HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: results from the MAMAS Study.
HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: results from the MAMAS Study.
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DOI：
10.1007/s10461-010-9798-5
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发表时间：
2011-08
影响因子：
4.4
通讯作者：
Cohen, Craig R.
中科院分区：
文献类型：
--
作者：
Turan, Janet M.;Bukusi, Elizabeth A.;Onono, Maricianah;Holzemer, William L.;Miller, Suellen;Cohen, Craig R.
艾滋病毒/艾滋病污名化是全球受艾滋病毒/艾滋病影响的孕妇叙述中的一个共同线索，可能与拒绝艾滋病毒检测有关。我们进行了一项横断面研究的妇女参加产前诊所在肯尼亚（N = 1525）。妇女完成了与艾滋病毒/艾滋病污名化措施的访谈，随后从医疗记录中获得了关于她们接受艾滋病毒检测的信息。采用多因素Logistic回归分析了污名化措施与拒绝HIV检测之间的关系。预期艾滋病毒/艾滋病耻辱的比率很高-32%的人预期他们的关系会破裂，45%的人预期会失去朋友。在调整其他个人水平的预测因素后，预期男性伴侣耻辱的女性拒绝艾滋病毒检测的可能性是男性的两倍多（OR = 2.10，95%CI：1.15-3.85）。这项研究从数量上表明，对艾滋病毒/艾滋病污名化的预期可能是孕妇接受艾滋病毒检测的障碍，并强调需要制定干预措施，解决孕妇对艾滋病毒/艾滋病污名化和男性伴侣暴力的恐惧。
HIV/AIDS stigma is a common thread in the narratives of pregnant women affected by HIV/AIDS globally and may be associated with refusal of HIV testing. We conducted a cross-sectional study of women attending antenatal clinics in Kenya (N = 1525). Women completed an interview with measures of HIV/AIDS stigma and subsequently information on their acceptance of HIV testing was obtained from medical records. Associations of stigma measures with HIV testing refusal were examined using multivariate logistic regression. Rates of anticipated HIV/AIDS stigma were high—32% anticipated break-up of their relationship, and 45% anticipated losing their friends. Women who anticipated male partner stigma were more than twice as likely to refuse HIV testing, after adjusting for other individual-level predictors (OR = 2.10, 95% CI: 1.15–3.85). This study demonstrated quantitatively that anticipations of HIV/AIDS stigma can be barriers to acceptance of HIV testing by pregnant women and highlights the need to develop interventions that address pregnant women’s fears of HIV/AIDS stigma and violence from male partners.
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影响因子：
3.3
作者：
Manzi, M;Zachariah, R;Humblet, P
通讯作者：
Humblet, P
影响因子：
3.3
作者：
Anand, Abhijeet;Shiraishi, Ray W.;Diaz, Theresa
通讯作者：
Diaz, Theresa
DOI：
10.1080/09540120120063232
发表时间：
2001-10-01
影响因子：
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作者：
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通讯作者：
Whitworth, JAG
影响因子：
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作者：
Brickley, Deborah Bain;Hanh, Dang Le Dung;Nguyet, Luu Thi;Mandel, Jeffrey S.;Giang, Le Truong;Sohn, Annette H.
通讯作者：
Sohn, Annette H.
影响因子：
3.8
作者：
Moodley, Dhayendre;Esterhuizen, Tonya M.;Ngaleka, Linda
通讯作者：
Ngaleka, Linda