ArticleDigital health
A narrative review of leveraging mHealth to reduce internalised stigma among men who have sex with men with human immunodeficiency virus in low- and middle-income countries.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
Background: mHealth interventions offer significant potential to reduce internalised stigma among men who have sex with men (MSM) living with HIV in low- and middle-income countries (LMICs). These digital tools offer private, accessible and culturally adaptable support to address self-stigmas related to mental illness, HIV and internalised homonegativity. Objective: This narrative review explores mHealth interventions targeting self-stigma related to mental illness, HIV and internalised homonegativity, using the behavioural intervention technology (BIT) model as a guiding framework. Design: Narrative review. Methods: Studies on digital interventions addressing internalised stigma in the context of HIV, mental health and sexual identity were identified and synthesised. The BIT model guided the analysis of intervention content, theoretical underpinnings and technical features. Results: Most interventions lacked a clear theoretical framework, culturally tailored content, and detailed reporting of behaviour change strategies and technical design-factors limiting scalability and effectiveness. Conclusion: Future interventions to reduce internalised stigma among MSM living with HIV in LMICs employing mHealth tools should be grounded in theory, culturally relevant messaging, with clearly specified innovative technical features.
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