Stigma, disclosure, and psychological functioning among HIV-infected and non-infected African-American women
Stigma, disclosure, and psychological functioning among HIV-infected and non-infected African-American women
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DOI：
10.1300/j013v38n04_04
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发表时间：
2003-01-01
期刊：
影响因子：
1.6
通讯作者：
Austin, BJ
中科院分区：
文献类型：
--
作者：
Clark, HJ;Lindner, G;Austin, BJ
非裔美国女性中的艾滋病病毒呈上升趋势。与艾滋病相关的污名在感染艾滋病毒和未感染艾滋病毒的非裔美国妇女的生活中发挥着重要作用。在感染艾滋病毒的妇女中，披露艾滋病毒血清阳性状态的决定可能会受到感觉上的耻辱的影响。这项研究的第一个目的是在六年的时间里，对两组非裔美国妇女：感染艾滋病毒和未感染艾滋病病毒的妇女，检查与艾滋病相关的耻辱。这项研究的第二个目的是检查艾滋病毒血清阳性状态的披露是否缓和了耻辱和心理功能之间的关系。参与者是98名感染艾滋病毒的非裔美国女性和146名非裔美国女性，年龄在18岁到50岁之间。数据是在六年中的四个点上收集的。结果表明，在所有四项评估中，艾滋病毒感染的女性比未感染的女性感受到与艾滋病相关的耻辱程度明显更高。在整个样本中或在两个HIV组中，对耻辱的看法并没有随着时间的推移而显著改变。在感染艾滋病毒的妇女中，随着感受到的耻辱程度的增加，披露程度和心理功能下降。关于假设的缓和关系，在较高但不是较低的披露水平下，耻辱和痛苦之间的关系是显著的。讨论了卫生专业人员与感染艾滋病毒的非裔美国妇女在披露和污名问题上的工作的影响，(C)2003年，由Haworth Press，Inc.保留所有权利。
HIV is on the rise among African-American women. AIDS-related stigma plays an important role in the lives of HIV-infected and non-infected African-American women. Among HIV-infected women, the decision to disclose HIV seropositive status is likely affected by perceived stigma. The first purpose of the study is to examine perceived AIDS-related stigma over a six year period and across two groups of African-American women: HIV-infected and non-infected. The second purpose of the study examines whether disclosure of HIV seropositive status moderates the relationship between stigma and psychological functioning. Participants were 98 HIV-infected and 146 non-infected African-American women, between the ages of 18 and 50. Data were collected at four points across six years. Results indicated that HIV-infected women perceived a significantly higher level of AIDS-related stigma than non-infected women at all four assessments. Perceptions of stigma did not significantly change over time for the entire sample or within either HIV group. Among HIV-infected women, as the level of perceived stigma increased, the level of disclosure and psychological functioning decreased. Regarding the hypothesized moderating relationship, at high, but not low, levels of disclosure, the relationship between stigma and distress was significant. Implications for health professionals' work with HIV-infected African-American women around the issue of disclosure and stigma are discussed, (C) 2003 by The Haworth Press, Inc. All rights reserved.