The Intersection of Inequitable Gender Norm Endorsement and HIV Stigma: Implications for HIV Care Engagement for Men in Ugandan Fishing Communities.
The Intersection of Inequitable Gender Norm Endorsement and HIV Stigma: Implications for HIV Care Engagement for Men in Ugandan Fishing Communities.
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DOI：
10.1007/s10461-021-03176-1
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发表时间：
2021-09
影响因子：
4.4
通讯作者：
Kiene SM
中科院分区：
文献类型：
--
作者：
Sileo KM;Wanyenze RK;Mukasa B;Musoke W;Kiene SM
遵守不公平的性别规范可能会对男性参与艾滋病毒护理的连续性产生负面影响，而艾滋病毒的污名化可能会加剧这种影响。这项针对乌干达300名男性渔民的横断面研究考察了不平等的性别规范认可和艾滋病毒污名对男性错过艾滋病毒护理预约和错过抗逆转录病毒（ARV）剂量的独立和相互作用影响。性别不平等规范认可程度越高，HIV门诊漏诊的几率越高（调整比值比[AOR）]: 1.44, 95% CI: 1.16-1.78)，内化HIV耻辱感与性别不平等规范在ARV漏诊剂量上存在统计学显著的相互作用（AOR: 5.32, 95% CI: 2.60-10.86）。遵守传统的性别规范减少了男性艾滋病毒就诊人数，而在内化污名程度较高的男性中，这增加了坚持治疗不佳的可能性。这些发现表明，需要采取艾滋病毒干预措施，重新配置有害的性别规范，重点是减少耻辱感。
Men’s engagement in the HIV care continuum may be negatively affected by adherence to inequitable gender norms, which may be exacerbated by HIV stigma. This cross-sectional study with 300 male fisherfolk in Uganda examined the independent and interacting effects of inequitable gender norm endorsement and HIV stigma on men’s missed HIV care appointments and missed antiretroviral (ARV) doses. Greater gender inequitable norm endorsement was associated with increased odds of missed HIV clinic visits (Adjusted Odds Ratio [AOR)]: 1.44, 95% CI: 1.16–1.78) and a statistically significant interaction between internalized HIV stigma and inequitable gender norms on missed ARV doses was identified (AOR: 5.32, 95% CI: 2.60–10.86). Adherence to traditional gender norms reduces men’s HIV appointment attendance, and among men with high internalized stigma, increases the likelihood of poor treatment adherence. These findings point to the need for HIV interventions that reconfigure harmful gender norms with a focus on stigma reduction.
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DOI：
10.1080/13691058.2016.1183045
发表时间：
2016-11
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Fleming PJ;Colvin C;Peacock D;Dworkin SL
通讯作者：
Dworkin SL
DOI：
10.1080/13691058.2015.1035751
发表时间：
2015
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Dworkin SL;Fleming PJ;Colvin CJ
通讯作者：
Colvin CJ
影响因子：
4.4
作者：
Figueroa ME;Poppe P;Carrasco M;Pinho MD;Massingue F;Tanque M;Kwizera A
通讯作者：
Kwizera A
影响因子：
4.4
作者：
Gottert A;Barrington C;McNaughton-Reyes HL;Maman S;MacPhail C;Lippman SA;Kahn K;Twine R;Pettifor A
通讯作者：
Pettifor A
影响因子：
4.4
作者：
Gottert A;Barrington C;Pettifor A;McNaughton-Reyes HL;Maman S;MacPhail C;Kahn K;Selin A;Twine R;Lippman SA
通讯作者：
Lippman SA