Women of Color Reflect on HIV-Related Stigma through PhotoVoice
Women of Color Reflect on HIV-Related Stigma through PhotoVoice
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DOI：
10.1016/j.jana.2016.03.003
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发表时间：
2016-07-01
影响因子：
2
通讯作者：
Frederick, Toni
中科院分区：
文献类型：
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作者：
Davtyan, Mariam;Farmer, Shu;Frederick, Toni
与艾滋病毒有关的耻辱感影响着艾滋病毒感染者（PLWH），特别是在有色人种社区。在我们的研究中，非洲裔美国人和拉丁裔/西班牙裔艾滋病毒感染者（WLWH）通过PhotoVoice（一种以社区为基础的参与性纪实摄影方法）描述了耻辱的经历。来自洛杉矶的10名WLWH通过照片记录了长达5周的污名经历，并在焦点小组或半结构化个人访谈中讨论了他们的图像。对参与者的叙述和照片进行定性解释现象学分析，发现缺乏教育和文化神话是我们参与者面临的耻辱的主要触发因素。在卫生保健环境中经历了耻辱，参与者确定抑郁症，害怕亲密关系，以及不披露艾滋病毒状况作为其后果。社会支持和信仰被认为是关键的应对机制。WLWH建议让艾滋病毒携带者和公共卫生官员参与减少污名化运动和青年教育。PhotoVoice被认为是教育和自我提高的有用工具。版权所有（C）2016艾滋病护理护士协会
HIV-related stigma affects people living with HIV (PLWH), especially in communities of color. In our study, African American and Latina/Hispanic women living with HIV (WLWH) described experiences of stigma through PhotoVoice, a community-based participatory method of documentary photography. Ten WLWH from Los Angeles documented stigma experiences through photographs for up to 5 weeks and discussed their images during a focus group or semi-structured individual interview. Qualitative interpretive phenomenological analysis of participant narratives and photographs revealed lack of education and cultural myths as the main triggers of the stigma our participants faced. Stigma was experienced in health care settings, and participants identified depression, fear of intimate relationships, and nondisclosure of HIV status as its consequences. Social support and faith were noted as key coping mechanisms. WLWH recommended involving PLWH and public health officials in stigma reduction campaigns and youth education. PhotoVoice was perceived as a useful tool for education and self-improvement. Copyright (C) 2016 Association of Nurses in AIDS Care