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关于艾滋病相关耻辱感和歧视的定性研究:伊朗女性的心声

Qualitative study of HIV related stigma and discrimination: What women say in Iran.

作者信息

Oskouie Fatemeh, Kashefi Farzaneh, Rafii Forough, Gouya Mohammad Mehdi

机构信息

Ph.D., Professor, Nursing Care Research Center and School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Ph.D. Student, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Electron Physician. 2017 Jul 25;9(7):4718-4724. doi: 10.19082/4718. eCollection 2017 Jul.

Abstract

INTRODUCTION

HIV-related stigma is a major social problem of people living with HIV. Stigma against these people, especially women, interferes with the prevention, diagnosis and treatment of HIV. This study examined the experiences of HIV infected women who were stigmatized, as well as the strategies used to tackle the issue.

METHODS

Twenty-five women living with HIV were examined using in-depth, semi-structured interviews. The data obtained was analyzed using content analysis method in MAXQDA10.

RESULTS

The finding of this study was classified into four themes: fear, shame, rejection by family or friends and feelings of frustration. The participant strategies adopted to the perceived stigma and discrimination included isolation, nondisclosure, and loss of follow-up.

CONCLUSIONS

HIV in women has different social interposition. It is necessary to intervene, so as to alleviate the effect of stigma on HIV infected women, in order that they gain the ability to accomplish wellness, increase life span and improve quality of life. Nurses, midwives and other professionals need to be involved to ensure public policy in providing supportive environments, and decrease stigma.

摘要

引言

与艾滋病毒相关的耻辱感是艾滋病毒感染者面临的一个主要社会问题。对这些人,尤其是女性的耻辱感,干扰了艾滋病毒的预防、诊断和治疗。本研究调查了受到耻辱感影响的感染艾滋病毒女性的经历,以及她们用来应对这一问题的策略。

方法

对25名感染艾滋病毒的女性进行了深入的半结构化访谈。使用MAXQDA10中的内容分析法对所获得的数据进行分析。

结果

本研究的结果分为四个主题:恐惧、羞耻、被家人或朋友排斥以及挫败感。参与者针对所感受到的耻辱和歧视所采取的策略包括孤立、不透露信息以及失去后续跟进。

结论

女性感染艾滋病毒有不同的社会影响。有必要进行干预,以减轻耻辱感对感染艾滋病毒女性的影响,使她们有能力实现健康、延长寿命并提高生活质量。护士、助产士和其他专业人员需要参与进来,以确保公共政策能提供支持性环境并减少耻辱感。

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