{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:10:08Z","timestamp":1790831408429,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Stigma and discrimination against people living with human immunodeficiency virus (PLHIV) within healthcare settings remain significant barriers to effective care. Stigmatizing attitudes persist among healthcare professionals, potentially undermining care quality. This study aimed to assess HIV\u2010related knowledge and attitudes among healthcare professionals in Portugal, focusing on identifying factors associated with stigma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was part of a European survey by the European Centre for Disease Prevention and Control (ECDC) and the European AIDS Clinical Society (EACS). Data were collected via an online self\u2010administered questionnaire between September and December 2023, targeting healthcare professionals in Portugal. Descriptive statistics, chi\u2010square tests and multivariate logistic regression were used to assess associations between sociodemographic characteristics, HIV knowledge and stigma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 807 healthcare professionals participated in the study, with a majority being women (78%), and a mean age of 43.5\u2009years. Most respondents were nurses (38%) and doctors (28%), worked in hospitals (54%) or primary healthcare centres (31%). The analysis showed that healthcare professionals working in HIV\u2010dedicated departments, hospitals or community centres exhibited significantly higher levels of HIV\u2010related knowledge. In contrast, female professionals, those over 40\u2009years old and non\u2010doctor professionals were less likely to demonstrate high HIV\u2010related knowledge. Regarding stigma, professionals with limited HIV training and lower HIV knowledge were more likely to display higher levels of stigma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings highlight the need for targeted educational interventions to reduce stigma. Strengthening HIV\u2010specific training, especially in stigma reduction, is crucial for improving care for PLHIV and fostering an inclusive healthcare environment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.70039","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T09:33:48Z","timestamp":1746610428000},"page":"1096-1107","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Knowledge and <scp>HIV<\/scp>\u2010related stigma among Portuguese healthcare professionals: A cross\u2010sectional analysis"],"prefix":"10.1111","volume":"26","author":[{"given":"F.","family":"Cota Medeiros","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Doen\u00e7as Infecciosas, Unidade Local de Sa\u00fade de Santa Maria \u2013 Hospital de Santa Maria  Lisbon Portugal"},{"name":"ISAMB \u2013 Instituto de Sa\u00fade Ambiental, Faculdade de Medicina da Universidade de Lisboa  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"M\u00e9ndez\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Public Health and Microbiology Autonomous University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Correia de Abreu","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Doen\u00e7as Infecciosas Unidade Local de Sa\u00fade de Matosinhos \u2013 Hospital Pedro Hispano  Matosinhos Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Sarmento e Castro","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Doen\u00e7as Infecciosas Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, EPE  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Maltez","sequence":"additional","affiliation":[{"name":"ISAMB \u2013 Instituto de Sa\u00fade Ambiental, Faculdade de Medicina da Universidade de Lisboa  Lisbon Portugal"},{"name":"Servi\u00e7o de Doen\u00e7as Infecciosas, Unidade Local de Sa\u00fade de S\u00e3o Jos\u00e9 \u2013 Hospital Curry Cabral  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Antunes","sequence":"additional","affiliation":[{"name":"ISAMB \u2013 Instituto de Sa\u00fade Ambiental, Faculdade de Medicina da Universidade de Lisboa  Lisbon Portugal"},{"name":"Laborat\u00f3rio Associado TERRA Faculdade de Medicina da Universidade de Lisboa  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102458\u201012\u2010522"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJOPEN\u20102016\u2010011453"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2017.1338654"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461\u2010021\u201003470\u2010y"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.7448\/ias.16.3.18640"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2020.0244"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461\u2010019\u201002595\u20105"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12981\u2010023\u201000585\u20101"},{"key":"e_1_2_8_10_1","volume-title":"Infe\u00e7\u00e3o Por VIH Em Portugal \u2013 2023","author":"Dire\u00e7\u00e3o\u2010Geral da Sa\u00fade, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge","year":"2023"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2013.0247"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101497.2005.05049.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/17290376.2004.9724838"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1758\u20102652\u201012\u201015"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968\u20108080(07)29028\u20107"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2014.907385"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2011.613909"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2012.0296"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277\u20109536(00)00266\u20105"},{"issue":"4","key":"e_1_2_8_20_1","first-page":"1","article-title":"Criminalization of HIV transmission","volume":"53","author":"UNAIDS","year":"2008","journal-title":"UNAIDS POLICY Br"},{"key":"e_1_2_8_21_1","unstructured":"NooriT.Measuring stigma in the community and in the healthcare setting. 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