波多黎各一群艾滋病毒感染者的感知耻辱水平。
Levels of felt stigma among a group of people with HIV in Puerto Rico.
作者信息
Jiméez Julio, Morales Marangelie, Castro Eida, Puig Marieva, Vélez Carmen N, Santiago Lydia, Zorrilla Carmen
机构信息
Department of Psychology, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico.
出版信息
P R Health Sci J. 2012 Jun;31(2):64-70.
OBJECTIVE
HIV felt stigma is a major problem needing to be addressed because of its association with poor treatment adherence, decreases in help-seeking behaviors, high-risk sexual conduct, emotional discomfort, and the reduction of well-being in people with HIV/AIDS (PWHA). The aim of this study was to identify the frequency of felt stigma among PWHA in Puerto Rico.
METHODS
A cross-sectional study was conducted with 249 subjects (59% men, 41% women). Participants completed the Puerto Rico Comprehensive Center for HIV Disparities (PR-CCHD) Sociodemographic Questionnaire and the HIV Felt Sigma Scale.
RESULTS
80% of the subjects showed some level of felt stigma. Women showed significantly higher levels of HIV-related felt stigma than did men. Disclosure, negative self-image, and public attitude scores were also higher in women than in men. Sociodemographic variables such as age, marital status, employment status, income, and educational level showed significant associations with felt stigma and its dimensions.
CONCLUSION
Results of this study evidence the need to develop culturally sensitive intervention models to reduce the felt-stigma burden in PWHA.
目的
由于感知到的艾滋病耻辱感与治疗依从性差、寻求帮助行为减少、高危性行为、情绪不适以及艾滋病毒/艾滋病感染者（PWHA）的幸福感降低有关，因此它是一个需要解决的主要问题。本研究的目的是确定波多黎各艾滋病毒/艾滋病感染者中感知到的耻辱感的频率。
方法
对249名受试者（59%为男性，41%为女性）进行了一项横断面研究。参与者完成了波多黎各艾滋病毒差异综合中心（PR-CCHD）社会人口学问卷和艾滋病毒感知耻辱量表。
结果
80%的受试者表现出一定程度的感知耻辱感。女性表现出的与艾滋病毒相关的感知耻辱感水平明显高于男性。女性在披露、负面自我形象和公众态度得分方面也高于男性。年龄、婚姻状况、就业状况、收入和教育水平等社会人口学变量与感知耻辱感及其维度存在显著关联。
结论
本研究结果证明有必要开发具有文化敏感性的干预模式，以减轻艾滋病毒/艾滋病感染者的感知耻辱负担。
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