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中国山西农村地区与艾滋病毒/艾滋病相关的歧视

HIV/AIDS-related discrimination in Shanxi rural areas of China.

作者信息

Yang Yi, Zhang Kong-Lai

机构信息

Department of Epidemiology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, China.

出版信息

Biomed Environ Sci. 2004 Dec;17(4):410-7.

Abstract

OBJECTIVE

In order to explore the features of discrimination against people with HIV/AIDS in rural areas, a community-based intervention was carried out in two pilot communities of X County of Shanxi Province from September 2002 to October 2003.

METHODS

Data were collected using qualitative methods (in-depth interview and focus group discussion) and anonymously structured questionnaires.

RESULTS

(1) Severe discrimination against people infected with HIV/AIDS was revealed in the target communities. However, the response to HIV/AIDS was different in each community. (2) People were reluctant to disclose their HIV status or get tested for HIV, which endangered their sexual partners to contract HIV through unprotected sexual intercourses. (3) Attitudes towards people infected with HIV/AIDS varied. (4) Public education promoted a better understanding of HIV/AIDS which in turn improved community attitudes and behaviors towards people with HIV/AIDS.

CONCLUSION

HIV/AIDS-related discrimination undermines both individuals' and communities' responses to HIV/AIDS and may be a serious obstacle towards effective HIV/AIDS prevention and control.

摘要

目的

为探讨农村地区对艾滋病毒/艾滋病感染者的歧视特征,2002年9月至2003年10月在山西省X县的两个试点社区开展了一项基于社区的干预措施。

方法

采用定性方法(深入访谈和焦点小组讨论)以及匿名结构化问卷收集数据。

结果

(1)目标社区中存在对艾滋病毒/艾滋病感染者的严重歧视。然而,每个社区对艾滋病毒/艾滋病的反应有所不同。(2)人们不愿透露自己的艾滋病毒感染状况或接受艾滋病毒检测,这使他们的性伴侣通过无保护性行为感染艾滋病毒的风险增加。(3)对艾滋病毒/艾滋病感染者的态度各不相同。(4)公众教育促进了对艾滋病毒/艾滋病的更好理解,进而改善了社区对艾滋病毒/艾滋病感染者的态度和行为。

结论

与艾滋病毒/艾滋病相关的歧视会破坏个人和社区对艾滋病毒/艾滋病的应对,可能成为有效预防和控制艾滋病毒/艾滋病的严重障碍。

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