艾滋病毒/艾滋病患者对耻辱和歧视的认知。
Perception of Patients With HIV/AIDS From Stigma and Discrimination.
作者信息
Saki Mandana, Mohammad Khan Kermanshahi Sima, Mohammadi Eesa, Mohraz Minoo
机构信息
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran.
Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behavior, Tehran University of Medial Sciences, Tehran, IR Iran.
出版信息
Iran Red Crescent Med J. 2015 Jun 23;17(6):e23638. doi: 10.5812/ircmj.23638v2. eCollection 2015 Jun.
Abstract
BACKGROUND
Stigma and discrimination among patients with HIV/AIDS cause various problems for the patients and their health systems.
OBJECTIVES
The purpose of this study was to explain the perceived experiences of the patients from stigma and discrimination and their roles on health-seeking services among patients.
PATIENTS AND METHODS
This was a qualitative research using content analysis approach and semi-structured interviews, conducted on patients living with HIV/ADS, during 2013 - 2014 in Iran. Sampling started purposefully and continued in a snowball.
RESULTS
The experiences of patients with HIV/AIDS from stigma and discrimination led to exploring three main themes and nine subthemes. The main themes were multidimensional stigma, rejection, and insult and discrimination in receiving health services.
CONCLUSIONS
Stigma and discrimination play an important role in patients' lives and hinder them from accessing the treatment. The patients' responses to this event by secrecy strategy can be an important factor in the disease prevalence.
摘要
背景
艾滋病毒/艾滋病患者中的耻辱感和歧视给患者及其卫生系统带来了各种问题。
目的
本研究的目的是解释患者对耻辱感和歧视的感知经历及其在患者寻求医疗服务中的作用。
患者与方法
这是一项定性研究，采用内容分析法和半结构化访谈，于2013年至2014年在伊朗对艾滋病毒/艾滋病患者进行。抽样从有目的地开始，并以滚雪球的方式持续进行。
结果
艾滋病毒/艾滋病患者的耻辱感和歧视经历导致探索出三个主要主题和九个子主题。主要主题是多维耻辱感、排斥以及接受医疗服务时的侮辱和歧视。
结论
耻辱感和歧视在患者生活中起着重要作用，并阻碍他们获得治疗。患者通过保密策略对这一事件的反应可能是疾病流行的一个重要因素。
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