Stigma reduction interventions in people living with HIV to improve health-related quality of life
Stigma reduction interventions in people living with HIV to improve health-related quality of life
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DOI：
10.1016/s2352-3018(19)30343-1
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发表时间：
2020-02-01
期刊：
影响因子：
16.1
通讯作者：
Ekstrom, Anna Mia
中科院分区：
文献类型：
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作者：
Andersson, Galit Zeluf;Reinius, Maria;Ekstrom, Anna Mia
随着艾滋病规划署为艾滋病毒感染者制定的90-90-90目标在许多情况下越来越多地得到实现，与健康有关的生活质量，即所谓的第四个90，值得特别关注。尽管艾滋病毒护理在临床和病毒学方面取得了令人印象深刻的进展，但与艾滋病毒有关的污名化和歧视是影响与健康有关的总体生活质量的主要障碍。缺乏设计良好的干预研究，记录艾滋病毒感染者减少耻辱感的情况，也很少有研究专门评估耻辱感对健康相关生活质量的影响。此外，很少有干预措施针对艾滋病毒专门护理以外的提供者的歧视，或让艾滋病毒感染者参与设计和执行。最后，在几个代表性不足的关键人群和地理区域减少耻辱化的方法的证据是不够的，交叉耻辱化的研究（即多重耻辱化的身份的融合）需要进一步关注。
As the UNAIDS 90-90-90 targets for people living with HIV are increasingly being reached in many contexts, health-related quality of life, the so-called fourth 90, warrants special attention. HIV-related stigma and discrimination are major barriers for overall health-related quality of life despite impressive clinical and virological improvements in HIV care. There is a scarcity of well designed intervention studies that document stigma reduction in people living with HIV and few studies that specifically assess the effect of stigma on health-related quality of life. Further, few interventions target discrimination from providers outside of HIV-specific care or involve people living with HIV in both the design and implementation. Lastly, evidence on methods to reduce stigma in several underepresented key populations and geographical regions is insufficient and research on intersectional stigma (ie, the convergence of multiple stigmatised identities) needs further attention.