The 3 levels of HIV stigma in the United States military: perspectives from service members living with HIV

Abstract Background Epidemiological surveillance data indicate that a majority of HIV-infected in the United States (U.S.) military are African-Americans and men who have sex with men. There is limited research about barriers to HIV prevention among military service members and the unique factors th...

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Main Authors: Joseph M. Yabes, Phillip W. Schnarrs, Leroy B. Foster, Paul T. Scott, Jason F. Okulicz, Shilpa Hakre
Format: Article
Language:English
Published: BMC 2021-07-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-11462-9
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author Joseph M. Yabes
Phillip W. Schnarrs
Leroy B. Foster
Paul T. Scott
Jason F. Okulicz
Shilpa Hakre
author_facet Joseph M. Yabes
Phillip W. Schnarrs
Leroy B. Foster
Paul T. Scott
Jason F. Okulicz
Shilpa Hakre
author_sort Joseph M. Yabes
collection DOAJ
description Abstract Background Epidemiological surveillance data indicate that a majority of HIV-infected in the United States (U.S.) military are African-Americans and men who have sex with men. There is limited research about barriers to HIV prevention among military service members and the unique factors that contribute to HIV stigma. Methods A convenience sample of 30 U.S. service members were recruited from an infectious disease clinic. In depth interviews were conducted and data analyzed using a thematic coding process. Results Two broad categories were identified: 1) Outcomes of HIV Stigma: Fear of Rejection, Shame, and Embarrassment; and 2) Strategies for combating stigma which include increasing HIV education and prevention resources. Military policies and institutional culture regarding sexuality were found to contribute to stigma. Conclusions Participants identified a need for HIV education and suggested individuals living with HIV serve as mentors. A peer-to-peer intervention for delivering HIV prevention education may address these needs and reduce HIV stigma.
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spelling doaj.art-f6b1a248e7d1458f9064cb27f83609b82022-12-21T22:08:20ZengBMCBMC Public Health1471-24582021-07-0121111110.1186/s12889-021-11462-9The 3 levels of HIV stigma in the United States military: perspectives from service members living with HIVJoseph M. Yabes0Phillip W. Schnarrs1Leroy B. Foster2Paul T. Scott3Jason F. Okulicz4Shilpa Hakre5Infectious Disease Service, Brooke Army Medical CenterDepartment of Population Health, Dell Medical School, The University of Texas at AustinU.S. Military HIV Research Program, Walter Reed Army Institute of ResearchEmerging Infectious Diseases Branch, Walter Reed Army Institute of ResearchInfectious Disease Service, Brooke Army Medical CenterHenry M. Jackson Foundation for the Advancement of Military Medicine, Inc.Abstract Background Epidemiological surveillance data indicate that a majority of HIV-infected in the United States (U.S.) military are African-Americans and men who have sex with men. There is limited research about barriers to HIV prevention among military service members and the unique factors that contribute to HIV stigma. Methods A convenience sample of 30 U.S. service members were recruited from an infectious disease clinic. In depth interviews were conducted and data analyzed using a thematic coding process. Results Two broad categories were identified: 1) Outcomes of HIV Stigma: Fear of Rejection, Shame, and Embarrassment; and 2) Strategies for combating stigma which include increasing HIV education and prevention resources. Military policies and institutional culture regarding sexuality were found to contribute to stigma. Conclusions Participants identified a need for HIV education and suggested individuals living with HIV serve as mentors. A peer-to-peer intervention for delivering HIV prevention education may address these needs and reduce HIV stigma.https://doi.org/10.1186/s12889-021-11462-9HIVStigmaMilitarySexuality
spellingShingle Joseph M. Yabes
Phillip W. Schnarrs
Leroy B. Foster
Paul T. Scott
Jason F. Okulicz
Shilpa Hakre
The 3 levels of HIV stigma in the United States military: perspectives from service members living with HIV
BMC Public Health
HIV
Stigma
Military
Sexuality
title The 3 levels of HIV stigma in the United States military: perspectives from service members living with HIV
title_full The 3 levels of HIV stigma in the United States military: perspectives from service members living with HIV
title_fullStr The 3 levels of HIV stigma in the United States military: perspectives from service members living with HIV
title_full_unstemmed The 3 levels of HIV stigma in the United States military: perspectives from service members living with HIV
title_short The 3 levels of HIV stigma in the United States military: perspectives from service members living with HIV
title_sort 3 levels of hiv stigma in the united states military perspectives from service members living with hiv
topic HIV
Stigma
Military
Sexuality
url https://doi.org/10.1186/s12889-021-11462-9
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