Stigma and Discrimination towards People Living with HIV in the Context of Families, Communities, and Healthcare Settings: A Qualitative Study in Indonesia.
Stigma and Discrimination towards People Living with HIV in the Context of Families, Communities, and Healthcare Settings: A Qualitative Study in Indonesia.
复制标题
DOI：
10.3390/ijerph18105424
复制
发表时间：
2021-05-19
影响因子：
--
通讯作者：
Ward PR
中科院分区：
文献类型：
--
作者：
Fauk NK;Hawke K;Mwanri L;Ward PR
艾滋病毒污名化和歧视是全球艾滋病毒感染者面临的主要挑战。作为在印度尼西亚日惹和贝卢进行的一项更大规模的PLHIV定性研究的一部分，本文描述了参与者对家庭、社区和医疗机构中艾滋病毒污名化的驱动因素和对他们的歧视的看法，并强调了艾滋病毒污名化作为一个社会过程的问题。参与者采用滚雪球抽样技术招募。数据分析以定性数据的框架分析为指导，研究结果的概念化和讨论以艾滋病毒污名框架为指导。调查结果表明，参与者在各种情况下都经历了耻辱和歧视，包括在家庭和社区中受到家庭和社区成员的歧视，以及在医疗保健环境中受到医疗保健专业人员的歧视。缺乏对艾滋病毒的了解，害怕感染艾滋病毒，对艾滋病毒和艾滋病毒的社会和道德观念被认为是对艾滋病毒的耻辱和歧视的促进因素或驱动因素。艾滋病毒污名化和歧视还被确定为与家庭或社区内所有人群有关的一个过程，这种情况发生在日惹和贝卢的社会背景中。研究结果表明，需要对家庭和社区成员以及卫生保健提供者进行艾滋病毒教育，以提高他们对艾滋病毒的认识，并提高家庭、社区和卫生保健机构对艾滋病毒感染者的接受程度。
HIV stigma and discrimination are a major challenge facing people living with HIV (PLHIV) globally. As part of a larger qualitative study with PLHIV in Yogyakarta and Belu, Indonesia, this paper describes the participants’ perceptions about drivers of HIV stigma and discrimination towards them within families, communities and healthcare settings, and highlights issues of HIV stigma as a social process. Participants were recruited using a snowball sampling technique. Data analysis was guided by the framework analysis for qualitative data, and conceptualization and discussion of the study findings were guided by the HIV stigma framework. The findings showed that participants experienced stigma and discrimination across settings, including in families and communities by family and community members, and in healthcare settings by healthcare professionals. The lack of knowledge about HIV, fear of contracting HIV, social and moral perceptions about HIV and PLHIV were perceived facilitators or drivers of stigma and discrimination towards PLHIV. HIV stigma and discrimination were also identified as a process linked to the whole groups of people within families or communities, which occurred within social context in Yogyakarta and Belu. The findings indicate the need for HIV education for family and community members, and healthcare providers to enhance their knowledge of HIV and improve acceptance of PLHIV within families, communities and healthcare settings.
登录
查看更多内容
影响因子：
3.3
作者：
HUI, CH
通讯作者：
HUI, CH
艾滋病毒的污名和歧视：在印度尼西亚的日益卡塔和贝鲁的医疗保健提供者的观点和个人经验。
影响因子：
3.9
作者：
Fauk NK;Ward PR;Hawke K;Mwanri L
通讯作者：
Mwanri L
影响因子：
16.4
作者：
Hatzenbuehler, Mark L.
通讯作者：
Hatzenbuehler, Mark L.
影响因子：
0.4
作者：
Devi, N. Dayabati
通讯作者：
Devi, N. Dayabati
影响因子：
3.7
作者：
Fauk NK;Merry MS;Sigilipoe MA;Putra S;Mwanri L
通讯作者：
Mwanri L