Perceived AIDS Stigma: A Multinational African Study

描述(申请人提供)：艾滋病污名和歧视继续影响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。南非的许多医护人员得出的结论是，除非战胜耻辱，否则疾病不会被战胜。提议开展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旧金山分校的护理学院联系起来。其目的是：1)制定和验证两种在语言和文化上适用于艾滋病毒/艾滋病患者和护士的可感知的艾滋病毒/艾滋病污名的措施；2)探索随着时间的推移，艾滋病毒/艾滋病患者的污名、保健质量和生活质量之间的潜在关系，以及护士的污名、工作生活质量和生活质量之间的关系；3)利用基于社区的参与性研究方法，在社区一级与五个国家护士协会进行干预，并跟踪社区一级事件对这些协会护士成员所受污名的影响。为目标1提出了设计开发和验证新工具的心理测量学策略。目标2将检验两个模型，采用协变方程分析的重复测量设计。目的3提出了一种准实验设计，以测试国家护士协会内社区层面减少污名干预对其护士成员的影响。

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.