{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:52:17Z","timestamp":1788969137656,"version":"build-2803163510"},"reference-count":53,"publisher":"Wiley","issue":"21-22","license":[{"start":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T00:00:00Z","timestamp":1663804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100011072","name":"Center for AIDS Research, University of North Carolina at Chapel Hill","doi-asserted-by":"publisher","award":["P30\u2010AI050410\u201022"],"award-info":[{"award-number":["P30\u2010AI050410\u201022"]}],"id":[{"id":"10.13039\/100011072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims\/objectives<\/jats:title><jats:p>Through interviews with clinical service providers, we explored stigma's impact on HIV service provision for\u00a0African Americans during COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>African Americans experience disproportionate rates of HIV and COVID\u201019. We explored COVID\u201019's impact on HIV services for African American adults in a Southern city.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The study was qualitative and observational.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Key informant interviews were conducted (<jats:italic>n<\/jats:italic>\u00a0=\u200911) across two healthcare centres and two community\u2010based organisations and thematically analysed using phenomenological approaches by two coders. Interviews explored pre\u2010 and post\u2010COVID\u201019 service provision and parallels between COVID\u201019 and HIV, particularly as related to stigma. The COREQ checklist was utilised to ensure research quality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>According to the providers interviewed, all providers offered HIV prevention\/treatment, but PrEP and preventive services diminished greatly early in the COVID\u201019 pandemic. Successful transition to telehealth depended on existing telehealth use. Challenges exacerbated by COVID\u201019 included food\/housing insecurity and physical distancing constraints. Clients' COVID\u201019 informational needs shifted from concerns to vaccine requests over time. Interviewees stated HIV and COVID\u201019 both carry \u2018risk taking\u2019; however, HIV risk was more physically intimate than COVID\u201019. Notably, some providers used stigmatising language referring to clients with HIV\/COVID and omitted person\u2010centred language.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings suggest need to address challenges in telehealth to improve client experiences now and for future pandemics. More research is needed to examine intersectional stigmatisation of COVID\u201019 and HIV for African Americans to design person\u2010centred counselling interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Results demonstrate need for provider training to reframe stigma discussions using client centeredness, educating African Americans on HIV and COVID\u201019 prevention, and coordination with local organisations to address multiple care needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient\/Public Contribution<\/jats:title><jats:p>This research highlights needs of clients based on the views of healthcare providers caring for predominantly African American communities in a Southern city. However, no patients, service users, caregivers or members of the public were directly involved in this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16539","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T05:18:30Z","timestamp":1663910310000},"page":"7822-7833","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring intersectional stigma and <scp>COVID<\/scp>\u201019 impact on human immunodeficiency virus service provision for African Americans in a Southern city"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7447-3498","authenticated-orcid":false,"given":"Allysha C.","family":"Maragh\u2010Bass","sequence":"first","affiliation":[{"name":"FHI 360, Behavioral, Epidemiological, and Clinical Sciences Division  Durham North Carolina USA"},{"name":"Duke Global Health Institute, Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth V.","family":"Aimone","sequence":"additional","affiliation":[{"name":"FHI 360, Behavioral, Epidemiological, and Clinical Sciences Division  Durham North Carolina USA"},{"name":"Duke Global Health Institute, Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eseohe O.","family":"Aikhuele","sequence":"additional","affiliation":[{"name":"FHI 360, Behavioral, Epidemiological, and Clinical Sciences Division  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Macqueen","sequence":"additional","affiliation":[{"name":"FHI 360, Behavioral, Epidemiological, and Clinical Sciences Division  Durham North Carolina USA"},{"name":"Developmental Core, Center for AIDS Research University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,22]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"AIDSVu. 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