Perceived AIDS Stigma: A Multinational African Study

艾滋病耻辱感：一项非洲跨国研究

• 批准号: 6684553
• 负责人: WILLIAM L HOLZEMER
• 金额: $ 57.79万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6684553
• 关键词: AIDS education /prevention; Africa; HIV infections; behavioral /social science research tag; clinical research; community health services; health care quality; human subject; interview; longitudinal human study; method development; nurse patient relations; nurses; prejudice; psychometrics; psychosocial separation; quality of life; social group process

DESCRIPTION (provided by applicant): AIDS stigma and discrimination continue to impact those living with and affected by HIV disease and their health care providers, particularly in Southern Africa where the burden of the AIDS is so significant. Many health care workers in South Africa have come to the conclusion that unless stigma is conquered, the illness will not be defeated. A five-year collaboration project is proposed linking five country members (Lesotho, Malawi, South Africa, Swaziland, and Tanzania) of the Southern African AIDS Network of Nurses and Midwives (SANNAM) with the Schools of Nursing at the University of Natal and the University of California, San Francisco. The aims are: 1) to develop and validate two linguistically and culturally appropriate measures of perceived HIV/AIDS stigma appropriate for persons living with HIV/AIDS and nurses; 2) To explore potential relationships, over time, among stigma, quality of health care, and quality of life for persons living with HIV/AIDS and among stigma, quality of work life, and quality of life for nurses; and, 3) To utilize community-based participatory research methods to intervene at a community level with five national nurses association and to track the impact of the community-level events on the perceived stigma of nurse members of those associations. Psychometric strategies designed to develop and validate new instruments are proposed for Aim 1. Two models will be examined in Aim 2 with a repeated measures design using covariant equation analysis. Aim 3 proposes a quasi-experimental design to test the impact of community-level stigma reducing interventions within national nurses associations on its nurse members.

描述（由申请人提供）：艾滋病的耻辱和歧视继续影响那些生活和受艾滋病毒疾病及其卫生保健提供者，特别是在南部非洲，艾滋病的负担是如此之大。南非的许多卫生保健工作者得出的结论是，除非克服耻辱感，否则这种疾病就不会被击败。一个为期五年的合作项目，建议将南部非洲护士和助产士艾滋病网络（SANNAM）的五个国家成员（莱索托、马拉维、南非、斯威士兰和坦桑尼亚）与纳塔尔大学和加州大学弗朗西斯科分校的护理学院联系起来。其目标是：1）制定并验证两种语言和文化上适当的措施，以适应艾滋病毒/艾滋病患者和护士的艾滋病毒/艾滋病耻辱感; 2）探索随着时间的推移，艾滋病毒/艾滋病患者的耻辱感、医疗保健质量和生活质量之间以及护士的耻辱感、工作生活质量和生活质量之间的潜在关系;采用社区参与式研究方法，在社区层面对5个全国性护士协会进行干预，追踪社区层面事件对这些协会护士成员感知污名的影响。为目标1提出了旨在开发和验证新工具的心理测量策略。在目标2中，将使用协变方程分析的重复测量设计检查两个模型。目标3提出了一个准实验设计，以测试国家护士协会内的护士成员社区一级的耻辱减少干预措施的影响。