Perceived stigma and social risk of HIV testing and disclosure among Iranian-Australians living in the Sydney metropolitan area
Perceived stigma and social risk of HIV testing and disclosure among Iranian-Australians living in the Sydney metropolitan area
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DOI：
10.1071/sh10111
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发表时间：
2012-01-01
期刊：
影响因子：
1.6
通讯作者：
Bazargan-Hejazi, Shahrzad
中科院分区：
文献类型：
--
作者：
Hosseinzadeh, Hassan;Hossain, Syeda Zakia;Bazargan-Hejazi, Shahrzad
背景：害怕被污名化是在艾滋病毒/艾滋病竞技场寻求帮助的主要社会风险。然而，人们对这种疾病的社会观念知之甚少。本研究探讨了在悉尼大都市区生活的伊朗-澳大利亚移民的艾滋病毒检测和披露的社会风险的感知耻辱和其影响的水平。方法：共有236名年龄在20-65岁的伊朗-澳大利亚移民参加了这项横断面研究。结果：大多数（73.3%）的受访者认为，艾滋病病毒感染者面临着大量或一些耻辱。参与者担心，如果他们检测呈阳性或被认为是艾滋病毒阳性的未来被污名化。绝大多数人表示，这种关切会影响他们在艾滋病毒检测和披露方面的决策。女性更容易感受到艾滋病毒/艾滋病的耻辱。多元回归分析显示，艾滋病污名化可以解释艾滋病检测和披露社会风险的28.6%的变异量（B = 0.89，beta = 0.53，P < 0.0001），24.6%的方差与HIV检测和披露相关（B = 0.62，β = 0.49，P < 0.0001）。自移民以来的时间（预测能力为4.8-6.78%）强烈影响了这种关联。结论：如果社会耻辱得不到解决，个人将不愿意进行艾滋病毒检测，或在检测呈阳性时透露其艾滋病毒状况。需要进一步努力，以改变目前的社会结构艾滋病毒/艾滋病之间的伊朗-澳大利亚人生活在悉尼。
Background: Fear of being stigmatised is a major social risk for seeking help in the HIV/AIDS arena. However, little is known about the social perceptions that people hold about the disease. This study explores the level of perceived stigma and its effect on the social risk of HIV testing and disclosure among Iranian-Australians immigrants living in the Sydney metropolitan area. Methods: A total of 236 Iranian-Australians immigrants aged 20-65 years participated in this cross-sectional study. Results: The majority of respondents (73.3%) perceived that HIV-infected people face a great deal of or some stigma. Participants were concerned about being stigmatised if they tested positive or were known to be HIV-positive in the future. A significant majority expressed that such concerns would affect their decision-making related to HIV testing and disclosure. Females were more likely to perceive HIV/AIDS stigma. Multiple regression analyses showed that perceived HIV/AIDS stigma could explain 28.6% of the variance in social risk of HIV testing and disclosure (B = 0.89, beta = 0.53, P < 0.0001) and 24.6% of the variance in decision-making related to HIV testing and disclosure (B = 0.62, beta = 0.49, P < 0.0001) after controlling for sociodemographic factors. Time since migration (predictive power of 4.8-6.78%) strongly influenced the associations. Conclusions: If social stigma is left unaddressed, individuals would be reluctant to undertake HIV testing or disclose their HIV status if tested positive. Further attempts are needed to change the current social construction of HIV/AIDS among Iranians-Australians living in Sydney.