Gender and ethnicity differences in HIV-related stigma experienced by people living with HIV in Ontario, Canada.

Gender and ethnicity differences in HIV-related stigma experienced by people living with HIV in Ontario, Canada.
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在加拿大安大略省艾滋病毒的人经历的艾滋病毒相关污名上的性别和种族差异。

DOI:
10.1371/journal.pone.0048168
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发表时间:
2012
期刊:
影响因子:
3.7
通讯作者:
Raboud JM
Raboud JM
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Loutfy MR;Logie CH;Zhang Y;Blitz SL;Margolese SL;Tharao WE;Rourke SB;Rueda S;Raboud JM

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本研究的目的是了解性别和种族差异的艾滋病毒相关的耻辱经历了1026艾滋病毒阳性的个人生活在安大略,加拿大参加了OHTN队列研究。使用修订后的HIV相关污名量表测量HIV相关污名总分和子量表得分。相关性的总耻辱得分进行了评估,在单因素和多因素线性回归。女性的总体和子量表耻辱得分显著高于男性(总体,中位数= 56.0 vs. 48.0,p<0.0001)。  在男性和女性中,黑人个体的总耻辱得分最高,土著和亚洲/拉丁美洲/未指明的人居中,白色个体的总耻辱得分最低。在多变量分析中,性别-种族相互作用项是显著的:黑人女性和亚洲/拉丁美洲/未指明的男性报告了最高的艾滋病毒相关的耻辱得分。在我们的队列中,确定了艾滋病毒相关耻辱的性别和种族差异。调查结果表明,可能需要采取不同的方法来解决基于性别和种族的艾滋病毒相关的耻辱;这种战略应该挑战种族主义和性别歧视的陈规定型观念。
This study aimed to understand gender and ethnicity differences in HIV-related stigma experienced by 1026 HIV-positive individuals living in Ontario, Canada that were enrolled in the OHTN Cohort Study. Total and subscale HIV-related stigma scores were measured using the revised HIV-related Stigma Scale. Correlates of total stigma scores were assessed in univariate and multivariate linear regression. Women had significantly higher total and subscale stigma scores than men (total, median = 56.0 vs. 48.0, p<0.0001). Among men and women, Black individuals had the highest, Aboriginal and Asian/Latin-American/Unspecified people intermediate, and White individuals the lowest total stigma scores. The gender-ethnicity interaction term was significant in multivariate analysis: Black women and Asian/Latin-American/Unspecified men reported the highest HIV-related stigma scores. Gender and ethnicity differences in HIV-related stigma were identified in our cohort. Findings suggest differing approaches may be required to address HIV-related stigma based on gender and ethnicity; and such strategies should challenge racist and sexist stereotypes.
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