HIV-related stigma remains a significant barrier to accessing care, adhering to treatment, and achieving optimal health outcomes. This stigma, rooted in fear, misinformation, and bias, can perpetuate feelings of isolation, and worsen health disparities among historically marginalized populations.1 Clinicians play a critical role in combating stigma by fostering inclusive, compassionate care environments and implementing targeted strategies to empower patients.1
- Normalize HIV Conversations
Creating a stigma-free clinical space begins with normalizing discussions about HIV prevention and treatment.1 Clinicians can integrate routine HIV screening into primary care, as recommended by the CDC, to reduce the perception of HIV testing as an indicator of high-risk behavior. Framing HIV care as part of comprehensive wellness screening for all patients can help normalize it and decrease fear and shame. - Use Person-First, Stigma-Free Language
The language used in clinical settings profoundly influences patients’ perceptions of themselves and their care.2 The Health Resources and Services Administration (HRSA) advises using person-first language, such as “person with HIV” instead of “HIV-positive patient,” to emphasize the individual over the diagnosis.2 Avoiding terms like “failure” in describing treatment outcomes also minimizes negative connotations. - Educate and Train Staff
Implicit bias and limited knowledge about HIV can inadvertently perpetuate stigma in healthcare settings. Offering regular training on HIV-related stigma, implicit bias, and cultural competency equips clinicians and staff to provide respectful, informed care. Such training is critical for addressing bias and improving patient interactions.1,2 - Foster Confidentiality and Trust
Fear of disclosure remains a significant concern for many patients. Clinicians should emphasize strict confidentiality practices and discuss privacy safeguards with their patients. Building trust through transparent communication and consistent support helps patients feel safe in sharing their concerns and adhering to treatment. Training in trauma informed care can provide guidance for these crucial conversations.3 - Engage Communities and Advocate
Partnering with community organizations can amplify anti-stigma efforts. Programs led by peer educators or community health workers offer relatable support and demonstrate that living well with HIV is possible.2 Clinicians can also advocate for public health campaigns and policies promoting HIV education and reducing stigma.4
By actively addressing stigma, clinicians can empower patients, foster trust, and create an environment where HIV care is normalized, dignified, and accessible for all.
Take our HIV quiz to see how your knowledge compares to your peers.
