Sangowawa Adesola O, Owoaje Eme T
Department of Community Medicine, College of Medicine, University of Ibadan/University College Hospital (UCH) , Ibadan, Nigeria.
J Public Health Afr. 2012 Mar 7;3(1):e10. doi: 10.4081/jphia.2012.e10.
Nigerian youth currently bear a disproportionate burden of the HIV epidemic. This paper presents findings on the occurrence of HIV-related discrimination among youth with HIV accessing care in Ibadan, Nigeria. A cross-sectional study was conducted and information on history of discrimination experienced by 170 youth with HIV was obtained. About 80% of respondents had disclosed their HIV status. The majority had informed their spouses (66.3%), mothers (47.1%), fathers (39.1%) and siblings (37.7%). Sixteen (11.5%) respondents [15 (93.8%) females and one (6.2%) male] had suffered discrimination since disclosure of their status. Of these, 25.0% respondents were sent out of their matrimonial homes by their husbands, 25.0% were abandoned by their spouses and 12.5% indicated their fiancé broke up their relationship. A higher proportion of females (12.9%) than males (4.3%) had suffered discrimination. In addition, a significant proportion of respondents who were separated/divorced (73.3%) had been victims of discrimination compared with those who were widowed (10.5%) or single (5.9%) (P<0.05). The study confirmed that young people living with HIV/AIDS, especially women experience extreme forms of discrimination. More efforts aimed at addressing HIV/AIDS-related discrimination are required especially as it is a known barrier to HIV prevention and treatment efforts.
尼日利亚青年目前在艾滋病毒疫情中承受着不成比例的负担。本文介绍了在尼日利亚伊巴丹接受治疗的感染艾滋病毒青年中与艾滋病毒相关的歧视情况的调查结果。开展了一项横断面研究,获取了170名感染艾滋病毒青年的歧视经历信息。约80%的受访者披露了自己的艾滋病毒感染状况。大多数人告知了他们的配偶(66.3%)、母亲(47.1%)、父亲(39.1%)和兄弟姐妹(37.7%)。16名(11.5%)受访者[15名(93.8%)女性和1名(6.2%)男性]自披露感染状况以来遭受了歧视。其中,25.0%的受访者被丈夫赶出婚姻家庭,25.0%被配偶抛弃,12.5%表示其未婚夫与他们分手。遭受歧视的女性比例(12.9%)高于男性(4.3%)。此外,与丧偶者(10.5%)或单身者(5.9%)相比,分居/离婚的受访者中很大一部分(73.3%)曾是歧视的受害者(P<0.05)。该研究证实,感染艾滋病毒/艾滋病的年轻人,尤其是女性,会经历极端形式的歧视。需要做出更多努力来应对与艾滋病毒/艾滋病相关的歧视,特别是因为这是艾滋病毒预防和治疗工作的一个已知障碍。