Moore A R, Williamson D A
Department of Sociology, University of North Texas, Denton 76203, USA.
AIDS Care. 2003 Oct;15(5):615-27. doi: 10.1080/09540120310001595104.
This paper used accounts of professional caregivers to HIV/AIDS patients in Lomé, Togo, West Africa to explore the impacts of cultural, institutional and socio-economic factors in the fight against HIV/AIDS. Thirteen health professionals and 17 non-health professionals who work with people living with HIV/AIDS were interviewed in June and July 2002 in Lomé, Togo. The study found that, in Togo there are some cultural, socio-economic and institutional practices that put Togolese at risk of contracting HIV and complicate the care of those who become infected. People with HIV/AIDS face socio-economic, emotional and psychological battles as they attempt to deal with their physical health and the social reactions to such a stigmatizing disease. Thus, in order to contain the spread of HIV/AIDS, people living with HIV/AIDS, family caregivers, traditional healers as well as the public must be educated about the importance of preventing the disease and how each group can help achieve success in its control. Interventions in prevention and care should be designed with an awareness of these structural factors that contribute to the spread of AIDS and compromise the quality of care given to those who become infected.
本文利用西非多哥洛美地区专业护理人员对艾滋病毒/艾滋病患者的护理记录，探讨文化、制度和社会经济因素在抗击艾滋病毒/艾滋病斗争中的影响。2002年6月和7月，在多哥洛美对13名从事艾滋病毒/艾滋病患者护理工作的卫生专业人员和17名非卫生专业人员进行了访谈。研究发现，在多哥，一些文化、社会经济和制度习俗使多哥人面临感染艾滋病毒的风险，并使感染者的护理变得复杂。艾滋病毒/艾滋病患者在试图应对自身身体健康以及社会对这种污名化疾病的反应时，面临着社会经济、情感和心理方面的挑战。因此，为了遏制艾滋病毒/艾滋病的传播，必须对艾滋病毒/艾滋病患者、家庭护理人员、传统治疗师以及公众进行教育，使其了解预防该疾病的重要性以及每个群体如何能够帮助实现控制疾病的成功。在设计预防和护理干预措施时，应认识到这些导致艾滋病传播并损害对感染者护理质量的结构因素。
