Assessing HIV-related stigma in the clinical setting: are providers in Florida interested?
Assessing HIV-related stigma in the clinical setting: are providers in Florida interested?
复制标题
评估临床环境中与艾滋病毒相关的耻辱：佛罗里达州的提供者感兴趣吗？
DOI：
10.1080/09540121.2023.2279981
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发表时间：
2024
期刊：
影响因子：
1.7
通讯作者：
Vaddiparti,Krishna
中科院分区：
文献类型：
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作者：
Fisk-Hoffman,RebeccaJ;Woody,Aislinn;Prosperi,Mattia;Cook,RobertL;Cook,Christa;Vaddiparti,Krishna
与艾滋病毒有关的耻辱是造成与艾滋病毒有关的不良健康结果的一个关键因素。这项研究的目的是探索将污名措施落实到常规艾滋病毒护理中，重点是将10项医疗监测项目措施作为一项拟议措施。佛罗里达州从事艾滋病毒相关护理的医疗保健提供者被招募。参与者完成了一次访谈，了解他们对临床护理期间评估污名的措施的看法。分析遵循定向内容方法。15名参与者完成了采访(87%为女性，47%为非西班牙裔白人，40%为个案经理)。大多数提供者认为谈论耻辱会有帮助(%)。分析产生了三个主要主题：可接受性、兴趣分量表和效用。在可接受性方面，参与者提到，评估污名可以鼓励以患者为中心的护理，并作为对话的开端，但也有一些人提到没有足够的时间。参与者认为，披露的担忧和负面的自我形象分量表最相关。一些人担心他们没有为患者提供资源，或者一些问题超出了他们的影响。与会者普遍支持在临床护理中例行公事地处理与艾滋病毒有关的污名问题，但感到关切的是，没有资源，特别是没有资源来解决对披露和负面自我形象的关切。
HIV-related stigma is a key contributor to poor HIV-related health outcomes. The purpose of this study is to explore implementing a stigma measure into routine HIV care focusing on the 10-item Medical Monitoring Project measure as a proposed measure. Healthcare providers engaged in HIV-related care in Florida were recruited. Participants completed an interview about their perceptions of measures to assess stigma during clinical care. The analysis followed a directed content approach. Fifteen participants completed the interviews (87% female, 47% non-Hispanic White, case manager 40%). Most providers thought that talking about stigma would be helpful (89%). Three major themes emerged from the analysis: acceptability, subscales of interest, and utility. In acceptability, participants mentioned that assessing stigma could encourage patient-centered care and serve as a conversation starter, but some mentioned not having enough time. Participants thought that the disclosure concerns and negative self-image subscales were most relevant. Some worried they would not have resources for patients or that some issues were beyond their influence. Participants were generally supportive of routinely addressing HIV-related stigma in clinical care, but were concerned that resources, especially to address concerns about disclosure and negative self-image, were not available.