suggested that adolescents participating in the intervention showed improvements in knowledge and decreases in stigma when compared to controls. Improvements in stigma appeared to be partly driven by improvements in knowledge. Higher baseline stigma was shown to reduce gains in knowledge in both the treatment and control groups. Results suggest that HIV-stigma can interfere with how youth identify with and internalize messages from group-based prevention trials.

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Blocking the benefit of group-based HIV-prevention efforts during adolescence: The problem of HIV-related stigma

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