AIDS and Behavior

, Volume 23, Issue 3, pp 707–741 | Cite as

Self-Stigma Reduction Interventions for People Living with HIV/AIDS and Their Families: A Systematic Review

  • Polly H. X. Ma
  • Zenobia C. Y. Chan
  • Alice Yuen LokeEmail author
Substantive Review


Stigma is a primary concern for people living with human immunodeficiency virus (HIV)/AIDS (PLWHA), and has great impact on their and their family members’ health. While previous reviews have largely focused on the public stigma, this systematic review aims to evaluate the impact of HIV/acquired immunodeficiency syndrome (AIDS)-related self-stigma reduction interventions among PLWHA and their families. A literature search using eight databases found 23 studies meeting the inclusion criteria. Five types of intervention approaches were identified: (1) psycho-educational intervention, (2) supportive intervention for treatment adherence (antiretroviral therapy), (3) psychotherapy intervention, (4) narrative intervention, and (5) community participation intervention. Overall, the reviewed articles suggested a general trend of promising effectiveness of these interventions for PLWHA and their family members. Psycho-educational interventions were the main approach. The results highlighted the need for more interventions targeting family members of PLWHA, and mixed-methods intervention studies.


Stigma Self-stigma HIV AIDS PLWHA 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

Supplementary material

10461_2018_2304_MOESM1_ESM.docx (19 kb)
Supplementary material 2 (DOCX 19 kb)
10461_2018_2304_MOESM2_ESM.docx (14 kb)
Supplementary material 1 (DOCX 14 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Polly H. X. Ma
    • 1
  • Zenobia C. Y. Chan
    • 1
  • Alice Yuen Loke
    • 1
    Email author
  1. 1.School of NursingThe Hong Kong Polytechnic UniversityKowloonHong Kong, China

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