{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T01:07:43Z","timestamp":1787792863168,"version":"build-2784847793"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>People living with HIV\/AIDS today expect a typical lifespan, although many continue to encounter psychological and societal challenges, including stigma and discrimination. In healthcare settings, this may manifest as refusal of care or treatment, non\u2010consensual testing, confidentiality breaches, and unfavourable attitudes, among other issues. We sought to better understand stigma\u2010related beliefs and practices within the Romanian clinician community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We designed an analytical cross\u2010sectional study to measure potentially stigmatizing clinical practices and to identify training gaps that could help alleviate stigma. We conducted a 17\u2010question survey that was distributed online to healthcare providers in Moldova, the North\u2010Eastern Romanian region, via the WhatsApp platform, between 1 August and 30 September 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 139 healthcare providers participated in the survey: 71.9% physicians, 23.7% nurses, and 4.3% other providers (e.g., psychologists, pharmacists) working in the fields of infectious disease (36.0%), primary care (13.7%), internal medicine (22.3%), and other specialties such as obstetrics\u2010gynaecology or paediatrics (18.0%). Most participants indicated that they were not worried about providing care to someone living with HIV\/AIDS, most were hesitant to perform HIV testing because they feared the patient's response, and most indicated that co\u2010workers were hesitant to work alongside a colleague with HIV. In total, 31.7% of participants reported no stigmatizing attitudes or practices, 18.7% reported one stigmatizing attitude or practice, 32.4% reported two, and 17.3% reported three or more. After controlling for confounders, not having an HIV discrimination policy in place and not having been trained on HIV\u2010related confidentiality were significantly predictive of holding one or more stigmatizing attitudes or practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The policy context\u2014particularly anti\u2010discrimination workplace policies and provider training on HIV\u2010related confidentiality\u2014is an important determinant of HIV\u2010related stigmatizing practices and attitudes in Romania.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13742","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T01:29:14Z","timestamp":1732584554000},"page":"390-398","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Stigma\u2010associated attitudes and practices among Romanian clinical providers"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4795-8983","authenticated-orcid":false,"given":"Cabiria M.","family":"Barbosu","sequence":"first","affiliation":[{"name":"University of Rochester School of Medicine and Dentistry  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cezar","family":"Avirvarei","sequence":"additional","affiliation":[{"name":"\u201cSf Maria\u201d Children's Emergency Hospital  Ia\u0219i Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Manciuc","sequence":"additional","affiliation":[{"name":"\u201cSf Paraschiva\u201d Clinical Hospital for Infectious Diseases  Iasi Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Dye","sequence":"additional","affiliation":[{"name":"University of Rochester School of Medicine and Dentistry  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"HIV\/AIDS surveillance in Europe 2023\u20132022 data","author":"European Centre for Disease Prevention and Control\/WHO Regional Office for Europe","year":"2023"},{"key":"e_1_2_10_3_1","unstructured":"HIV Statistics.Globally and by WHO Region.2023. 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