Alexandra Marshall S, Brewington Krista M, Kathryn Allison M, Haynes Tiffany F, Zaller Nickolas D
a Department of Health Behavior & Health Education , Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences , Little Rock , AR , USA.
b University of Arkansas , Fayetteville , AR , USA.
AIDS Care. 2017 Nov;29(11):1337-1345. doi: 10.1080/09540121.2017.1338654. Epub 2017 Jun 9.
In the United States, HIV-related stigma in the healthcare setting is known to affect the utilization of prevention and treatment services. Multiple HIV/AIDS stigma scales have been developed to assess the attitudes and behaviors of the general population in the U.S. towards people living with HIV/AIDS, but fewer scales have been developed to assess HIV-related stigma among healthcare providers. This systematic review aimed to identify and evaluate the measurement tools used to assess HIV stigma among healthcare providers in the U.S. The five studies selected quantitatively assessed the perceived HIV stigma among healthcare providers from the patient or provider perspective, included HIV stigma as a primary outcome, and were conducted in the U.S. These five studies used adapted forms of four HIV stigma scales. No standardized measure was identified. Assessment of HIV stigma among providers is valuable to better understand how this phenomenon may impact health outcomes and to inform interventions aiming to improve healthcare delivery and utilization.
在美国，医疗环境中与艾滋病病毒相关的污名化现象已知会影响预防和治疗服务的利用情况。已经开发了多个艾滋病病毒/艾滋病污名量表，以评估美国普通人群对艾滋病病毒/艾滋病感染者的态度和行为，但用于评估医疗服务提供者中与艾滋病病毒相关污名的量表较少。本系统评价旨在识别和评估用于评估美国医疗服务提供者中艾滋病病毒污名的测量工具。所选的五项研究从患者或提供者的角度对医疗服务提供者中感知到的艾滋病病毒污名进行了定量评估，将艾滋病病毒污名作为主要结果，并在美国进行。这五项研究使用了四种艾滋病病毒污名量表的改编形式。未发现标准化测量方法。评估医疗服务提供者中的艾滋病病毒污名对于更好地理解这一现象如何影响健康结果以及为旨在改善医疗服务提供和利用的干预措施提供信息具有重要价值。
