Trends in HIV Stigma Experienced by People Living With HIV in the Netherlands: A Comparison of Cross-Sectional Surveys Over Time.
Trends in HIV Stigma Experienced by People Living With HIV in the Netherlands: A Comparison of Cross-Sectional Surveys Over Time.
复制标题
荷兰艾滋病毒感染者经历的艾滋病毒耻辱趋势：跨部门调查随时间的比较。
作者：
S. Stutterheim;Kyran J. R. Kuijpers;Moon I Waldén;R. Finkenflügel;P. Brokx;A. Bos
我们调查了近年来艾滋病毒耻辱是否发生了变化。我们将 2007 年 (n = 667) 以及 2009 年 (n = 262) 医疗保健方面的耻辱设置和表现数据与 2019/2020 年 (n = 258) 获得的数据进行了比较。结果显示，来自朋友、家人、熟人、工作场所、金融服务部门和媒体的污名化现象有所减少，但媒体上的污名化信息仍然非常普遍。在 LGBTQI+ 群体中，与性伴侣以及聚会时的耻辱仍然很普遍，而且令人不安的是，这种耻辱相对没有改变。医疗保健领域的耻辱感增加。 HIV 耻辱与心理困扰呈正相关，与社会支持和药物依从性呈负相关。此外，大多数参与者熟悉 U=U 和 PrEP，但 13.3% 质疑 U=U 的准确性。减少耻辱感的努力应集中于减少媒体、LGBTQI+ 社区、约会和医疗保健中的耻辱感，并以 U=U 作为关键信息。
We investigated whether HIV stigma has changed in recent years. We compared data on stigma settings and manifestations from 2007 (n = 667) and, specifically for health care, 2009 (n = 262), to data acquired in 2019/2020 (n = 258). Results showed reductions in stigma from friends, family, acquaintances, at work, in the financial services sector, and in media, but stigmatizing messages in media remained highly prevalent. Stigma in the LGBTQI+ community, with sexual partners, and while partying also remained prevalent and, disconcertingly, relatively unchanged. Stigma in health care increased. HIV stigma was positively related to psychological distress, and negatively related to social support and medication adherence. Further, most participants were familiar with U=U and PrEP, but 13.3% questioned the accuracy of U=U. Stigma reduction efforts should focus on reducing stigma in media, in the LGBTQI+ community and while dating, and in health care, with U=U as a key message.