Exploring AIDS related stigma in Puerto Rico

描述(申请人提供)：艾滋病毒/艾滋病疫情是一种 多重挑战，如预防、受影响人民的工作条件、 获得治疗，为受影响的人提供医疗保险，心理 服务和人权保护。这些挑战嵌入了另一个 一种与生物性流行病共存的流行病，即流行病 耻辱。换句话说，负面意义和归因与 疾病本身或与之生活在一起的人。耻辱的有害影响 包括人际关系的恶化，表现为 负面情绪，避免艾滋病毒检测，体验压力，以及 政府官员制定惩罚性政策。艾滋病相关污名 也有负面的心理影响，包括：焦虑，抑郁， 工会，失去社会支持，孤立，家庭动力中断， 身体和精神暴力以及生产关系的恶化 与身心健康相关的专业人士。这些污名化 对艾滋病毒/艾滋病患者的态度已被记录在案。 一般的社会。尤其令人担忧的是，它们在健康中的存在 服务提供商。考虑到这些专业人员所扮演的重要角色 在受这一流行病影响的人的生活中，重要的是解决 他们中与艾滋病相关的耻辱。尽管如此，很少有人对此进行研究 了解拉丁裔/AS中与艾滋病相关的污名，或制定干预措施 减少卫生专业人员的耻辱。 这项建议的目的是探讨：a)污名化的经验 波多黎各艾滋病毒/艾滋病感染者人数减少，b)艾滋病毒/艾滋病的负面后果 这种污名化，以及c)人们处理这些问题的方式。使用 该信息将用于开发和实施干预模块 与艾滋病毒/艾滋病有关的保健服务专业人员抽样，目的是：a) 提高他们对艾滋病的存在和后果的认识 对艾滋病毒/艾滋病感染者的耻辱，b)向他们提供帮助的技能 艾滋病毒/艾滋病患者应对被羞辱的影响，以及c) 减少他们自己对艾滋病毒/艾滋病患者的耻辱。 由于这项研究的探索性，它在波多黎各的新颖性 背景，以及艾滋病相关耻辱研究人员之前的建议 提出了定性的方法。初步的研究问题将会被探讨。 通过实施深度访谈。这些都将被执行 通过注射毒品感染的血清阳性者(n=30)，异性恋 接触，和同性恋接触，从而收集关于不同的信息 将人们通过最常见的感染方式感染的情况污名化 在波多黎各已经经历了感染。之后，干预模块 将制定、实施和实施卫生服务提供者(n=25) 已评估。

DESCRIPTION (Provided by applicant): The HIV/AIDS epidemic is one that poses multiple challenges such as prevention, working conditions for affected people, access to treatment, medical insurance for those affected, psychological services, and human rights protection. These challenges are embedded in another type of epidemic, which co-exists with the biological one; that is an epidemic of stigma. In other words, negative meanings and attributions are linked to the disease itself or to people living with it. Detrimental effects of stigma includes the deterioration of interpersonal relations, the manifestation of negative emotions, avoidance of HIV testing, experimenting stress, and the development of punitive policies by government officials. AIDS related stigma also has negative psychological effect which include: anxiety, depression, guild, loss of social support, isolation, disruption of family dynamics, physical and emotional violence, and the deterioration of productive relations with physical and mental health related professionals. These stigmatizing attitudes towards people living with HIV/AIDS have been documented amongst society in general. Particularly alarming is their existence among health service providers. Considering the important role that these professionals play in the lives of those affected by this epidemic, it is important to address AIDS related stigma among them. Still, little research has been carried out to understand AIDS related stigma among Latinos/as or to develop interventions for stigma reduction among health professionals. The objective of this proposal is to explore: a) the stigmatizing experiences of people living with HIV/AIDS in Puerto Rico, b) the negative consequences of this stigmatization, and c) the manner in which people cope with them. With this information an intervention module will be developed and implemented with a sample of HIV/AIDS related health services professionals with the aim of: a) raising their awareness of the existence and consequences of AIDS related stigma on people living with HIV/AIDS, b) providing them with skills to help people living with HIV/AIDS manage the effects of feeling stigmatized, and c) reducing their own stigma towards people living with HIV/AIDS. Due to the exploratory nature of this research, its novelty in the Puerto Rican context, and previous recommendations by AIDS related stigma researchers a qualitative method is proposed. The initial research question will be explored through the implementation of in-depth interviews. These will be carried out with seropositive people (n=30) infected via drug injection, heterosexual contact, and homosexual contact so as to gather information on the different stigmatizing situations that people infected through the most common means of infection in Puerto Rico have experienced. Afterwards, an intervention module of health services providers (n=25) will be developed, implemented and evaluated.