Behavioral evidence of HIV testing stigma.

Behavioral evidence of HIV testing stigma.
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DOI:
10.1007/s10461-011-0018-8
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发表时间:
2012-04
期刊:
影响因子:
4.4
通讯作者:
Zhu, Yuda
Zhu, Yuda
中科院分区:
医学2区
文献类型:
--
作者:
Young, Sean D.;Zhu, Yuda

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为了避免艾滋病毒检测的耻辱,人们可能会采取非耻辱行为来掩盖他们对艾滋病毒检测的兴趣。我们在 2002 年至 2007 年的一项全国调查中对 165,828 名门诊患者进行了调查,以探讨接受 HIV 诊断测试的人与接受非污名化诊断测试(乳房 X 光检查和血压测试)的人相比,是否更频繁地将他们对测试的兴趣列为就诊的非主要原因,列出了更多前往诊所的原因,并列出了更多与所进行的测试无关的就诊原因。在将 HIV 检测作为就诊原因的人群中,42.39% 的人要求将 HIV 检测作为就诊的非主要原因(乳房 X 光检查:13.77%;血压:18.01%),并且平均列出更多就诊原因。 HIV 检测患者要求额外的无关服务的几率几乎是要求血压检测的患者的 5 倍,是乳房 X 光检查患者的 20 倍以上。我们共同将这些结果解释为人们在医疗保健机构中避免艾滋病毒耻辱的初步行为证据。我们希望这篇手稿能够成为未来研究探索卫生服务使用与艾滋病毒耻辱之间因果关系的行动号召。
To avoid HIV testing stigma, people may engage in non-stigmatized behaviors to conceal their interest in HIV testing. We examined 165,828 outpatient visits in a 2002-2007 national survey to explore whether people receiving an HIV diagnostic test, compared to people receiving non-stigmatized, diagnostics tests (mammography and blood pressure testing), listed their interest in testing more frequently as a non-primary reason for visit, listed a greater number of reasons for visiting the clinic, and listed more reasons for visit unrelated to the testing performed. Among people who reported HIV testing as a reason for visit, 42.39% requested HIV testing as a non-primary reason for visit (mammography: 13.77%; blood pressure: 18.01%), and on average listed more reasons for visiting the clinic. The odds of requesting additional unrelated services for HIV testing patients was almost 5 times that of patients requesting blood pressure tests and over 20 times the odds of mammography patients. Together, we interpret these results as initial behavioral evidence of people's avoidance of HIV stigma in health care settings. We hope that this manuscript serves as a call to action for future research exploring causal relationships between health service usage and HIV stigma.
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