Consensus on context-specific strategies for reducing the stigma of human immunodeficiency virus/acquired immunodeficiency syndrome in Zambézia Province, Mozambique.
Consensus on context-specific strategies for reducing the stigma of human immunodeficiency virus/acquired immunodeficiency syndrome in Zambézia Province, Mozambique.
复制标题
DOI：
10.1080/17290376.2014.885847
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Vergara AE
中科院分区：
文献类型：
--
作者：
Mukolo A;Torres I;Bechtel RM;Sidat M;Vergara AE
Stigma has been implicated in poor outcomes of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) care. Reducing stigma is important for HIV prevention and long-term treatment success. Although stigma reduction interventions are conducted in Mozambique, little is known about the current nature of stigma and the efficacy and effectiveness of stigma reduction initiatives. We describe action research to generate consensus on critical characteristics of HIV stigma and anti-stigma interventions in Zambézia Province, Mozambique. Qualitative data gathering methods, including indepth key-informant interviews, community interviews and consensus group sessions, were utilized. Delphi methods and the strategic options development analysis technique were used to synthesize qualitative data. Key findings are that stigma enacted by the general public might be declining in tandem with the HIV/AIDS epidemic in Mozambique, but there is likely excessive residual fear of HIV disease and community attitudes that sustain high levels of perceived stigma. HIV-positive women accessing maternal and child health services appear to shoulder a disproportionate burden of stigma. Unintentional biases among healthcare providers are currently the critical frontier of stigmatization, but there are few interventions designed to address them. Culturally sensitive psychotherapies are needed to address psychological distress associated with internalized stigma and these interventions should complement current supports for voluntary counseling and testing. While advantageous for defining stakeholder priorities for stigma reduction efforts, confirmatory quantitative studies of these consensus positions are needed before the launch of specific interventions.
登录
查看更多内容
影响因子：
4.9
作者：
Andrewin, Aisha;Chien, Li-Yin
通讯作者：
Chien, Li-Yin
影响因子：
1.7
作者：
Corrigan, Patrick W.;Watson, Amy C.;Barr, Leah
通讯作者：
Barr, Leah
影响因子：
4.4
作者：
Kaharuza, Frank M.;Bunnell, Rebecca;Mermin, Jonathan
通讯作者：
Mermin, Jonathan
影响因子：
3.3
作者：
Leserman, Jane
通讯作者：
Leserman, Jane
影响因子：
3.3
作者：
Gore-Felton, Cheryl;Koopman, Cheryl
通讯作者：
Koopman, Cheryl