Urban and rural differences in HIV/AIDS stigma in five African countries

Urban and rural differences in HIV/AIDS stigma in five African countries
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DOI:
10.2989/16085900709490395
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发表时间:
2007-01-01
影响因子:
1.2
通讯作者:
Kohi, Thecla
Kohi, Thecla
中科院分区:
医学4区
文献类型:
--
作者:
Naidoo, Joanne R.;Uys, Leana R.;Kohi, Thecla

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对污名和歧视进行了广泛的研究,特别是在健康方面。在艾滋病毒/艾滋病方面,研究表明,污名化对预防、获得治疗和护理方案产生了不同的影响。因此,减少耻辱感是艾滋病毒/艾滋病方案的一个重要目标。本文探讨了是否存在城市和农村差异,从五个非洲国家的艾滋病毒污名报告的事件。本研究采用描述性、质性研究设计,探讨艾滋病病毒感染者(PLHIV)和护士的艾滋病污名体验。与受访者进行了焦点小组讨论,以获取对羞辱和歧视的主位和客位观点。报告事件的频率表明,虽然护士和艾滋病毒感染者的抽样人数相当,在所有五个国家的城市和农村环境中的艾滋病毒感染者传达更多的事件比护士收到的耻辱。结果表明,治疗方案和支持结构需要针对不同的环境进行适当的设计。
Stigma and discrimination have been widely researched, especially within the context of health. In the context of HIV/AIDS, studies have shown that stigma variously impacts on prevention, on accessing treatment, and on care programmes. Decreasing stigma is therefore an important goal in HIV/AIDS programmes. This paper explores whether urban and rural differences existed in reported incidents of HIV stigma from five African countries. A descriptive, qualitative research design was used to explore the experience of HIV stigma of people living with HIV (PLHIV) and nurses. Focus group discussions were held with respondents to capture an emic and etic view of stigma and discrimination. The frequency of reported incidents shows that although comparable numbers of nurses and PLHIV were sampled, the PLHIV from both the urban and rural settings in all five countries conveyed more incidents of received stigma than did the nurses. The results suggest that treatment programmes and support structures need to be designed appropriately for the different settings.