Detecting HIV-Related Stigma in Clinical Narratives Using Large Language Models

arXiv:2604.07717v2 Announce Type: replace-cross Abstract: Human immunodeficiency virus (HIV)-related stigma is a critical psychosocial determinant of health for people living with HIV (PLWH), influencing mental health, engagement in care, and treatment outcomes. Although stigma-related experiences are documented in clinical narratives, there is a lack of off-the-shelf tools to extract and categorize them. This study aims to develop a large language model (LLM)-based tool for identifying HIV stig