China Stigma Project

China has 1 million Persons Living with HIV (PLH) and will have an anticipated 10 million PLH by the year 2010. With 1/5 of the world’s population (1.4 billion persons) in China, the risk of an epidemic is substantial. Recently, the Chinese government has recognized the substantial risk it faces in HIV and has allocated resources to fight HIV. Yet HIV-related stigma and discrimination continue to impede every step in mounting an effective response for prevention, treatment, and care in China.

The National Institute of Mental Health funds this 3-year project of HIV/AIDS-related stigma among health care providers in China. The specific aims of this project are: To document base rates of HIV related stigma among service providers and health administrators and its impact on health service behaviors and care for PLH; To identify socio-cultural, structural, and personal factors that are associated with HIV-related stigma towards PLH among service providers and health administrators; and To design, pilot test, and evaluate an intervention for service providers to address HIV-related stigma and its impact on health service delivery and adequate care.

A total of 105 participants have taken part in the in-depth qualitative interview in Phase I study. Among them 30 are PLH, 15 are family members of PLH, 33 are health care providers, and 27 are health care administrators. Approximately 1,000-1,400 health care providers are being recruited to participate in Phase II quantitative survey study. Using data collected from Phases I and II, the research team will design and pilot test an intervention aimed at reducing HIV/AIDS-related stigma among health care providers in China.

Geographical location:

Yunnan Province,China

Targeted group:

Service providers working at the provincial, city, county, township and village level medical facilities.

Intervention model:

Psych-education and planned behavioral change

 Research methods:

  • In-depth qualitative interviews with PLH, family member of PLH, service providers, and health administrators.
  • A survey of 1,001 service providers and health administrators
  • Intervention pilot with baseline, 3-month and 6-month follow-ups.

Published Journal Articles :

  1. Individual attitudes and perceived social norms: Reports on HIV/AIDS-related stigma among service providers in China (2009) (0 downloads)
  2. Universal Precautions in the Era of HIV/AIDS: Perception of Health Service Providers in Yunnan, China (2008) (0 downloads)
  3. To tell or not to tell: HIV disclosure to family members in China (2008) (0 downloads)
  4. Measuring HIV-related stigma among Chinese service providers: Confirmatory factor analysis of a multidemensial scale (2008) (0 downloads)
  5. Institutional support for HIV/AIDS care in China: A multilevel analysis (2008) (0 downloads)
  6. Impacts of HIV/AIDS Stigma on Family Identity and Interactions in China (2008) (0 downloads)
  7. A Brief HIV Stigma Reduction Intervention for Service Providers in China (2008) (0 downloads)
  8. Stigmatization and shame: Consequences of caring for HIV/AIDS patients in China (2007) (0 downloads)
  9. Occupational exposure to HIV among health care providers: A qualitative study in Yunnan, China (2007) (0 downloads)
  10. Mandatory HIV testing in China: The perception of health-care providers (2007) (0 downloads)
  11. HIV-Related Stigma in Health Care Settings: A Survey of Service Providers in China (2007) (0 downloads)
  12. Disclosure of HIV Status Is a Family Matter: Field Notes From China (2007) (0 downloads)
  13. Diffusion of positive AIDS care messages among service providers in China (2007) (0 downloads)
  14. Using case vignettes to measure HIV-related stigma among health professionals in China (2007) (0 downloads)
  15. Understanding Family Support for People Living with HIV/AIDS in Yunnan, China (2006) (0 downloads)