StigmaScope
Explore Stigma in the U.S.
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Maryland

Types of Stigma Interventions

The following stigma-related interventions were conducted in this state.

As Much As I Can (AMAIC)


Study & Intervention Summary

The intervention, "As Much As I Can," is an immersive theatre production designed to reduce HIV-related stigma and discrimination towards Black sexual minority men. It aims to catalyze conversations, model empathy, and inspire action towards HIV prevention by depicting real-life challenges faced by this community. The study evaluates the impact of this intervention on behavioral intentions related to HIV prevention and stigma reduction.


Stigma Type Addressed
Internalized, Structural
Study Population - Recipients
General (Everyone)
Intervention Level
Individual - Intrapersonal (Self)
Intervention Setting Addressed
Community (Faith-based organizations, barber shops, etc)

Community Health Worker curriculum intervention by Rajabiun et al. (2021)


Study & Intervention Summary

The intervention involves a comprehensive training program for Community Health Workers (CHWs) and their supervisors, focusing on HIV-specific content and core competency training. The program was grounded in the Popular Education model and the CHW Core Consensus Competency (C3) framework, with 80 hours of training for CHWs and 20 hours for supervisors, delivered over 1.5 years through in-person and virtual sessions. The aim was to improve CHW integration into the HIV care team, enhance skills and confidence, and improve health outcomes for people with HIV.


Stigma Type Addressed
Internalized, Anticipated, Perceived, Enacted
Study Population - Recipients
Healthcare Providers/Staff
Intervention Level
Organizational (healthcare, school)
Intervention Setting Addressed
Healthcare
Article Link
https://pmc.ncbi.nlm.nih.gov/articles/PMC8362906/

Connect-to-Protect (C2P) (community-level outcomes)


Study & Intervention Summary

The intervention, Connect to Protect (C2P), aims to advance structural changes to reduce adolescents' risk of HIV exposure by improving access to health information, condoms, and HIV testing. It involves community coalitions led by adolescent medicine clinical units and technical support staff, with objectives such as eliminating parental consent requirements for HIV testing, increasing access to adolescent-friendly HIV testing, and creating safe zones for at-risk adolescents. The intervention assesses the impact of these changes on health behaviors through annual data collection from adolescents over a 4 to 5 year period.


Stigma Type Addressed
Anticipated
Study Population - Recipients
General (At risk of HIV), MSM, Other
Intervention Level
Organizational (healthcare, school), Structural (Policy)
Intervention Setting Addressed
Community (Faith-based organizations, barber shops, etc)
Article Link
https://pmc.ncbi.nlm.nih.gov/articles/PMC5880542/

Connect-to-Protect (C2P) (individual health behavior outcomes)


Study & Intervention Summary

The Connect-to-Protect (C2P) intervention is a 10-year community mobilization effort aimed at creating structural changes to reduce HIV exposure among at-risk youth. It involves establishing coalitions that select and implement structural change objectives to improve the local risk environment for targeted youth populations. The intervention targets local policies, practices, and resource availability to reduce risk among youth, focusing on populations such as YMSM, injecting drug users, and high-risk young women of color. The evaluation used an observational study design due to the impracticality of a randomized controlled trial.


Stigma Type Addressed
Internalized
Study Population - Recipients
General (At risk of HIV), MSM, Other
Intervention Level
Community, Organizational (healthcare, school), Structural (Policy)
Intervention Setting Addressed
Community (Faith-based organizations, barber shops, etc), Individual
Article Link
https://pmc.ncbi.nlm.nih.gov/articles/PMC4714586/

HPTN 078


Study & Intervention Summary

The study aimed to enhance treatment and care for virally unsuppressed MSM living with HIV by using case management to increase viral suppression rates. The intervention involved randomizing participants into either a standard of care (SOC) arm or an enhanced case management (CM) arm, which included health education, clinical care coordination, medication adherence support, and social service assistance. The primary outcome was viral suppression.


Stigma Type Addressed
Internalized
Study Population - Recipients
MSM
Intervention Level
Individual - Intrapersonal (Self), Organizational (healthcare, school)
Intervention Setting Addressed
Community (Faith-based organizations, barber shops, etc), Individual
Article Link
https://pmc.ncbi.nlm.nih.gov/articles/PMC9983736/

integrating ENGagement and Adherence Goals upon Entry (iENGAGE) (intervention stigma outcomes)


Study & Intervention Summary

The iENGAGE intervention is designed to help individuals newly entering HIV care adjust to living with HIV and improve treatment adherence and viral suppression. It consists of four face-to-face sessions over 48 weeks, tailored to improve information, motivation, and behavioral skills. The sessions include education on HIV care, skills building, and addressing barriers to treatment adherence, including HIV-related stigma. The intervention aims to reduce internalized HIV-related stigma and is evaluated in a randomized controlled trial, with a focus on how depressive symptoms and coping styles moderate its effects.


