Older African Americans' management of HIV/AIDS stigma
Older African Americans' management of HIV/AIDS stigma
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DOI：
10.1080/09540120902803141
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发表时间：
2009-01-01
影响因子：
1.7
通讯作者：
Gaskins, Susan W.
中科院分区：
文献类型：
--
作者：
Foster, Pamela Payne;Gaskins, Susan W.
这项研究的目的是描述艾滋病毒/艾滋病相关的耻辱，在老年非裔美国人生活在南方，人口不成比例地受到艾滋病毒/艾滋病的影响。对24名50岁以上确诊感染艾滋病毒的男女进行了四个重点小组的研究。重点小组的讨论被录音和转录以供分析。此外，两个污名工具，艾滋病毒污名的自我认知，艾滋病毒的污名的影响，被用来加强从重点群体的定性数据。对重点小组讨论的持续比较数据分析产生了与艾滋病毒/艾滋病污名化有关的四个主题：（1）披露;（2）污名化经历;（3）艾滋病毒/艾滋病教育的必要性;（4）接受这种疾病。介绍了预防或减少预期耻辱的战略，如选择性或不披露，不在居住地接受护理。污名工具表明，参与者经历了最多的污名与他们对艾滋病毒疾病的内在耻辱有关，并且很少或没有经历过直接的污名。研究结果对设计预防计划和改善该年龄组社会支持的策略具有启示意义。
The purpose of this study was to describe HIV/AIDS-related stigma in older African Americans living in the South, a population disproportionately affected by HIV/AIDS. Four focus groups were conducted with 24 men and women over 50 years old and a confirmed diagnosis of HIV. The focus group discussions were audiotaped and transcribed for analysis. Additionally, two stigma instruments, Self-Perceptions of HIV Stigma, and Stigma Impact of HIV, were used to enhance the qualitative data from the focus groups. Constant comparative data analysis of the focus group discussions resulted in four themes related to HIV/AIDS stigma: (1) disclosure; (2) stigma experiences; (3) need for HIV/AIDS education; and (4) acceptance of the disease. Strategies to prevent or decrease anticipated stigma were described, such as selective or non-disclosure and not receiving care where they lived. The stigma instruments indicated that the participants had experienced the most stigma related to their internalized shame about having HIV disease, and had experienced little or no direct stigma. The study findings have implications for designing prevention programs, and strategies to improve social support for this age group.