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<p>Racialized immigrants in Canada face disproportionately high rates of new HIV infections, compounded by persistent stigma and heightened vulnerabilities emanating from a confluence of factors including racism, systemic discrimination, lack of culturally sensitive HIV care, unequal healthcare access, and selective criminalization related status non-disclosure. Amid inadequate policy attention, this implementation study evaluates the effectiveness of an online HIV stigma reduction intervention, designed for racialized immigrants in Canada.&#xa0;From a community-driven, collaborative, and knowledge co-creation standpoint, we engaged key stakeholders in a multi-phase implementation across Ontario and Alberta. Data were collected via focus group discussions, and pre- and post-intervention surveys.&#xa0;Results showed that: (1) the intervention effectively reduced interpersonal HIV stigma between service providers and their clients, previously perpetuated unconsciously in the course of service delivery; (2) it enhanced psychological flexibility and acceptance of lived HIV experiences, empowering some service providers to become HIV anti-stigma activists in both their workplaces and communities; (3) the online format bridged access barrier by offering service providers the opportunity to meet colleagues from different local sites/provinces based on facilitation cohorts that favored their schedule; and (4) long-term adoptability of the intervention and the scope of adoption (full versus partial adoption) are dependent on the size, vision and mission/goals of the collaborating organizations. Statistically, participants’ empowerment readiness and confidence to combat HIV stigma and social injustice significantly increased post-intervention.&#xa0;The intervention effectively addressed HIV-related stigma. However, sustained adoption requires organizational commitment and supportive government policies for integration into health service delivery settings.</p>

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Evaluating Effectiveness of an HIV Stigma Reduction Intervention for Racialized Immigrants in Canada

  • 期刊论文

  • 发表日期：

    2026年4月21日

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  • Sulemana Ansumah Saaka,
  • Josephine Wong,
  • Obidimma Ezezika,
  • Isaac Luginaah

摘要

Racialized immigrants in Canada face disproportionately high rates of new HIV infections, compounded by persistent stigma and heightened vulnerabilities emanating from a confluence of factors including racism, systemic discrimination, lack of culturally sensitive HIV care, unequal healthcare access, and selective criminalization related status non-disclosure. Amid inadequate policy attention, this implementation study evaluates the effectiveness of an online HIV stigma reduction intervention, designed for racialized immigrants in Canada. From a community-driven, collaborative, and knowledge co-creation standpoint, we engaged key stakeholders in a multi-phase implementation across Ontario and Alberta. Data were collected via focus group discussions, and pre- and post-intervention surveys. Results showed that: (1) the intervention effectively reduced interpersonal HIV stigma between service providers and their clients, previously perpetuated unconsciously in the course of service delivery; (2) it enhanced psychological flexibility and acceptance of lived HIV experiences, empowering some service providers to become HIV anti-stigma activists in both their workplaces and communities; (3) the online format bridged access barrier by offering service providers the opportunity to meet colleagues from different local sites/provinces based on facilitation cohorts that favored their schedule; and (4) long-term adoptability of the intervention and the scope of adoption (full versus partial adoption) are dependent on the size, vision and mission/goals of the collaborating organizations. Statistically, participants’ empowerment readiness and confidence to combat HIV stigma and social injustice significantly increased post-intervention. The intervention effectively addressed HIV-related stigma. However, sustained adoption requires organizational commitment and supportive government policies for integration into health service delivery settings.