{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T03:07:41Z","timestamp":1788836861141,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>HIV\u2010related stigma in healthcare settings remains a barrier to equitable care for people living with HIV. Data on HIV\u2010related knowledge and stigmatizing attitudes among healthcare workers (HCWs) in Greece are limited. This study aimed to describe HIV\u2010related knowledge, stigmatizing attitudes and discriminatory practices among HCWs in Greece and to identify factors associated with higher knowledge and stigma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a secondary analysis of the Greek subset of the 2023 ECDC\/EACS survey on HIV\u2010related knowledge and stigma among HCWs. HIV knowledge was assessed using three items on undetectable equals untransmittable (\u2018U=U\u2019), post\u2010exposure prophylaxis (PEP) and pre\u2010exposure prophylaxis (PrEP), combined into a four\u2010level ordinal variable. Stigmatizing attitudes were assessed using an eight\u2010item mean score. Associations with knowledge were examined using proportional\u2010odds ordinal logistic regression, and associations with stigma were assessed using a multivariable linear model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 826 respondents, correct knowledge was reported by 57.9% for \u2018U=U\u2019, 59.4% for PEP and 39.0% for PrEP. Nearly half answered no more than one item correctly. Higher knowledge was independently associated with younger age, male gender, doctor role, hospital\u2010based practice and greater occupational contact with people living with HIV. The mean stigma score was 2.1 on a 1\u20135 scale. Higher stigma scores were independently associated with older age, lower HIV knowledge and absence of prior HIV stigma\/discrimination training. Doctors had lower adjusted stigma scores than nurses in pairwise comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Important gaps in HIV prevention knowledge and persistent stigmatizing attitudes were observed among HCWs in Greece. Findings support structured, decentralized educational and stigma\u2010reduction interventions across healthcare settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70306","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T02:15:56Z","timestamp":1788833756000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>HIV<\/scp>\n                    \u2010related knowledge and stigma among healthcare workers in Greece: A secondary analysis of a European survey"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9954-7409","authenticated-orcid":false,"given":"Charalampos D.","family":"Moschopoulos","sequence":"first","affiliation":[{"name":"Fourth Department of Internal Medicine Attikon University Hospital, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4196-5066","authenticated-orcid":false,"given":"Nikos","family":"Pantazis","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Epidemiology and Medical Statistics Medical School, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5404-746X","authenticated-orcid":false,"given":"Konstantinos","family":"Protopapas","sequence":"additional","affiliation":[{"name":"Fourth Department of Internal Medicine Attikon University Hospital, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitra","family":"Kavatha","sequence":"additional","affiliation":[{"name":"Fourth Department of Internal Medicine Attikon University Hospital, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5951-0844","authenticated-orcid":false,"given":"Giota","family":"Touloumi","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Epidemiology and Medical Statistics Medical School, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charalampos","family":"Gogos","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Infectious Diseases Metropolitan General Clinic  Athens Greece"},{"name":"Chair, Hellenic Society for the Study and Control of AIDS (EEMAA)  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9638-0321","authenticated-orcid":false,"given":"Marios","family":"Lazanas","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Infectious Diseases IASO General Clinic  Athens Greece"},{"name":"Past Chair, Hellenic Society for the Study and Control of AIDS (EEMAA)  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4735-2620","authenticated-orcid":false,"given":"Antonios","family":"Papadopoulos","sequence":"additional","affiliation":[{"name":"Fourth Department of Internal Medicine Attikon University Hospital, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20103018(23)00028\u20100"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"165","DOI":"10.4414\/bms.2008.13252","article-title":"Les personnes s\u00e9ropositives ne souffrant d'aucune autre MST et suivant un traitement antir\u00e9troviral efficace ne transmettent pas le VIH par voie sexuelle","volume":"89","author":"Vernazza P","year":"2008","journal-title":"Bull Med Suisses"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.21167"},{"key":"e_1_2_10_5_1","volume-title":"Dublin Declaration on Partnership to Fight HIV\/AIDS in Europe and Central Asia","year":"2004"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010011453"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1356430"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010015\u20102197\u20100"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2018.0282"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2018.0114"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13606"},{"key":"e_1_2_10_12_1","volume-title":"People Living with HIV Stigma Index 2.0. Global Report 2023. Hear Us Out: Community Measuring HIV\u2010Related Stigma and Discrimination","author":"Global Network of People Living with HIV (GNP+)","year":"2023"},{"key":"e_1_2_10_13_1","volume-title":"HIV stigma in the healthcare setting. Monitoring implementation of the Dublin Declaration on partnership to fight HIV\/AIDS in Europe and Central Asia","author":"European Centre for Disease Prevention and Control","year":"2024"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.16.3.18718"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.70067"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.70039"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.70048"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.58395\/de3b1827"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2021.1956415"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.13025\/ccsj\u20108336"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2020.0031"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2021.0096"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461\u2010024\u201004293\u20103"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0211298"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.70306","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hiv.70306","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.70306","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T02:16:03Z","timestamp":1788833763000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.70306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":23,"alternative-id":["10.1111\/hiv.70306"],"URL":"https:\/\/doi.org\/10.1111\/hiv.70306","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"assertion":[{"value":"2026-06-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hiv.70306"}}