{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:22:51Z","timestamp":1786580571480,"version":"build-2736575974"},"reference-count":5,"publisher":"Maad Rayan Publishing Company","content-domain":{"domain":["ijhpm.com"],"crossmark-restriction":false},"short-container-title":["Int J Health Policy Manag"],"abstract":"<jats:p>\n            <jats:bold>Background:<\/jats:bold>  Stigmatizing attitudes among healthcare providers are an important barrier to accessing services among people living with HIV (PLHIV). This cross-sectional study aimed to assess the status and correlates of HIV-related stigma among healthcare providers in Kerman, Iran. <jats:bold>Methods:<\/jats:bold>  Using a validated and pilot-tested stigma scale questionnaire, we measured HIV-related stigma among 400 healthcare providers recruited from three teaching hospitals (n=363), private sectors (n=28), and the only voluntary counseling and testing (VCT) center (n=9) in Kerman city. Data were gathered using self-administered questionnaires at participants\u2019 workplace during Fall 2016. To examine the correlates of stigmatizing attitudes, we constructed bivariable and multivariable linear regression models. <jats:bold>Results:<\/jats:bold>  The mean \u00b1 standard deviation (SD) of stigma score was 25.95 \u00b1 7.20 out of the possible 50, with higher scores reflecting more stigmatizing attitudes. Paramedics, nurses\u2019 aides, and housekeeping staff had the highest, and VCT personnel had the lowest average stigma scores, respectively. Multivariable regression analyses showed that prior experience of working with PLHIV (\u03b2=-2.48; P=.03), exposure to HIV-related educational courses (\u03b2=-2.03; P=.02), and &lt;10 years of work experience (\u03b2=-2.70; P&lt;.001) were associated with lower stigma scores. <jats:bold>Conclusion:<\/jats:bold>  Our findings highlight the need for health managers to provide training opportunities for healthcare providers, including programs that focus on improving HIV-related knowledge for healthcare providers. Enforcing policies that aim to reduce HIV-related stigma and discrimination among healthcare providers in Iran are urgently needed.<\/jats:p>","DOI":"10.15171\/ijhpm.2019.92","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T14:42:19Z","timestamp":1582036939000},"update-policy":"https:\/\/doi.org\/10.15171\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["HIV-Related Stigma Among Healthcare Providers in Different Healthcare Settings: A Cross-Sectional Study in Kerman, Iran"],"prefix":"10.34172","author":[{"given":"Fatemeh","family":"Tavakoli","sequence":"first","affiliation":[{"name":"HIV\/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5631-4469","authenticated-orcid":true,"given":"Mohammad","family":"Karamouzian","sequence":"additional","affiliation":[{"name":"School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada."},{"name":"HIV\/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Ahmad","family":"Rafiei-Rad","sequence":"additional","affiliation":[{"name":"Department of Sociology, Allameh Tabatabai University, Tehran, Iran."},{"name":"HIV\/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7746-5709","authenticated-orcid":true,"given":"Abedin","family":"Iranpour","sequence":"additional","affiliation":[{"name":"Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehrdad","family":"Farrokhnia","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6511-1591","authenticated-orcid":true,"given":"Mehdi","family":"Noroozi","sequence":"additional","affiliation":[{"name":"Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Sharifi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0134-7052","authenticated-orcid":true,"given":"Brandon D.L.","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3810-752X","authenticated-orcid":true,"given":"Mostafa","family":"Shokoohi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & Biostatistics, The University of Western Ontario, London, ON, Canada. 1"},{"name":"HIV\/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran."},{"name":"Division of Social and Behavioural Health Sciences, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9008-7618","authenticated-orcid":true,"given":"Hamid","family":"Sharifi","sequence":"additional","affiliation":[{"name":"HIV\/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2019,10,21]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.15171\/IJHPM.2019.22"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14101107"},{"key":"R3","unstructured":"U.S. Citizen and Immigration Services. Public Charge. https:\/\/www.uscis.gov\/greencard\/public-charge. Accessed July 28, 2019."},{"key":"R4","unstructured":"National Immigration Law Center. Public Charge (revised October 2013). https:\/\/www.nilc.org\/issues\/economic-support\/pubcharge\/. Accessed July 28, 2019."},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2005.11.009"}],"container-title":["International Journal of Health Policy and Management"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.ijhpm.com\/article_3689_94d9e7928ded468b00c203c31881f4be.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.ijhpm.com\/article_3689_94d9e7928ded468b00c203c31881f4be.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T07:28:37Z","timestamp":1583220517000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.ijhpm.com\/article_3689.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,21]]},"references-count":5,"URL":"https:\/\/doi.org\/10.15171\/ijhpm.2019.92","relation":{},"ISSN":["2322-5939"],"issn-type":[{"value":"2322-5939","type":"print"}],"subject":[],"published":{"date-parts":[[2019,10,21]]},"assertion":[{"value":"Kerman University of Medical Sciences","name":"journal_owner","label":"Journal Owner"},{"value":"Kerman University of Medical Sciences","name":"journal_publisher","label":"Journal Publisher"}]}}