Mbonu Ngozi C, Van den Borne Bart, De Vries Nanne K
a Department of Health Promotion, The School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences , Maastricht University , PO Box 616 , Maastricht , 6200 MD , The Netherlands.
Afr J AIDS Res. 2009 Jun;8(2):201-12. doi: 10.2989/AJAR.2009.8.2.8.860.
People living with HIV or AIDS (PLHIV) in sub-Saharan Africa sometimes have care-seeking behaviours that result in a suboptimal quality of life. This paper seeks to examine the role of stigma in the care-seeking behaviour of PLHIV. We hypothesise that stigma relates to the behaviour of PLHIV themselves and with societal reactions, including those of healthcare professionals. From a literature review, we identified the following as important correlates of care-seeking behavior: beliefs about pathways of HIV infection and people infected with HIV, social reactions, coping strategies, knowledge of HIV and AIDS, and self-efficacy in finding care and treatment in addition to coping with the disease. Poverty, gender, age, religion and policy were found to be moderating variables. The Precede-Proceed model was adapted to build an explanatory model of healthcare-seeking behaviour among PLHIV and particularly to explore the role of stigma in the non-utilisation of healthcare institutions.
撒哈拉以南非洲地区的艾滋病毒感染者或艾滋病患者（PLHIV）有时会出现寻求治疗行为，导致生活质量不尽人意。本文旨在探讨耻辱感在PLHIV寻求治疗行为中的作用。我们假设耻辱感与PLHIV自身行为以及社会反应有关，包括医疗保健专业人员的反应。通过文献综述，我们确定了以下因素是寻求治疗行为的重要相关因素：对艾滋病毒感染途径和艾滋病毒感染者的看法、社会反应、应对策略、艾滋病毒和艾滋病知识、寻求护理和治疗以及应对疾病的自我效能感。研究发现，贫困、性别、年龄、宗教和政策是调节变量。我们采用了“教育-环境诊断与评价-教育与生态评估-实施-评价”（Precede-Proceed）模型来构建PLHIV寻求医疗行为的解释模型，特别是探讨耻辱感在不利用医疗机构方面的作用。
