The influence of stigma and discrimination on female sex workers' access to HIV services in St. Petersburg, Russia.
The influence of stigma and discrimination on female sex workers' access to HIV services in St. Petersburg, Russia.
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DOI：
10.1007/s10461-013-0447-7
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发表时间：
2013-10
影响因子：
4.4
通讯作者：
Dudina, Viktoria
中科院分区：
文献类型：
--
作者：
King, Elizabeth J.;Maman, Suzanne;Bowling, J. Michael;Moracco, Kathryn E.;Dudina, Viktoria
众所周知，与艾滋病毒和危险行为相关的耻辱是许多人口获得卫生保健的障碍。人们对俄罗斯的女性性工作者(FSW)知之甚少，这是一个特别容易感染艾滋病毒的人群，但服务提供者很难接触到。我们对139名妇女进行了问卷调查，以更好地了解耻辱和歧视如何影响艾滋病毒服务的利用。Logistic回归分析表明，与HIV相关的污名与接受HIV检测呈负相关，而与性工作相关的污名与HIV检测呈正相关。艾滋病毒阳性性工作者比艾滋病毒阴性性工作者更有可能在卫生保健环境中遭受歧视。虽然减少社会耻辱应该是一个长期目标，但迫切需要促进将边缘化人口纳入俄罗斯医疗保健环境的计划。
Stigma associated with HIV and risk behaviors is known to be a barrier to health care access for many populations. Less is known about female sex workers (FSW) in Russia, a population that is especially vulnerable to HIV-infection, and yet hard-to-reach for service providers. We administered a questionnaire to 139 FSW to better understand how stigma and discrimination influence HIV service utilization. Logistic regression analysis indicated that HIV-related stigma is negatively associated with uptake of HIV testing, while sex work-related stigma is positively associated with HIV testing. HIV-positive FSW are more likely than HIV-negative FSW to experience discrimination in health care settings. While decreasing societal stigma should be a long-term goal, programs that foster inclusion of marginalized populations in Russian health care settings are urgently needed.
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