The Impact of Perceptions of Community Stigma on Utilization of HIV Care Services.
The Impact of Perceptions of Community Stigma on Utilization of HIV Care Services.
复制标题
社区耻辱感对艾滋病毒护理服务利用的影响。
DOI：
10.1007/s40615-019-00667-9
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发表时间：
2020
影响因子：
3.9
通讯作者：
Li,Jianghong
中科院分区：
文献类型：
--
作者：
Green,HelenaDanielle;Weeks,MargaretR;Berman,Marcie;Salvi,Apoorva;Gonzalez,Rosely;Rohena,Lucy;Ferguson,Alice;Li,Jianghong
感知社区耻辱和治疗依从性之间的关系已经在以前的文献中建立。然而，鲜为人知的是，在明确的情况下，感知社区耻辱阻止艾滋病毒感染者（PLWH）保持护理。本研究探讨了对艾滋病毒感染者自我报告的障碍和支持，留在艾滋病毒护理服务的影响，感知社区的耻辱。我们使用的调查数据来自一项为期3年的研究，艾滋病毒检测和治疗（T&T）连续的服务在哈特福德，CT，调查200 PLWH。Logistic回归被用来确定是否感知社区耻辱有统计学上的显着影响的意愿，艾滋病毒感染者利用艾滋病护理服务。结果显示，“担心治疗不佳”（χ2（6）= 21.995，p < 0.001）和“关心隐私”（χ 2（6）= 16.670，p < 0.01）的患者，其感知耻辱感的增加可预测其6个月内的就诊意愿。艾滋病患者的污名化程度也是导致其认为支持性的个案管理者有助于获得艾滋病护理服务的一个重要因素（χ2（1）= 6.817，p < 0.01）。我们的研究结果表明，在个人预期耻辱或歧视的情况下，具有高度感知的社区耻辱感是有影响的。
The relationship between perceived community stigma and treatment adherence has been established in previous literature. Yet, less is known about explicit circumstances in which perceived community stigma deters people living with HIV (PLWH) from maintaining care. This research examines the impact of perceived community stigma against PLWH on self-reported barriers and supports to remain in HIV care services. We used survey data from a 3-year study of the HIV test and treat (T&T) continuum of services in Hartford, CT, surveying 200 PLWH. Logistic regression was used to determine if perceived community stigma had a statistically significant effect on the willingness of PLWH to utilize HIV care services. Results revealed that an increase in perceived stigma predicted willingness to see a doctor in 6 months for those who ‘had a fear of poor treatment’ (χ2(6) = 21.995,p< 0.001) and ‘were concerned about privacy’ (χ2(6) = 16.670,p< 0.01). An increase in perceived stigma was also a significant factor in the belief that supportive case managers helped with accessing HIV care services (χ2(1) = 6.817,p< 0.01). Our findings suggest that having a high degree of perceived community stigma is impactful in instances where individuals anticipate stigma or discrimination.