The Intersectionality of Stigmas among Key Populations of Older Adults Affected by HIV: a Thematic Analysis.

The Intersectionality of Stigmas among Key Populations of Older Adults Affected by HIV: a Thematic Analysis.
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DOI:
10.1080/07317115.2018.1456500
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发表时间:
2019-03
影响因子:
2.8
通讯作者:
Siegler EL
Siegler EL
中科院分区:
医学3区
文献类型:
--
作者:
Johnson Shen M;Freeman R;Karpiak S;Brennan-Ing M;Seidel L;Siegler EL

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本研究调查了不同群体的老年艾滋病毒感染者(PWH)的耻辱交叉性。四组老年残疾人焦点群体(男同性恋/双性恋男性、异性恋男性、异性恋和双性恋女性以及说西班牙语的人)被录音转录。归纳主位语篇分析用于确定定性主位。这些数据产生了五大主题:1)披露艾滋病毒状况;2)病耻感类型;3)经历过歧视;4)与病耻感相关的其他结果;5)年龄对因病耻感而产生的社会孤立的影响。研究结果表明,女性并没有受到这些耻辱的影响。其他群体因艾滋病毒感染状况和年龄而遭受耻辱(男同性恋/双性恋男性);艾滋病毒状况和对性取向或吸毒的耻辱感(异性恋男性);艾滋病毒状况和文化/种族(西班牙语)。结果表明,许多高危人群,包括异性恋男性、同性恋男性和说西班牙语的个体,在他们的性行为、艾滋病毒状况或实际或感知的药物使用之间经历了一种耻辱的交叉点。研究结果突出表明,需要艾滋病毒支持,特别是社会支持,以解决受艾滋病毒严重影响的独特群体的污名交叉问题
The present study examined the intersectionality of stigma across varying groups of older persons living with HIV (PWH). Four focus groups of older PWH (gay/bisexual men, heterosexual men, heterosexual and bisexualwomen, and Spanish-speaking) were audio-recorded transcribed. Inductive thematic text analysis was used to identify qualitative themes. Five major themes emerged from the data: 1) disclosure of HIV status; 2) types of stigma experienced; 3) discrimination experienced; 4) other outcomes associated with experiencing stigma; and 5) influence of aging on social isolation experienced due to stigma. Findings indicate women did not suffer from the intersection of stigmas. Other groups suffered from the intersection of stigma due to HIV status and age (gay/bisexual males); HIV status and perceived stigma of sexual orientation or drug use (heterosexual males); and HIV status and culture/ethnicity (Spanish-speaking). Results indicate that many at-risk groups, including heterosexual men, homosexual men, and Spanish-speaking individuals, experience an intersection of stigma between aging and their sexuality, HIV status, or real or perceived drug use. Results highlight the need for HIV support, especially social support, to address intersection of stigmas for unique groups of individuals disproportionately affected by HIV
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