HIV Stigma: Perspectives from Kenyan Child Caregivers and Adolescents Living with HIV.
HIV Stigma: Perspectives from Kenyan Child Caregivers and Adolescents Living with HIV.
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DOI：
10.1177/2325957416668995
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发表时间：
2017
影响因子：
--
通讯作者：
Vreeman RC
中科院分区：
文献类型：
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作者：
McHenry MS;Nyandiko WM;Scanlon ML;Fischer LJ;McAteer CI;Aluoch J;Naanyu V;Vreeman RC
耻辱影响着艾滋病毒预防和治疗的各个方面，但关于撒哈拉以南非洲感染艾滋病毒的青年及其家庭如何受到耻辱影响的数据有限。这组作者在肯尼亚西部艾滋病诊所接受治疗的39名艾滋病毒感染青少年和53名艾滋病毒感染儿童的护理人员中进行了一项定性研究。与会者认为，虽然知识和获得治疗的机会在增加，但许多社区成员仍然对艾滋病毒持有负面和不准确的看法，包括将其与不道德行为联系起来，并相信通过偶然的互动传播。耻辱感与失去社会和经济支持密切相关，但也包括对自己的内在负面感受。参与者确定了与治疗相关的耻辱影响，包括不坚持治疗，不向孩子或其他人透露病情，以及增加的心理健康问题。定性调查还为如何衡量和减少受影响个人和家庭的耻辱提供了见解。
Stigma shapes all aspects of HIV prevention and treatment, yet there are limited data on how HIV-infected youth and their families are affected by stigma in sub-Saharan Africa. The authors conducted a qualitative study using focus group discussions among 39 HIV-infected adolescents receiving care at HIV clinics in western Kenya and 53 caregivers of HIV-infected children. Participants felt that while knowledge and access to treatment were increasing, many community members still held negative and inaccurate views about HIV, including associating it with immorality and believing in transmission by casual interactions. Stigma was closely related to a loss of social and economic support but also included internalized negative feelings about oneself. Participants identified treatment-related impacts of stigma, including nonadherence, nondisclosure of status to child or others, and increased mental health problems. Qualitative inquiry also provided insights into how to measure and reduce stigma among affected individuals and families.