Stigmatizing Attitudes toward People Living with HIV among Young Women Migrant Workers in Vietnam.
Stigmatizing Attitudes toward People Living with HIV among Young Women Migrant Workers in Vietnam.
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DOI：
10.3390/ijerph19116366
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发表时间：
2022-05-24
影响因子：
--
通讯作者：
Nam Nguyen
中科院分区：
文献类型：
--
作者：
Ha, Toan;Givens, David;Trang Nguyen;Nam Nguyen
尽管在过去几年中加强了艾滋病毒教育和预防工作，但对艾滋病毒感染者（PLWH）的污名化态度仍然是越南艾滋病毒预防和治疗工作的主要障碍。本研究的目的是检查艾滋病毒的污名化态度的流行，并确定相关因素，影响艾滋病毒感染者的看法之间的一个迄今被忽视的人口在越南社会：妇女谁是在指定的工业区（IZs）的移民工人。2020年1月至2020年11月，在越南河内对1061名18至29岁的女性农民工进行了横断面研究。对PLWH的污名化的态度进行了测量，使用四个项目的规模。多元逻辑回归分析与污名化态度的相关因素。我们的研究结果表明，这一人口群体中持续存在大量的耻辱感，以及重要的缓解因素对艾滋病毒相关耻辱感表达的影响。超过百分之七十六（76.2%）的参与者报告说，至少有一个四种污名化的态度。对艾滋病病毒感染者的污名化态度与艾滋病知识水平较低，教育水平较低，并确定为京族（越南的大多数民族）显着相关。此外，这项研究发现，通过家庭透镜来框定艾滋病毒感染的问题与较低的污名化反应率显著相关。研究参与者对艾滋病毒携带者的污名化态度的整体水平高，这表明，迫切需要制定文化上适当的干预措施和推广教育活动，以减少对艾滋病毒携带者的污名化态度的妇女谁是在越南的工业区工作的移民工人。这项研究增加了现有的文献和目前的努力和政策，在越南艾滋病毒的经验表明，家庭为基础的消息可能是一个强大的潜在的叙事干预措施，解决艾滋病毒相关的问题，如耻辱。
Despite intensive HIV education and prevention efforts in the past few years, stigmatizing attitudes toward people living with HIV (PLWH) remain a major barrier to HIV prevention and treatment efforts in Vietnam. The purpose of this study was to examine the prevalence of stigmatizing attitudes regarding HIV and identify correlative factors that impact the perceptions of PLWH among a heretofore overlooked demographic in Vietnamese society: women who are migrant workers in designated industrial zones (IZs). A cross-sectional study was conducted among 1061 women migrant workers aged 18 to 29 from January 2020 to November 2020 in Hanoi, Vietnam. Stigmatizing attitudes toward PLWH were measured using a four-item scale. Multiple logistic regression was conducted to examine the factors associated with stigmatizing attitudes. Our findings indicate both substantial levels of stigma persisting among this demographic group as well as the influence of important mitigating factors on the expression of HIV-related stigma. Over seventy-six percent (76.2%) of the participants reported having at least one of the four stigmatizing attitudes. Greater levels of stigmatizing attitudes toward PLWH were significantly associated with lower HIV knowledge, lower levels of education, and identifying as Kinh (the ethnic majority in Vietnam). Additionally, this study found that questions framing HIV infection through a familial lens were significantly associated with lower rates of stigmatizing responses. The high overall levels of stigmatizing attitudes toward PLWH among the study participants suggests that there is an urgent need for the development of culturally appropriate interventions and outreach education activities to reduce stigmatizing attitudes toward PLWH among women who are migrant workers working in the IZs in Vietnam. This study adds to both the existing literature and current efforts and policies around HIV in Vietnam by empirically suggesting that familial-based messaging may be a powerful potential narrative for interventions addressing HIV-related issues such as stigma.
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