Stigmatizing attitudes and behaviors toward PLHA in rural China
Stigmatizing attitudes and behaviors toward PLHA in rural China
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DOI：
10.1080/09540120903012528
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发表时间：
2010-01-01
影响因子：
1.7
通讯作者：
Wu, Zunyou
中科院分区：
文献类型：
--
作者：
Sullivan, Sheena G.;Xu, Jie;Wu, Zunyou
尽管有法律来控制艾滋病毒/艾滋病，但耻辱仍然是有效控制艾滋病毒/艾滋病的一个重大障碍。本研究的目的是调查中国农村社区中与艾滋病毒耻辱相关的因素。在安徽省西北部地区，对963名居民进行了艾滋病相关知识、态度和行为的调查。参与者的知识平均得分为 16.6/26 (63.8%)。 68% 的受访者至少对偶然传播抱有一种恐惧，42% 的受访者会将自己的疾病归咎于艾滋病毒/艾滋病感染者 (PLHA)，73% 的受访者认为感染艾滋病毒是可耻的。超过一半的人报告说，他们在自己的村庄中观察到至少一种针对艾滋病病毒感染者的侮辱行为。多变量分析表明，受教育程度较高、艾滋病毒知识较高、家庭财富较高以及从专业渠道了解艾滋病毒的人不太可能持有污名化态度，而在社区中观察到针对艾滋病病毒携带者的歧视行为以及生活在感染者较少的村庄的人则更有可能持有污名化态度。尽管开展了教育活动，但人们对艾滋病毒感染者的了解仍然很低，对艾滋病毒感染者的污名化态度和行为仍然是一个问题。
Stigma is a significant barrier to effective control of HIV/AIDS, despite laws to control it. The purpose of this study was to examine factors associated with HIV stigma in a rural Chinese community. A survey was conducted in north-west Anhui province among 963 residents to assess HIV-related knowledge, attitudes, and behaviors. Participants scored a mean of 16.6/26 (63.8%) for knowledge. Sixty-eight percent of respondents held at least one fear of casual transmission, 42% would blame people living with HIV/AIDS (PLHA) for their disease, and 73% thought having HIV is shameful. More than half reported that they had observed at least one stigmatizing behavior toward PLHA in their villages. Multivariable analysis indicated that people with higher education, higher HIV knowledge, higher household wealth and who learned about HIV from professional sources were less likely to hold a stigmatizing attitude, while people who had observed discriminating behaviors toward PLHA in their community and lived in villages with fewer PLHA were more likely to hold a stigmatizing attitude. Despite education campaigns, knowledge remains low and stigmatizing attitudes and behaviors toward PLHA remain a problem.