Stigma Type Addressed
Internalized
Study Population - Recipients
General (PLHIV)
Intervention Level
Individual - Intrapersonal (Self)
Intervention Setting Addressed
Individual
Article Link
https://pmc.ncbi.nlm.nih.gov/articles/PMC8075078/

integrating ENGagement and Adherence Goals upon Entry (iENGAGE) (stigma reduction impact on HIV and mental health outcomes)


Study & Intervention Summary

The iENGAGE intervention is designed to help individuals newly entering HIV care adjust to living with HIV and improve treatment adherence and viral suppression. It consists of four face-to-face sessions over 48 weeks, tailored to improve information, motivation, and behavioral skills. The sessions include education on HIV care, skills building, and addressing barriers to treatment adherence, including HIV-related stigma. The intervention aims to reduce internalized HIV-related stigma and is evaluated in a randomized controlled trial, with a focus on how depressive symptoms and coping styles moderate its effects.


Stigma Type Addressed
Internalized
Study Population - Recipients
General (PLHIV)
Intervention Level
Individual - Intrapersonal (Self)
Intervention Setting Addressed
Individual
Article Link
https://pmc.ncbi.nlm.nih.gov/articles/PMC7698993/

Project PrIDE


Study & Intervention Summary

The aim of the article is to evaluate the effectiveness of Project PrIDE, a CDC-funded initiative aimed at expanding PrEP services for men who have sex with men (MSM) and transgender persons through health department programs. The intervention involved identifying priority populations, referring them to PrEP providers, and increasing provider capacity, with a focus on health equity and addressing barriers to PrEP use.


Stigma Type Addressed
Perceived
Study Population - Recipients
MSM, Transgender/Gender Diverse Individuals, Healthcare Providers/Staff
Intervention Level
Individual - Intrapersonal (Self), Community, Organizational (healthcare, school)
Intervention Setting Addressed
Community (Faith-based organizations, barber shops, etc)
Article Link
https://pmc.ncbi.nlm.nih.gov/articles/PMC9730169/

Sólo Se Vive Una Vez


Study & Intervention Summary

The intervention was a social marketing campaign called "Sólo Se Vive Una Vez" (You Only Live Once) implemented in Baltimore, Maryland, from June 22, 2018, to January 12, 2019. The campaign aimed to increase HIV testing by addressing stigmatizing beliefs among Latinos. It was a multilevel campaign that included messages addressing common HIV-related stigmatizing beliefs and barriers to testing. The paper assesses the effects of this campaign on HIV-related stigma beliefs and testing behaviors among the Latino community in Baltimore.


Stigma Type Addressed
Internalized, Anticipated, Perceived, Structural
Study Population - Recipients
General (Everyone)
Intervention Level
Individual - Intrapersonal (Self)
Intervention Setting Addressed
Network (sexual, etc), Individual
Article Link
https://pmc.ncbi.nlm.nih.gov/articles/PMC9536543/

Structural Stigma

HIV CRIMINALIZATION LAWS

yes
As of 2025, Yes: Maryland has a HIV criminalization law and sentencing enhancements or sex offender registration (or both) or HIV criminalization law only

HATE CRIME DATA COLLECTION LAW

yes
As of 2025, Yes: Maryland requires hate crime data collection

HATE CRIMES BY YEAR

Number of Hate Crimes
0
100
200
300
89
221
265
2021
2022
2023
Years
Data view:
Individual Item
Proportion

Have you ever felt that the police refused to protect you because you have sex with men?

10%

Have you ever felt scared to be in public places because you have sex with men?

34%

Have you ever been verbally harassed and felt it was because you have sex with men?

45%

Has someone ever physically hurt you (pushed, shoved, slapped, hit, kicked, choked or otherwise physically hurt you), and do you believe any of these experiences of physical violence was/were related to the fact that you have sex with men?

33%

Have you ever been forced to have sex when you did not want to (by forced, we mean physically forced or coerced to have sex, or penetrated with an object), and do you believe any of these experiences of sexual violence were related to the fact that you have sex with men?

32%
Individual Item
Proportion

Have you ever felt excluded from family activities because you have sex with men?

32%

Have you ever felt that family members have made discriminatory remarks or gossiped about you because you have sex with men?

50%
Individual Item
Proportion

Have you ever felt afraid to go to health care services because you worry someone may treat you poorly because you have sex with men?

25%

Have you ever avoided going to health care services because you worry someone may treat you poorly because you have sex with men?

19%
9.6%

Have you ever felt that the police refused to protect you because you have sex with men?

34.2%

Have you ever felt scared to be in public places because you have sex with men?

44.5%

Have you ever been verbally harassed and felt it was because you have sex with men?

33%

Has someone ever physically hurt you (pushed, shoved, slapped, hit, kicked, choked or otherwise physically hurt you), and do you believe any of these experiences of physical violence was/were related to the fact that you have sex with men?

31.7%

Have you ever been forced to have sex when you did not want to (by forced, we mean physically forced or coerced to have sex, or penetrated with an object), and do you believe any of these experiences of sexual violence were related to the fact that you have sex with men?

32.2%

Have you ever felt excluded from family activities because you have sex with men?

50.8%

Have you ever felt that family members have made discriminatory remarks or gossiped about you because you have sex with men?

24.7%

Have you ever felt afraid to go to health care services because you worry someone may treat you poorly because you have sex with men?

18.5%

Have you ever avoided going to health care services because you worry someone may treat you poorly because you have sex with men?

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