{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:50:02Z","timestamp":1772160602617,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:00:00Z","timestamp":1613606400000},"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":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To further develop Earnshaw and Chaudoir's HIV stigma framework by describing the experiences of HIV\u2010related stigma among people living with viral suppression in a context where HIV is well controlled and to investigate how these experiences correspond to the stigma mechanisms of the framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study using interviews and a framework approach to analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>People living with virally suppressed HIV in Sweden were recruited through an outpatient clinic and interviewed about their experiences of social aspects of living with HIV. The interviews were audio recorded, transcribed and analysed using a framework approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen participants (eight women and seven men, aged 30\u201364\u00a0years) were interviewed from March to September 2017. They described stigma around HIV as a barrier in many situations. Anticipated and enacted stigma were found to be more complex than is described in the existing literature. Being labelled as a person with HIV was found to be an important and persistent part of the stigma experience. Disclosure was found to be context\u2010related and a result of a process of negotiating and weighing the relevance of disclosing HIV, perceiving HIV as a private matter and feeling a responsibility to disclose one's HIV status to others. An important reason for nondisclosure was to avoid being labelled with HIV, which would then become their most defining feature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HIV stigma framework could benefit from revision for people living with virally suppressed HIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>The present findings, which indicate the role of health professionals in relation to disclosure and labelling, may guide nurses and other healthcare personnel in providing counselling and support for people who live with virally suppressed HIV and experience stigma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.14774","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T14:08:42Z","timestamp":1613830122000},"page":"2472-2480","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Towards a new understanding of HIV\u2010related stigma in the era of efficient treatment\u2010 A qualitative reconceptualization of existing theory"],"prefix":"10.1111","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0864-8701","authenticated-orcid":false,"given":"Maria","family":"Reinius","sequence":"first","affiliation":[{"name":"Department of Learning, Informatics, Management and Ethics Karolinska Institutet Stockholm Sweden"},{"name":"Department of Infectious Diseases Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Galit","family":"Zeluf Andersson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0845-1685","authenticated-orcid":false,"given":"Veronica","family":"Svedhem","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Karolinska University Hospital Stockholm Sweden"},{"name":"Unit of Infectious Diseases Department of Medicine Huddinge Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1279-2191","authenticated-orcid":false,"given":"Lena","family":"Wettergren","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health Karolinska Institutet Stockholm Sweden"},{"name":"Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8250-3773","authenticated-orcid":false,"given":"Maria","family":"Wiklander","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5121-5325","authenticated-orcid":false,"given":"Lars E.","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Learning, Informatics, Management and Ethics Karolinska Institutet Stockholm Sweden"},{"name":"Department of Infectious Diseases Karolinska University Hospital Stockholm Sweden"},{"name":"School of Health Sciences, City University of London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(19)30343-1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.03.028"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2018.1515470"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-009-9593-3"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-013-0437-9"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2013.827143"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/20479700.2017.1398387"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2016.0026"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12431"},{"key":"e_1_2_10_12_1","volume-title":"Stigma; 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