Relf Michael V, Silva Susan G, Williams Megan Scull, Moore Elizabeth, Arscott Joyell, Caiola Courtney, Barroso Julie
Duke University School of Nursing, DUMC 3322, 307 Trent Drive, Durham, NC, 27710, USA.
School of Nursing & Health Studies, University of Miami, Coral Gables, FL, 33124, USA.
AIDS Behav. 2015 Oct;19(10):1896-904. doi: 10.1007/s10461-015-1031-0.
As with many infectious diseases throughout history, stigma is a part of the trajectory of the HIV disease process. HIV-related stigma impedes women from being tested for HIV. Once infected, HIV-related stigma hinders women from disclosing their HIV status to sexual partners and health care providers, engaging in medical care, effectively self-managing the disease after infection, and adhering to anti-retroviral therapy. After three decades of the HIV epidemic, no evidenced-based, culturally relevant, gender-specific interventions exist to help women infected with HIV manage the stigma associated with HIV infection. This manuscript reports the feasibility of using an iPod touch device and acceptability of a stigma reduction intervention with HIV-infected women in the Deep South in a mixed-method, randomized clinical trial. Results from the study demonstrate that it is feasible to utilize an iPod touch device to deliver an HIV-related stigma intervention to women. Further, women report that the HIV-related stigma intervention is acceptable and meaningful.
与历史上许多传染病一样，污名化是艾滋病毒疾病进程轨迹的一部分。与艾滋病毒相关的污名化阻碍女性进行艾滋病毒检测。一旦感染，与艾滋病毒相关的污名化会阻碍女性向性伴侣和医疗服务提供者透露自己的艾滋病毒感染状况，接受医疗护理，在感染后有效自我管理疾病，以及坚持抗逆转录病毒治疗。在艾滋病毒流行三十年之后，尚无基于证据、具有文化相关性且针对性别的干预措施来帮助感染艾滋病毒的女性应对与艾滋病毒感染相关的污名化问题。本手稿报告了在一项混合方法的随机临床试验中，在深南部地区对感染艾滋病毒女性使用iPod touch设备的可行性以及减少污名化干预措施的可接受性。该研究结果表明，利用iPod touch设备向女性提供与艾滋病毒相关的污名化干预措施是可行的。此外，女性报告称与艾滋病毒相关的污名化干预措施是可接受且有意义的。
