Rael Christine Tagliaferri, Carballo-Diéguez Alex, Norton Rachel, Thorley Eryka, Giguere Rebecca, Sheinfil Alan, Rios Javier López
HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute, Columbia University, 1051 Riverside Dr., New York, NY, 10032, USA.
Department of Health and Behavioral Sciences, University of Colorado-Denver, Denver, CO, USA.
AIDS Behav. 2017 Sep;21(9):2589-2599. doi: 10.1007/s10461-016-1654-9.
Internalized HIV-related stigma negatively impacts the mental and physical health of women living with HIV/AIDS (WLWHA). Yet, some women can successfully confront stigma. The present work uses qualitative methods to investigate the successful stigma coping strategies displayed by 19 WLWHA who reported the least internalized stigma possible on the Internalized AIDS-Related Stigma Scale out of a larger pool of 233 WLWHA in San Felipe de Puerto Plata, Dominican Republic. Such strategies included, HIV disclosure control; preemptive disclosure of HIV-status; educating oneself/others about HIV; viewing HIV as a manageable condition; and looking to family, friends and partners for support. Our findings add to current knowledge about how WLWHA successfully manage internalized stigma, particularly in the context of the Dominican Republic. Clinicians should work closely with WLWHA to counsel them about the stigma coping strategies that best fit their life context.
内化的与艾滋病毒相关的耻辱感对感染艾滋病毒/艾滋病的女性（WLWHA）的身心健康产生负面影响。然而，一些女性能够成功应对耻辱感。本研究采用定性方法，调查了多米尼加共和国圣费利佩-德普拉塔港233名感染艾滋病毒/艾滋病女性中，在“内化的艾滋病相关耻辱感量表”上报告内化耻辱感程度最低的19名女性所展示的成功应对耻辱感的策略。这些策略包括：控制艾滋病毒信息的披露；主动披露艾滋病毒感染状况；自我/他人艾滋病毒教育；将艾滋病毒视为可控制的疾病；以及寻求家人、朋友和伴侣的支持。我们的研究结果丰富了目前关于感染艾滋病毒/艾滋病女性如何成功应对内化耻辱感的知识，特别是在多米尼加共和国的背景下。临床医生应与感染艾滋病毒/艾滋病女性密切合作，为她们提供最适合其生活背景的耻辱感应对策略的咨询。
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