{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:19:37Z","timestamp":1788787177426,"version":"build-2803163510"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Older women living with HIV (WLWH) experience a heightened burden of stigma, compounded by age, gender, social isolation, and depression. Despite growing recognition of these challenges, few stigma reduction interventions are specifically designed for this population, particularly in the Southern United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We explored the acceptability, personal relevance, and perceived effectiveness of a stigma reduction video series tailored for older WLWH. The videos were developed based on findings from a prior qualitative metasynthesis and reflected the lifecycle of stigma across key themes. A single in-person focus group with 18 older WLWH was conducted at an HIV service organization in the Southern U.S. Participants viewed the videos and provided feedback through structured discussions. Qualitative descriptive analysis and thematic analysis were used to identify key themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants, predominantly African American\/Black women with a mean age of 59 years and an average of 24 years since HIV diagnosis, responded positively to the videos. Four major themes emerged: (1) resurfacing memories of early HIV-related stigma; (2) the persistence of internal and perceived stigma; (3) growth, acceptance, and advocacy with aging; and (4) preferences for video format and content, including a desire for more dynamic visuals, expanded educational material, and representations of the full journey of living with HIV from diagnosis to long-term survivorship.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Brief, narrative-driven videos rooted in lived experiences show promise as a stigma reduction strategy for WLWH. Future interventions should incorporate multigenerational perspectives, expand educational content, and leverage visually engaging formats to enhance relevance and impact.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1620599","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T05:36:13Z","timestamp":1755063373000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Research-based narrative videos to reduce stigma: insights from older women living with HIV"],"prefix":"10.3389","volume":"13","author":[{"given":"Sadie B.","family":"Sommer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie V.","family":"Barroso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"B1","unstructured":"Aging with HIV\n          \n          2024"},{"key":"B2","unstructured":"The Impact of HIV on Women in the United States"},{"key":"B3","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1111\/hiv.13240","article-title":"Comorbidities in women living with HIV: a systematic review","volume":"23","author":"Raffe","year":"2022","journal-title":"HIV Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1177\/1078390319858415","article-title":"Social determinants of depression among older black women living with HIV","volume":"26","author":"De Oliveira","year":"2020","journal-title":"J Am Psychiatr Nurses Assoc."},{"key":"B5","doi-asserted-by":"publisher","first-page":"1352","DOI":"10.1017\/S0144686X18001782","article-title":"Stigma, isolation and depression among older adults living with HIV in rural areas","volume":"40","author":"Quinn","year":"2020","journal-title":"Ageing Soc."},{"key":"B6","doi-asserted-by":"publisher","first-page":"3147","DOI":"10.1007\/s10461-022-03653-1","article-title":"Loneliness mediates the effect of HIV-related stigma on depressive symptoms among older persons living with HIV","volume":"26","author":"Yoo-Jeong","year":"2022","journal-title":"AIDS Behav."},{"key":"B7","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/s10865-020-00186-7","article-title":"Examining stigma, social support, and gender differences in unsuppressed HIV viral load among participants in HPTN 065","volume":"44","author":"Maragh-Bass","year":"2020","journal-title":"J Behav Med."},{"key":"B8","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1007\/s11904-017-0347-y","article-title":"Healthy aging in older women living with HIV infection: a systematic review of psychosocial factors","volume":"14","author":"Rubtsova","year":"2017","journal-title":"Curr HIV\/AIDS Rep."},{"key":"B9","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1186\/s12905-021-01370-w","article-title":"How do women living with HIV experience menopause? 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