HIV Stigmatizing Attitudes Among Men Accompanying Their Partners to Antenatal Care in Tanzania: A Mixed-Method Study.
HIV Stigmatizing Attitudes Among Men Accompanying Their Partners to Antenatal Care in Tanzania: A Mixed-Method Study.
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DOI：
10.1007/s10461-021-03264-2
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发表时间：
2021-10
影响因子：
4.4
通讯作者：
Watt MH
中科院分区：
文献类型：
--
作者：
Kisigo GA;Ngocho JS;Mwamba RN;Knettel BA;Relf MV;Mmbaga BT;Watt MH
这项混合方法研究旨在描述对艾滋病毒污名化的态度，确定与污名化态度相关的因素，并探索在坦桑尼亚陪同怀孕的女性伴侣进行产前护理的男子中艾滋病毒污名化的更广泛背景。这项研究招募了480名男性，他们与怀孕的女性伴侣一起参加了第一次产前护理预约。参与者完成了一项结构化调查；16名男性完成了深度访谈。大多数与会者至少赞同其中一种污名化态度；最常见的赞同态度是认为艾滋病毒是对不良行为的惩罚。在一项多变量逻辑分析中，如果男性更年轻、受教育程度较低、穆斯林、不认识任何艾滋病毒携带者或报告的社会支持较少，他们更有可能支持污名化态度。在定性采访中，男性讨论了艾滋病毒如何与男性身份对立，这些身份与尊重、力量、独立和情绪控制有关。未来的研究应该开发和测试干预措施，以解决男性对艾滋病毒污名化的态度，利用常规艾滋病毒检测的环境。这些节目应该被量身定做，以反映使耻辱永久化的男性理想。
This mixed-method study aimed to describe HIV stigmatizing attitudes, identify factors associated with stigmatizing attitudes, and explore the broader context of HIV stigma among men accompanying their pregnant female partners to antenatal care in Tanzania. The study recruited 480 men who were attending a first antenatal care appointment with their pregnant female partners. Participants completed a structured survey; a subset of 16 men completed in-depth interviews. The majority of participants endorsed at least one of the stigmatizing attitudes; the most common attitude endorsed was the perception that HIV is a punishment for bad behaviour. In a multivariable logistic analysis, men were more likely to endorse stigmatizing attitudes if they were younger, less educated, Muslim, did not know anyone with HIV, or reported less social support. In the qualitative interviews, men discussed how HIV was antithetical to masculine identities related to respect, strength, independence, and emotional control. Future studies should develop and test interventions to address HIV stigmatizing attitudes among men, taking advantage of settings of routine HIV testing. These programs should be tailored to reflect masculine ideals that perpetuate stigma.
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