Department of Preventive Medicine and Department of Psychiatry and Behavioral Medicine, College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, Florida 33314, USA.
Soc Work Health Care. 2010;49(1):68-89. doi: 10.1080/00981380903018140.
HIV-related stigma has been identified as a barrier to HIV testing and prevention efforts internationally and nationally. Although the prevalence of HIV/AIDS is rapidly increasing in women aged 50 and older, little is known about the HIV-stigmatizing behaviors in this underserved population. In this exploratory analysis we investigated the influence of self esteem, sensation seeking, self silencing, and sexual assertiveness on the HIV-stigmatizing behaviors in 572 women aged 50 to 93. The variables considered in this analysis included subscales for the variables self silencing (Externalized Self Perception, Care as Self Sacrifice, Silencing the Self, Divided Self) and sexual assertiveness (Information Communication, Initiation, Refusal). Contributing predictive variables in the final model included: Self esteem (beta = -.190, t = -4.487, p = .000), Care as Self-Sacrifice (beta = .125, t = 2.714, p = .007), and Silencing the Self (beta = .164, t = 3.290, p = .001). Initiation (beta = .108, t = -2.619, p = .009) and Refusal (beta = -.091, t = -2.154, p = .032). Implications for social work and health perception regarding HIV prevention in midlife and older women are considered. Development of age- and gender-appropriate strategies assisting women in addressing HIV-stigma and related influences are addressed.
艾滋病毒相关污名被认为是国际和国家艾滋病毒检测和预防工作的障碍。尽管 50 岁及以上妇女艾滋病毒/艾滋病的流行率迅速上升，但对这一服务不足人群的艾滋病毒污名化行为知之甚少。在这项探索性分析中，我们调查了自尊、感觉寻求、自我沉默和性自信对 572 名 50 至 93 岁女性的艾滋病毒污名化行为的影响。本分析中考虑的变量包括自我沉默（外化自我认知、关爱即自我牺牲、自我沉默、分裂自我）和性自信（信息沟通、发起、拒绝）的子量表。最终模型中的预测变量包括：自尊（β=-.190，t=-4.487，p=0.000）、关爱即自我牺牲（β=0.125，t=2.714，p=0.007）和自我沉默（β=0.164，t=3.290，p=0.001）。发起（β=0.108，t=-2.619，p=0.009）和拒绝（β=-0.091，t=-2.154，p=0.032）。考虑了关于中年和老年妇女艾滋病毒预防的社会工作和健康认知的影响。讨论了制定适合年龄和性别的策略，以帮助妇女解决艾滋病毒污名化和相关影响的问题。
