Perceived AIDS Stigma: A Multinational African Study

描述（由申请人提供）：艾滋病的耻辱和歧视继续影响着艾滋病毒感染者和受其影响的人及其保健提供者，特别是在艾滋病负担如此沉重的南部非洲。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，否则这种疾病将无法被战胜。提出了一个为期五年的合作项目，将南部非洲艾滋病护士和助产士网络（SANNAM）的五个成员国（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旧金山分校的护理学院联系起来。目的是：1)开发和验证两种语言和文化上适当的措施，以感知艾滋病毒/艾滋病耻辱适合艾滋病毒感染者/艾滋病患者和护士；2)探索随着时间的推移，耻辱感、医疗保健质量和艾滋病毒/艾滋病感染者生活质量之间以及耻辱感、工作生活质量和护士生活质量之间的潜在关系；3)利用基于社区的参与式研究方法，在社区层面对5个国家级护士协会进行干预，并追踪社区层面的事件对这些协会护士成员的耻辱感的影响。旨在开发和验证新仪器的心理测量策略被提出用于目标1。两个模型将在Aim 2中使用协变方程分析的重复测量设计进行检查。目标3提出了一个准实验设计，以测试国家护士协会对其护士成员的社区一级减少耻辱干预的影响。

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.