Nattabi Barbara, Li Jianghong, Thompson Sandra C, Orach Christopher G, Earnest Jaya
Centre for International Health and Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
AIDS Educ Prev. 2011 Jun;23(3):193-205. doi: 10.1521/aeap.2011.23.3.193.
HIV-related stigma continues to persist in several African countries including Uganda. This study quantified the burden of stigma and examined factors associated with stigma among 476 people living with HIV (PLHTV) in Gulu, northern Uganda. Data were collected between February and May 2009 using the HIV/AIDS Stigma Instrument-PLWA. Females more than males, respondents aged above 30 years, and those who had been on antiretroviral therapy for a longer time experienced higher levels of stigma. Verbal abuse and negative self-perception were more common forms of stigma. The association between antiretroviral therapy and stigma suggested that organizational aspects of antiretroviral delivery may lead to stigmatization of PLHIV. Interventions such as counseling of PLHIV, education of health workers and the community would lead to reductions in negative self-perception and verbal abuse and in turn improve the quality of life for PLHIV in northern Uganda.
包括乌干达在内的几个非洲国家，与艾滋病相关的污名化现象依然存在。本研究对污名化负担进行了量化，并调查了乌干达北部古卢地区476名艾滋病毒感染者（PLHTV）中与污名化相关的因素。2009年2月至5月期间，使用《艾滋病毒/艾滋病污名化量表-艾滋病毒感染者》收集数据。女性比男性、30岁以上的受访者以及接受抗逆转录病毒治疗时间较长的人经历的污名化程度更高。言语辱骂和负面自我认知是更常见的污名化形式。抗逆转录病毒治疗与污名化之间的关联表明，抗逆转录病毒治疗的组织层面可能导致艾滋病毒感染者受到污名化。为艾滋病毒感染者提供咨询、对卫生工作者和社区进行教育等干预措施将减少负面自我认知和言语辱骂，进而改善乌干达北部艾滋病毒感染者的生活质量。
