Meta-analysis of health and demographic correlates of stigma towards people living with HIV
Meta-analysis of health and demographic correlates of stigma towards people living with HIV
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DOI：
10.1080/09540120802511877
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发表时间：
2009-06-01
影响因子：
1.7
通讯作者：
Gadalla, T. M.
中科院分区：
文献类型：
--
作者：
Logie, C.;Gadalla, T. M.
与艾滋病毒相关的污名化可能会对艾滋病毒感染者的健康、生活质量、社会支持和福祉产生负面影响。以往的研究使用了不同的样本和大量的测量工具，以检查人口和健康相关的艾滋病毒相关的耻辱，强调了综合不同的研究结果，以获得更好地了解这些associations.This研究的重要性，探讨了艾滋病毒相关的耻辱和一系列的人口，社会，身体和健康特征之间的关系。进行了荟萃分析，以评估这些关系的总体强度和方向。对2000年1月至2007年11月期间在北美进行并发表在同行评审期刊上的24项PLHIV研究进行了审查，并将其结果整合。我们的综述揭示了研究人员测量参与者的HIV相关耻辱以及他们的身体，情感和心理健康的方式存在很大的差异。尽管存在这种变异性，但高耻辱感水平与低社会支持（r =-0.369，p < 0.0005）和身体健康状况差（r =-0.324，p < 0.005）始终存在显著相关。p < 0.0005），心理健康状况差（r =-0.402，p < 0.0005），年龄（-0.066，p < 0.05）和收入（-0.172，这些相关性为中等大小，与受艾滋病毒影响的个人和家庭一起工作的卫生和精神卫生专业人员可以从加强的了解与艾滋病毒有关的耻辱感的相关因素，这将为评估、干预和治疗计划提供信息。与艾滋病毒有关的耻辱感与身体健康之间的联系对艾滋病毒感染不同阶段的人的治疗、护理和支持具有潜在的影响。艾滋病服务组织也被鼓励将研究结果纳入艾滋病毒污名干预和社会支持计划。此外，艾滋病毒相关的耻辱量表应开发和验证，使未来的研究使用它们能够报告的结果是操作和概念上一致的。
HIV-related stigma may negatively impact the health, quality of life, social Support and well-being of people living with HIV (PLHIV). Previous Studies have used diverse samples and a multitude of measurement instruments to examine demographic and health correlates of HIV-related stigma, highlighting the importance of synthesizing findings across different studies to gain a better understanding of these associations.This study examined the relationships between HIV-related stigma and a range of demographic, social, physical and health characteristics. A meta-analysis was conducted to assess the overall strength and direction of these relationships. Twenty-four studies of PLHIV, conducted in North America and published in peer-reviewed journals between January of 2000 and November of 2007, were examined and their findings integrated. The heterogeneity of reported results was also assessed and examined.Our review revealed substantial variability in the ways researchers measure participants' HIV-related stigma as well as their physical, emotional and mental health. In spite of this variability, high stigma level was consistently and significantly associated with low social support (r = -0.369, p < 0.0005), poor physical health (r = -0.324, p < 0.005). p < 0.0005), poor mental health (r = -0.402, p < 0.0005), age (-0.066, p < 0.05) and income (-0.172, These correlations were of a medium size, which would be recognized by the individual in daily life.Health and mental health professionals working with individuals and families impacted by HIV could benefit from an enhanced understanding of correlates of HIV-related stigma, which will inform assessments, interventions and treatment plans. The association between HIV-related stigma and physical health has potential implications for treatment, care and support for people at different stages of HIV infection. AIDS Service-Organizations are also encouraged to integrate findings into HIV stigma interventions and social support programs. Additionally, HIV-related stigma scales should be developed and validated, so that future studies using them are able to report findings that are operationally and conceptually consistent.