"Who has ever loved a drug addict? It's a lie. They think a 'teja' is as bad person": multiple stigmas faced by women who inject drugs in coastal Kenya.
"Who has ever loved a drug addict? It's a lie. They think a 'teja' is as bad person": multiple stigmas faced by women who inject drugs in coastal Kenya.
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DOI：
10.1186/s12954-018-0235-9
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发表时间：
2018-05-25
影响因子：
4.4
通讯作者：
Seeley J
中科院分区：
文献类型：
--
作者：
Mburu G;Ayon S;Tsai AC;Ndimbii J;Wang B;Strathdee S;Seeley J
在肯尼亚，十分之一的注射吸毒者是女性，但她们的社会背景和经历仍然知之甚少。本文报告了肯尼亚沿海注射毒品的妇女如何经历多种形式的耻辱，以及这些耻辱对她们获得基本卫生服务的能力的影响。 2015年，我们对两个沿海城镇的45名注射吸毒妇女进行了深度访谈和焦点小组讨论。这些数据还通过对参与向该人群提供服务的五个利益相关者的深入访谈进行了补充。使用 NVivo 对数据进行主题分析。注射吸毒的女性常常同时经历多重耻辱。这些包括注射吸毒的外部耻辱和自我耻辱、女性注射吸毒者的外部性别相关耻辱以及艾滋病毒呈阳性（即艾滋病毒感染者）的外部耻辱。耻辱导致拒绝、社会排斥、自卑以及医疗机构延迟或拒绝提供服务。艾滋病毒和减少伤害计划应纳入干预措施，以解决肯尼亚沿海注射吸毒妇女中不同形式的耻辱问题。解决耻辱问题需要结合个人、社会和结构性干预措施，例如注射吸毒者的集体赋权、对医疗保健提供者进行关于注射吸毒妇女的问题和需求的培训、同伴陪伴到医疗机构、解决耻辱和歧视的更广泛的社会决定因素，以及扩大减少伤害干预措施，以改变社区对注射吸毒妇女的看法。
A tenth of all people who inject drugs in Kenya are women, yet their social contexts and experiences remain poorly understood. This paper reports how multiple forms of stigma are experienced by women who inject drugs in coastal Kenya and the impact that they have on their ability to access essential health services. In 2015, in-depth interviews and focus group discussions were held with 45 women who inject drugs in two coastal towns. These data were supplemented with in-depth interviews with five individual stakeholders involved in service provision to this population. Data were analyzed thematically using NVivo. Women who inject drugs experience multiple stigmas, often simultaneously. These included the external stigma and self-stigma of injection drug use, external gender-related stigma of being a female injecting drug user, and the external stigma of being HIV positive (i.e., among those living with HIV). Stigma led to rejection, social exclusion, low self-esteem, and delay or denial of services at health facilities. HIV and harm reduction programs should incorporate interventions that address different forms of stigma among women who inject drugs in coastal Kenya. Addressing stigma will require a combination of individual, social, and structural interventions, such as collective empowerment of injecting drug users, training of healthcare providers on issues and needs of women who inject drugs, peer accompaniment to health facilities, addressing wider social determinants of stigma and discrimination, and expansion of harm reduction interventions to change perceptions of communities towards women who inject drugs.
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影响因子：
4.4
作者：
Kerr, Thomas;Hayashi, Kanna;Wood, Evan
通讯作者：
Wood, Evan
影响因子：
4.4
作者：
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通讯作者：
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DOI：
10.1097/qai.0000000000000769
发表时间：
2015-12-01
影响因子：
3.6
作者：
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通讯作者：
Cherutich, Peter
影响因子：
2.7
作者：
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通讯作者：
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影响因子：
2.7
作者：
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通讯作者：
Oldak, R