{"doi":"10.1007/s10461-021-03307-8","title":"Medical Mistrust and Stigma Associated with COVID-19 Among People Living with HIV in South Africa","abstract":"We evaluated COVID-19 stigma and medical mistrust among people living with HIV in South Africa. We conducted telephone interviews with participants in a prospective study of a decentralized antiretroviral therapy program. Scales assessing medical mistrust, conspiracy beliefs, anticipated and internalized stigma, and stereotypes specific to COVID-19 were adapted primarily from the HIV literature, with higher scores indicating more stigma or mistrust. Among 303 participants, the median stigma summary score was 4 [interquartile range (IQR) 0-8; possible range 0-24] and 6 (IQR 2-9) for mistrust (possible range 0-28). A substantial proportion of participants agreed or strongly agreed with at least one item assessing stigma (54%) or mistrust (43%). Higher COVID-19 stigma was associated with female gender and antecedent HIV stigma, and lower stigma with reporting television as a source of information on COVID-19. Further efforts should focus on effects of stigma and mistrust on protective health behaviors and vaccine hesitancy.","journal":"AIDS and Behavior","year":2021,"id":165327,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":36,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9567,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":688848,"name":"Joyce Yan","orcid":null,"position":1,"is_corresponding":false},{"id":679932,"name":"Sabina Govere","orcid":"0000-0001-8548-6430","position":2,"is_corresponding":false},{"id":688849,"name":"Nompumelelo Ngobese","orcid":null,"position":3,"is_corresponding":false},{"id":688850,"name":"Zinhle Shazi","orcid":null,"position":4,"is_corresponding":false},{"id":688851,"name":"Anele Khumalo","orcid":null,"position":5,"is_corresponding":false},{"id":265343,"name":"Bridget Bunda","orcid":null,"position":6,"is_corresponding":false},{"id":688369,"name":"Nafisa J. Wara","orcid":"0000-0003-3671-5211","position":7,"is_corresponding":false},{"id":688852,"name":"Danielle Zionts","orcid":null,"position":8,"is_corresponding":false},{"id":688853,"name":"Hilary Thulare","orcid":null,"position":9,"is_corresponding":false},{"id":306992,"name":"Robert A. Parker","orcid":"0000-0002-9666-5941","position":10,"is_corresponding":false},{"id":330584,"name":"Laura M. Bogart","orcid":"0000-0003-3182-5542","position":11,"is_corresponding":false},{"id":263592,"name":"Ingrid V. Bassett","orcid":"0000-0001-6920-6080","position":12,"is_corresponding":false},{"id":688368,"name":"Jana Jarolimova","orcid":"0000-0002-6787-3012","position":0,"is_corresponding":true}],"reference_count":57,"raw_metadata":null,"created_at":"2026-07-18T23:45:36.425208Z","pmid":"33999300","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}