Battling Stigma for Service Engagement among Women with HIV in Vietnam

越南艾滋病毒感染者与参与服务的耻辱作斗争

• 批准号: 10488655
• 负责人: Chunqing Lin
• 金额: $ 16.81万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-17 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10488655
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Affect; Asian; Behavior Therapy; Behavioral; Biological; California; Caring; Cognitive; Communities; Country; Data; Discrimination; Drug usage; Economics; Emotional; Epidemic; Feedback; Female; Focus Groups; Future; Gender; Gender Role; HIV; HIV Infections; HIV risk; Health; Health Services; Health Services Research; Healthcare; Hybrids; Individual; Inequality; Inferior; Intervention; Intervention Studies; Intervention Trial; Interview; Label; Lead; Life; Light; Los Angeles; Measures; Medical; Mental Health; Mental Health Services; Modeling; Motivation; Nature; Neighborhood Health Center; Outcome; Outcome Measure; Participant; Patient-Focused Outcomes; Patients; Persons; Phase; Pilot Projects; Plant Roots; Process; Research; Research Activity; Research Personnel; Self Administration; Self Efficacy; Series; Services; Shame; Social support; Societies; Southeastern Asia; Stereotyping; Stigmatization; Substance abuse problem; Support Groups; Support System; Targeted Research; Testing; Training; Training Programs; Universities; Ursidae Family; Vietnam; Woman; Work; behavioral health; behavioral response; combat; data format; empowerment; experience; gender disparity; health care service; high risk; improved; internalized stigma; male; men; methadone treatment; methamphetamine use; online delivery; online intervention; pilot test; research study; resilience; response; service engagement; service providers; sex; skills; social; social culture; social stigma; therapy development; virtual

ABSTRACT Women living with HIV/AIDS (WLHA) bear a higher level of stigma because of their socio-cultural vulnerabilities. Women are more likely to internalize social stigma and produce a sense of shame and loss of self-worth, which results in a delay in health service seeking and compromised health outcomes. In Vietnam, stigma towards WLHA is exacerbated by the deeply rooted female inferiority culture. However, research targeting WLHA is generally lacking. We propose this study to address stigma among WLHA and explore the use of virtual support system in WLHA's service engagement in Vietnam. The 2-year study will proceed in two phases in Hanoi, Vietnam. Phase 1 will be formative studies, including in-depth interviews with 30 WLHA and focus groups with 20 service providers and community stakeholders. This phase aims to investigate the cultural and contextual background of HIV and gender roles in Vietnam and to identify effective strategies to support and engage WLHA in healthcare. These formative findings will inform the development of an intervention to be pilot tested in the next phase. Phase 2 will be a 6-month intervention pilot with 90 WLHA using an online/offline hybrid approach. During Month 1 of the pilot, WLHA will participate in an in-person section to form mutual support groups and prepare for the following online components. During Month 2-4 of the pilot, study investigators will teach WLHA a series of empowerment strategies to cope with stigma and utilize social support to seek healthcare services. These skills will be taught via interactive online group activities. During Month 4-6, WLHA will self-administer the online groups without the intervention of study investigators. WLHA's multidimensional stigma measures, mental health burdens, and service use self- efficacy will be assessed at baseline, month 4, and month 6. Progress data of the intervention will be documented to inform the feasibility and sustainability of the online support approach. Acceptability data and feedback will be collected from the WLHA participants upon completion of the 6-month pilot period.

摘要 感染艾滋病毒/艾滋病的妇女由于其社会文化背景， 漏洞女性更容易将社会耻辱感内化，产生羞耻感和丧失自我的感觉。 自我价值，这导致医疗服务寻求的延迟和健康结果的损害。在越南， 根深蒂固的女性自卑文化加剧了对WLHA的污名化。然而研究 普遍缺乏对WLHA的针对性。我们建议这项研究解决WLHA中的污名问题，并探讨 在WLHA在越南的服务中使用虚拟支持系统。这项为期两年的研究将在两年内进行。 在越南的河内。第一阶段将是形成性研究，包括与30名WLHA进行深入访谈， 与20个服务提供者和社区利益攸关方的焦点小组。本阶段旨在调查 越南艾滋病毒和性别角色的文化和背景背景，并确定有效的战略， 支持和参与WLHA在医疗保健方面的工作。这些形成性的发现将为发展一个 将在下一阶段进行试点测试。第2阶段将是为期6个月的干预试点，有90个WLHA 使用在线/离线混合方法。在试点的第一个月，WLHA将亲自参加 部分组成相互支持小组并为以下在线组件做准备。在第2-4个月期间， 试点研究调查人员将向WLHA传授一系列赋权策略，以科普耻辱， 利用社会支持寻求医疗服务。这些技能将通过互动在线小组教授 活动在第4-6个月期间，WLHA将自行管理在线组，不受研究干预 investigators. WLHA的多维污名措施，心理健康负担，和服务使用自我， 将在基线、第4个月和第6个月评估疗效。干预的进展数据将是 记录在线支持方法的可行性和可持续性。可接受性数据和 在六个月的试验期结束后，我们会向参加者收集意见。