Evidence map›Paper›PMID 33999300›Full record

ArticleAIDS and behavior2021

Medical Mistrust and Stigma Associated with COVID-19 Among People Living with HIV in South Africa.

Jana Jarolimova, Joyce Yan, Sabina Govere, Nompumelelo Ngobese, Zinhle M Shazi, Anele R Khumalo, Bridget A Bunda, Nafisa J Wara, Danielle Zionts, Hilary Thulare and 3 more

Open access · hybridAbstract read
In one paragraph

Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. The Social, Behavioral, and Ethical Modalities of COVID-19 on HIV Care in South Africa: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  3. Trial
  4. Immigrant and Mistrust in the Healthcare Setting: A Thematic Review.Journal of immigrant and minority health · 2026
    Review
  5. Article
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  7. Article
  8. A survey of perceptions and behavioural responses towards the COVID-19 pandemic in South Africa.African journal of primary health care & family medicine · 2025
    Article
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  18. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Jana JarolimovaDivision of Infectious Diseases, Massachusetts General Hospital, Boston, USA. jjarolimova@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-6787-3012
Joyce YanBiostatistics Center, Massachusetts General Hospital, Boston, USA.
Sabina GovereAIDS Healthcare Foundation, Durban, South Africa.
Nompumelelo NgobeseAIDS Healthcare Foundation, Durban, South Africa.
Zinhle M ShaziAIDS Healthcare Foundation, Durban, South Africa.
Anele R KhumaloAIDS Healthcare Foundation, Durban, South Africa.
Bridget A BundaMedical Practice Evaluation Center, Massachusetts General Hospital, Boston, USA.
Nafisa J WaraMedical Practice Evaluation Center, Massachusetts General Hospital, Boston, USA.
Danielle ZiontsMedical Practice Evaluation Center, Massachusetts General Hospital, Boston, USA.
Hilary ThulareAIDS Healthcare Foundation, Durban, South Africa.
Robert A ParkerBiostatistics Center, Massachusetts General Hospital, Boston, USA.
Laura M BogartRAND Corporation, Santa Monica, USA.
Ingrid V BassettDivision of Infectious Diseases, Massachusetts General Hospital, Boston, USA.
AIDS Healthcare Foundation · ZAMassachusetts General Hospital · USHarvard University · USRAND Corporation · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ARTHUR Y KIM · 2004 to 2026
$94.4M
PROGRAM FOR AIDS CLINICAL RESEARCH TRAINING (PACRT)T32AI007433 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MARK J SIEDNER · 1992 to 2026
$11.4M
South Africa's new Central Chronic Medicine Dispensing and Distribution program: assessing the clinic, patient, and community impactR01MH114997 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BASSETT, INGRID VALERIE · 2018 to 2022
$3.4M
Mentoring in patient-oriented research on HIV prevention in the US and South AfricaK24AI141036 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Ingrid Valerie Bassett · 2019 to 2026
$1.1M
Massachusetts General Hospital Weissman Family MGH Research Scholar AwardNIAID NIH HHS K24 AI141036NIAID NIH HHS P30 AI060354NIAID NIH HHS T32 AI007433NIH HHS K24 AI141036NIH HHS P30AI060354NIH HHS R01 MH114997NIH HHS T32AI007433NIMH NIH HHS R01 MH114997
6 · The paper itself

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.

Indexed as

COVID-19HIV InfectionsFemaleHumansProspective StudiesSARS-CoV-2South AfricaTrustCOVID-19HIVMedical mistrustSouth AfricaStigma

Identifiers

PMID33999300
PMCPMC8127851
OpenAlexW3160471421

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.