Stigma Experiences in Marginalized People Living With HIV Seeking Health Services and Resources in Canada
Stigma Experiences in Marginalized People Living With HIV Seeking Health Services and Resources in Canada
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DOI：
10.1016/j.jana.2016.07.003
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发表时间：
2016-11-01
影响因子：
2
通讯作者：
Brondani, Mario
中科院分区：
文献类型：
--
作者：
Donnelly, Leeann R.;Bailey, Lauren;Brondani, Mario
艾滋病毒污名化可能会阻止人们获得及时的诊断和参与拯救生命的护理。它还可能阻止艾滋病毒感染者寻求保健和教育资源，特别是如果他们来自边缘化社区。我们归纳探讨了耻辱的根源及其对卫生服务和资源寻求经验丰富的艾滋病毒感染的成员在温哥华，不列颠哥伦比亚省，加拿大，使用社区为基础的参与性研究框架。五个同行促进焦点小组进行了33土著，拉丁美洲，亚洲和非洲的参与者。对这些经历的专题分析揭示了四个主要主题：污名化的开始、与披露有关的紧张关系、寻求服务的经历以及艾滋病毒污名化和歧视之外的问题。来自土著和难民社区的艾滋病毒感染者继续遭受不成比例的羞辱和歧视。恐惧仍然是影响这些群体在各种情况下获得护理的能力和意愿的主要障碍。
HIV stigma may prevent people from obtaining a timely diagnosis and engaging in life-saving care. It may also prevent those who are HIV infected from seeking health and education resources, particularly if they are from marginalized communities. We inductively explored the roots of stigma and its impact on health services and resource seeking as experienced by HIV-infected members of marginalized communities in Vancouver, British Columbia, Canada, using a community-based participatory research framework. Five peer-facilitated focus groups were conducted with 33 Aboriginal, Latino, Asian, and African participants. Thematic analysis of the experiences revealed four dominant themes: beginnings of stigma, tensions related to disclosure, experiences of service seeking, and beyond HIV stigma and discrimination. Persons living with HIV from Aboriginal and refugee communities continue to experience disproportionate rates of stigma and discrimination. Fear remains a prime obstacle influencing these groups' abilities and willingness to access care in various settings.