Global Health Sciences, University of California, San Francisco, CA, USA.
AIDS Behav. 2009 Dec;13(6):1197-204. doi: 10.1007/s10461-008-9501-2. Epub 2008 Dec 16.
Pregnant and postpartum women with HIV often face stigma and discrimination at home and in the community. In Vietnam, associations between HIV and the "social evils" of drug use and sex work contribute to stigmatization of people with HIV. We conducted a qualitative study to explore discrimination experienced by HIV-positive pregnant and postpartum women in Ho Chi Minh City at home and in the community. We conducted 20 in-depth interviews and two focus group discussions. Participants described managing disclosure of their HIV infection because of fear of stigma and discrimination, particularly to the wider community. In cases where their HIV status was disclosed, women experienced both discrimination and support. The findings highlight the need for targeted interventions to support pregnant and postpartum women with HIV, particularly during this period when they are connected to the healthcare system and more readily available for counseling.
HIV 阳性的孕妇和产后妇女在家中和社区经常面临污名和歧视。在越南,艾滋病毒与吸毒和性工作等“社会恶习”之间的关联导致人们对艾滋病毒感染者产生污名化。我们进行了一项定性研究,以探讨胡志明市 HIV 阳性孕妇和产后妇女在家中和社区中所经历的歧视。我们进行了 20 次深入访谈和两次焦点小组讨论。参与者描述了他们因担心污名化和歧视而管理其艾滋病毒感染的披露,尤其是向更广泛的社区披露。在其艾滋病毒状况被披露的情况下,妇女经历了歧视和支持。研究结果强调需要采取有针对性的干预措施来支持 HIV 阳性孕妇和产后妇女,特别是在她们与医疗保健系统联系更紧密且更容易获得咨询的这段时期。