Verbal and physical abuse and neglect as manifestations of HIV/AIDS stigma in five african countries
Verbal and physical abuse and neglect as manifestations of HIV/AIDS stigma in five african countries
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DOI：
10.1111/j.1525-1446.2007.00649.x
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发表时间：
2007-09-01
影响因子：
2.1
通讯作者：
Makoae, Lucy N.
中科院分区：
文献类型：
--
作者：
Dlamini, Priscilla S.;Kohi, TheclaW.;Makoae, Lucy N.
目的：探讨莱索托、马拉维、南非、斯威士兰和坦桑尼亚艾滋病毒/艾滋病感染者（PLWA）遭受艾滋病毒/艾滋病相关污名的经验。设计和样品：描述性研究采用43个焦点小组（n=251名参与者），其中包括来自农村和城市地区的男性和女性PLWA和护士与PLWA工作。方法：参与者被要求与事件的艾滋病毒/艾滋病相关的耻辱，他们经历或观察。焦点小组讨论录音，数据进行内容分析，以确定虐待（口头和身体虐待和忽视）有关艾滋病毒/艾滋病的耻辱的例子。数据分析还探讨了虐待的目标、虐待者和虐待的后果。结果如下：参与者的报告记录了广泛的口头和身体虐待和忽视或否定（不允许获得服务和机会）经历的艾滋病毒感染者和护士照顾他们观察，并确定了艾滋病毒感染者的艾滋病毒阳性状态被披露给家人，朋友或社区成员所经历的负面后果。结论：鼓励艾滋病毒感染者和艾滋病患者披露其艾滋病毒状况的卫生保健工作者必须仔细考虑在高度耻辱化的环境中鼓励披露的影响，并且必须认识到艾滋病毒感染者和艾滋病患者可能因披露而遭受严重的言语和身体虐待的真实的可能性。
Objective: To explore the experience of HIV/AIDS-related stigma for people living with HIV/AIDS (PLWA) in Lesotho, Malawi, South Africa, Swaziland, and Tanzania. Design and sample: Descriptive study using 43 focus groups (n=251 participants), which included male and female PLWA from both rural and urban areas and nurses working with PLWA. Methods: Participants were asked to relate incidents of HIV/AIDS-related stigma that they had experienced or observed. Focus group discussions were taped, and data were content analyzed to identify examples of abuse (verbal and physical abuse and neglect) related to HIV/AIDS stigma. Data analysis also explored targets of abuse, abusers, and consequences of abuse. Results: Participant reports documented extensive verbal and physical abuse and neglect or negating (disallowing of access to services and opportunities) experienced by PLWA and observed by nurses caring for them, and identified negative consequences experienced by PLWA whose HIV-positive status was disclosed to family, friends, or community members. Conclusions: Health care workers who encourage PLWA to disclose their HIV status must carefully consider the implications of encouraging disclosure in an environment with high levels of stigma, and must recognize the real possibility that PLWA may experience serious verbal and physical abuse as a consequence of disclosure.