HIV stigma mechanisms and well-being among PLWH: a test of the HIV stigma framework.
HIV stigma mechanisms and well-being among PLWH: a test of the HIV stigma framework.
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DOI：
10.1007/s10461-013-0437-9
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发表时间：
2013-06
影响因子：
4.4
通讯作者：
Copenhaver, Michael M.
中科院分区：
文献类型：
--
作者：
Earnshaw, Valerie A.;Smith, Laramie R.;Chaudoir, Stephenie R.;Amico, K. Rivet;Copenhaver, Michael M.
目前的工作是从纽约州布朗克斯市内一家诊所招募的 95 名艾滋病毒感染者样本中评估艾滋病毒耻辱框架。为了确定每种艾滋病毒耻辱机制（内在的、制定的和预期的）对健康和福祉指标的贡献，我们进行了访谈员调查并从医疗记录中提取了数据。结果表明，内在的耻辱与情感（即对艾滋病毒的无助、接受和感知的益处）和行为（即医疗护理差距天数和抗逆转录病毒药物不依从）健康和福祉指标显着相关。已制定和预期的耻辱与身体健康和福祉指标相关（即，CD4 计数分别低于 200 和慢性疾病合并症）。通过区分艾滋病毒耻辱机制，研究人员可以更细致地了解艾滋病毒耻辱如何影响健康和福祉，并更好地为有针对性的干预措施提供信息，以改善艾滋病毒感染者的具体结果。
The current work evaluates the HIV Stigma Framework in a sample of 95 people living with HIV recruited from an inner-city clinic in the Bronx, NY. To determine the contributions of each HIV stigma mechanism (internalized, enacted, and anticipated) on indicators of health and well-being, we conducted an interviewer-delivered survey and abstracted data from medical records. Results suggest that internalized stigma associates significantly with indicators of affective (i.e., helplessness regarding, acceptance of, and perceived benefits of HIV) and behavioral (i.e., days in medical care gaps and ARV non-adherence) health and well-being. Enacted and anticipated stigma associate with indicators of physical health and well-being (i.e., CD4 count less than 200 and chronic illness comorbidity respectively). By differentiating between HIV stigma mechanisms, researchers may gain a more nuanced understanding of how HIV stigma impacts health and well-being and better inform targeted interventions to improve specific outcomes among people living with HIV.
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影响因子：
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