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The Effects of HIV/AIDS Stigma on Use of Services by Pregnant Women in Kenya

艾滋病毒/艾滋病耻辱对肯尼亚孕妇使用服务的影响

基本信息

批准号：
8308201
负责人：
Janet M Turan
金额：
$ 16.81万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-08-15 至 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8308201
关键词：
AIDS prevention AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Adult Adverse effects Affect Africa Africa South of the Sahara African Award Caring Centers for Disease Control and Prevention (U.S.)Collaborations Communities Country Data Depreciation Discrimination Education Family Fright Funding Goals HIV HIV Infections HIV Seropositivity Health Health Services Health care facility Human immunodeficiency virus test Individual Infant Intervention Interview Kenya Life Light Literature Maternal Health Maternal Mortality Measures Medical Records Medical Research Mental Health Mentored Research Scientist Development Award Mentorship Perception Persons Pilot Projects Postpartum Period Pregnancy Pregnant Women Prospective Studies Province Public Health Qualitative Research Randomized Reproductive Health Research Research Methodology Research Personnel Research Training Resources Risk Role Services Social Sciences Statistical Methods Stigmata Structure Testing Training Programs Vertical Disease Transmission Woman Work arm base care delivery career child bearing design effective intervention experience improved physical conditioning pregnant response social stigma therapy development uptake

项目摘要

DESCRIPTION (provided by applicant): My career goal is to conduct research that contributes to improvements in maternal health in low-resource settings through reduction of the adverse effects of HIV/AIDS on the physical and mental health of pregnant and childbearing women. For this K01 Award, I am proposing research and training on the role of HIV/AIDS stigma as a barrier to utilization of essential maternity and HIV services by pregnant women in Africa. This award will facilitate my transition from a background in maternal and reproductive health, to an independent investigator focusing on HIV/AIDS stigma and its effects on maternal health in Africa. My goals are to gain expertise in social science approaches to the study of stigma, advanced statistical methods for analyzing longitudinal and clustered data, the cultural context of HIV/AIDS in Africa, and intervention development. I propose to conduct a prospective study in Kenya using structured interviews and data from medical records, as well as a qualitative study using in-depth interviews. The aims are: 1) to identify the effects of anticipated stigma and perceived community stigma on acceptance of HIV testing among pregnant women who use ANC services, 2) to prospectively investigate the effects of anticipated stigma and perceived community stigma on pregnant women's subsequent use of ANC, delivery, and postpartum services, 3) to investigate whether stigma can shed light on the mechanisms through which ANC and HIV service integration may affect HIV-positive pregnant women's use of maternity and HIV services, and 4) to use qualitative research methods to elucidate the role of HIV/AIDS stigma as a barrier to health service use among women in the community who do not use facility-based maternity services. My research will be conducted in conjunction with a CDC-funded study to be carried out by the Kenya Medical Research Insititute-UCSF Collaborative Group and will take advantage of the resources of that larger study. The proposed program of training and research will prepare me to design and test an intervention for reducing HIV/AIDS stigma and discrimination experienced by pregnant women in Kenya. This research will contribute to public health efforts to improve the health of pregnant women in low-resource settings. HIV/AIDS stigma may constitute an important barrier to pregnant women's use of health services and efforts to understand and reduce HIV/AIDS stigma will have important implications for HIV prevention and treatment, as well as for maternal health and mortality.

描述（由申请人提供）：我的职业目标是开展研究，通过减少艾滋病毒/艾滋病对孕妇和育龄妇女身心健康的不利影响，有助于改善资源匮乏地区的孕产妇健康。对于这个 K01 奖，我建议对艾滋病毒/艾滋病耻辱作为非洲孕妇利用基本孕产和艾滋病毒服务的障碍的作用进行研究和培训。该奖项将有助于我从孕产妇和生殖健康背景转变为专注于艾滋病毒/艾滋病耻辱及其对非洲孕产妇健康影响的独立调查员。我的目标是获得研究耻辱的社会科学方法、分析纵向和聚类数据的先进统计方法、非洲艾滋病毒/艾滋病的文化背景以及干预措施的专业知识。我建议在肯尼亚使用结构化访谈和医疗记录数据进行前瞻性研究，以及使用深度访谈进行定性研究。目的是：1) 确定预期耻辱和感知的社区耻辱对使用 ANC 服务的孕妇接受 HIV 检测的影响，2) 前瞻性调查预期耻辱和感知的社区耻辱对孕妇随后使用 ANC、分娩和产后服务的影响，3) 调查耻辱是否可以揭示 ANC 和 HIV 服务整合可能影响 HIV 阳性孕妇的机制妇女使用产妇和艾滋病毒服务的情况，以及 4) 使用定性研究方法来阐明艾滋病毒/艾滋病耻辱感作为社区中不使用设施产妇服务的妇女使用卫生服务的障碍的作用。我的研究将与疾病预防控制中心资助的一项由肯尼亚医学研究所-加州大学旧金山分校合作小组进行的研究一起进行，并将利用该更大研究的资源。拟议的培训和研究计划将使我做好准备，设计和测试一项干预措施，以减少肯尼亚孕妇遭受的艾滋病毒/艾滋病耻辱和歧视。这项研究将有助于公共卫生努力，改善资源匮乏地区孕妇的健康。艾滋病毒/艾滋病的耻辱感可能构成孕妇利用卫生服务的重要障碍，了解和减少艾滋病毒/艾滋病耻辱感的努力将对艾滋病毒的预防和治疗以及孕产妇健康和死亡率产生重要影响。

项目成果

期刊论文数量（20）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The study of HIV and antenatal care integration in pregnancy in Kenya: design, methods, and baseline results of a cluster-randomized controlled trial.

DOI：
10.1371/journal.pone.0044181
发表时间：
2012
期刊：
PloS one
影响因子：
3.7
作者：
Turan JM;Steinfeld RL;Onono M;Bukusi EA;Woods M;Shade SB;Washington S;Marima R;Penner J;Ackers ML;Mbori-Ngacha D;Cohen CR
通讯作者：
Cohen CR

Factors associated with pregnant women's anticipations and experiences of HIV-related stigma in rural Kenya.

DOI：
10.1080/09540121.2012.699669
发表时间：
2012
期刊：
AIDS care
影响因子：
1.7
作者：
Cuca YP;Onono M;Bukusi E;Turan JM
通讯作者：
Turan JM

HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: results from the MAMAS Study.

DOI：
10.1007/s10461-010-9798-5
发表时间：
2011-08
期刊：
AIDS AND BEHAVIOR
影响因子：
4.4
作者：
Turan, Janet M.;Bukusi, Elizabeth A.;Onono, Maricianah;Holzemer, William L.;Miller, Suellen;Cohen, Craig R.
通讯作者：
Cohen, Craig R.

Use of personal digital assistants for data collection in a multi-site AIDS stigma study in rural south Nyanza, Kenya.

在肯尼亚尼安萨南部农村地区的多地点艾滋病耻辱研究中使用个人数字助理进行数据收集。