Perspectives of HIV-related stigma in a community in Vietnam: A qualitative study
Perspectives of HIV-related stigma in a community in Vietnam: A qualitative study
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DOI：
10.1016/j.ijnurstu.2009.06.004
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发表时间：
2010-01-01
影响因子：
8.1
通讯作者：
Dung, Do V.
中科院分区：
文献类型：
--
作者：
Gaudine, Alice;Gien, Lan;Dung, Do V.
背景：虽然艾滋病毒/艾滋病在越南不断增加，但很少有已发表的研究关注越南与艾滋病毒相关的耻辱。本研究报告的调查结果从社区发展项目，以减少艾滋病毒相关的耻辱在一个community in Vietnam.Objectives and design：本定性研究的目的是描述艾滋病毒相关的耻辱从三个群体的角度在一个社区在越南：艾滋病毒感染者，他们的家庭成员，社区成员和领导人，包括卫生保健专业人员。来自一个大城市郊区的贫困工业区的58名个人参加了这项研究，并被要求描述与艾滋病毒有关的耻辱。对10名艾滋病毒感染者、1名艾滋病毒感染者的10名家庭成员、10名社区成员和5名社区领导人（包括卫生保健专业人员）进行了访谈。我们还进行了三个焦点小组，一个与艾滋病毒感染者（n = 8），一个与艾滋病毒感染者的家庭成员（n = 8），一个与社区领导人，包括卫生保健专业人员（n = 7）。感到羞耻和蔑视，行为不同，由于联想而产生的耻辱感，以及对传播的恐惧。这些维度的表现形式因每个群体而异。艾滋病毒感染者描述的与艾滋病毒有关的耻辱的四个主题是：被回避，经历愤怒和拒绝，被视为社会疾病，隐藏疾病。家庭成员描述的与艾滋病毒有关的耻辱感的七个主题是：邻居回避，被视为贫穷的父母，被卫生专业人员歧视，无意中听到关于艾滋病毒感染者的讨论，保守秘密，家庭经济困难，以及害怕感染艾滋病毒。四个主题的艾滋病毒相关的耻辱，包括卫生专业人员的社区成员和领导人所描述的是：耻辱作为一个公平的奖励，避免和回避的邻居，毁了家庭的声誉，并害怕感染艾滋病毒。结论：艾滋病毒相关的耻辱经历了以不同的方式由这些群体中的每一个，一个发现，应该有助于在越南制定文化敏感的战略，以减少艾滋病毒相关的耻辱。(C)2009爱思唯尔有限公司版权所有。
Background: While HIV/AIDS is increasing in Vietnam, very few published studies focus on HIV-related stigma in Vietnam. This study reports on findings from a community development project to reduce HIV-related stigma within one community in Vietnam.Objectives and design: The purpose of this qualitative study is to describe HIV-related stigma from the perspective of three groups within one community in Vietnam: people living with HIV, their family members, and community members and leaders, including health care professionals.Setting, participants and methods: Fifty-eight individuals from a poor, industrial district on the outskirts of a large city participated in the study and were asked to describe HIV-related stigma. Interviews were conducted with 10 people living with HIV, 10 family members of a person living with HIV, and 10 community members and 5 community leaders including health care professionals. We also conducted three focus groups, one with people living with HIV (n = 8), one with family members of people living with HIV (n = 8), and one with community leaders including health care professionals In = 7).Findings: Stigma across the three groups is characterized by four dimensions of HIV-related stigma: feeling shamed and scorned, behaving differently, stigma due to association, and fear of transmission. The manifestation of these dimensions differs for each group. Four themes of HIV-related stigma as described by people living with HIV are: being avoided, experiencing anger and rejection, being viewed as a social ill, and hiding the illness. Seven themes of HIV-related stigma as described by family members are: shunned by neighbors, viewed as poor parents, discriminated by health professionals, overhearing discussions about people with HIV, maintaining the secret, financial hardship for family, and fear of contracting HIV. Four themes of HIV-related stigma as described by community members and leaders including health professionals are: stigma as a fair reward, avoidance and shunning by neighbors, ruined family reputation, and fear of contracting HIV.Conclusions: HIV-related stigma is experienced in a different manner by each of these groups, a finding that should help in developing culturally sensitive strategies to reduce HIV-related stigma in Vietnam. (C) 2009 Elsevier Ltd. All rights reserved.