School of Nursing, University of Missouri-Kansas City, Kansas City, MO 64108, USA.
J Immigr Minor Health. 2010 Dec;12(6):932-9. doi: 10.1007/s10903-010-9346-4.
This qualitative study was conducted to better understand the health needs and concerns of immigrant HIV-infected Latinas residing in the Midwest United States. Individual interviews (n = 18) were conducted in Spanish with Latinas in Kansas, Oklahoma and Missouri. Women were at different stages of acceptance about their HIV diagnosis and four common themes emerged from the data: pregnancy as a death sentence, HIV is taboo, God as their only resource, and living in isolation. Silence was an over-arching theme present throughout all the narratives and many women had never shared their stories about HIV with anyone. Depressive symptoms and suicidal ideation were common. These findings have implications for strategies to address the HIV prevention and HIV-related healthcare needs of this population of women. Results from this study further suggest that efforts are needed to break the silence surrounding HIV and to reduce HIV-related stigma in smaller Midwestern Hispanic communities.
本定性研究旨在深入了解居住在美国中西部的感染艾滋病毒的拉丁裔移民的健康需求和关注点。研究人员在堪萨斯州、俄克拉荷马州和密苏里州用西班牙语对拉丁裔妇女进行了个体访谈（n=18）。这些女性对自身艾滋病毒诊断的接受程度各不相同，研究结果中出现了四个共同的主题：怀孕即死刑、艾滋病毒是禁忌、上帝是她们唯一的资源、以及孤立生活。沉默是贯穿所有叙述的一个首要主题，许多女性从未与任何人分享过自己的艾滋病毒相关故事。抑郁症状和自杀意念很常见。这些发现对制定策略以满足这一女性群体的艾滋病毒预防和艾滋病毒相关医疗保健需求具有重要意义。本研究的结果进一步表明，需要努力打破围绕艾滋病毒的沉默，并减少在中西部较小的西班牙裔社区中的艾滋病毒相关污名化。
