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探索使用照片故事和小说写作来解决卫生专业学生中的艾滋病污名问题。

Exploring the Use of Photo-Stories and Fiction Writing to Address HIV Stigma Among Health Professions Students.

机构信息

1 University of Missouri, Columbia, Missouri, USA.

2 Appalachian State University, Boone, North Carolina, USA.

出版信息

Qual Health Res. 2019 Jan;29(2):260-269. doi: 10.1177/1049732318790939. Epub 2018 Aug 10.

Abstract

HIV/AIDS stigma exists in healthcare and is harmful to people living with HIV (PLWH). Few anti-stigma interventions target undergraduate health professions students, although evidence supports reaching providers early in their training. We developed two different arts-based interventions based on Intergroup Contact Theory: a Photovoice intervention in which they viewed photo-stories of PLWH and a fiction writing intervention in which they developed characters with HIV. We present the results of a qualitative analysis of the post-intervention interviews, to elaborate on what and how students learned from both interventions. Via theme analysis, we identified three similar patterns among both sets of intervention participants. Interventions helped students to understand PLWH as "people first," experience emotional responses to PLWH, and complicated their understanding of who was living with HIV. All three themes illustrate how Photovoice and fiction writing interrupted stereotypes about PLWH and humanized PLWH to health professions students.

摘要

艾滋病污名在医疗保健领域存在,对艾滋病毒感染者(PLWH)造成伤害。很少有针对本科医疗保健专业学生的反污名干预措施,尽管有证据表明应在他们的培训早期接触提供者。我们根据群际接触理论开发了两种不同的基于艺术的干预措施:一种是观看艾滋病毒感染者照片故事的影像声音干预,另一种是编写有艾滋病毒角色的小说写作干预。我们呈现了干预后访谈的定性分析结果,以详细阐述学生从这两种干预措施中学到了什么以及如何学习。通过主题分析,我们在两组干预参与者中发现了三种相似的模式。干预措施帮助学生将 PLWH 视为“人”,对 PLWH 产生情感反应,并使他们对谁携带 HIV 的理解变得复杂。所有三个主题都说明了影像声音和小说写作如何打破对 PLWH 的刻板印象,将 PLWH 人性化,为医疗保健专业学生提供了帮助。

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