Biemba Godfrey, Menda Dhally M, Siame Yoram, Sichinga Karen Sichali, Macleod William
National Health Research Authority, Lusaka, Zambia.
Churches Health Association of Zambia, Lusaka, Zambia.
J Public Health Afr. 2020 Mar 19;10(2):1010. doi: 10.4081/jphia.2019.1010. eCollection 2019 Dec 31.
This paper reports on HIV related stigma based on results from an HIV legal environment assessment (LEA) within the Churches Health Association of Zambia HIV/AIDS program. We conducted 9 Focus Group Discussions and 20 Key Informant Interviews with key HIV/AIDS stakeholders that included representatives from network of Zambian people living with HIV. We administered a Survey Questionnaire to 337 people living with HIV (PLHIV) and 233 health workers. Quantitative data were analyzed using SAS v9.4; qualitative data was analyzed using QRS NVIVO version 11.0 Pro. Internalized stigma ranged between 20.8% and 31.8% of PLHIV; more among females than males. About one third (31%, n=104)) of the 337 participants reported that they were aware of being gossiped once, a few times, or often; more among females than males. 62.3%, 63.1%, and 55.1% of the 233 health workers said it was somewhat true or certainly true that in their catchment areas, PLHIV struggle to have an HIV test because of stigma, were hesitant to start ART due to stigma; told them that they had challenges taking their ARVs because of stigma respectively.
本文基于赞比亚教会健康协会艾滋病毒/艾滋病项目内的艾滋病毒法律环境评估（LEA）结果，报告了与艾滋病毒相关的耻辱感。我们与包括赞比亚艾滋病毒感染者网络代表在内的主要艾滋病毒/艾滋病利益相关者进行了9次焦点小组讨论和20次关键信息访谈。我们对337名艾滋病毒感染者（PLHIV）和233名卫生工作者进行了问卷调查。定量数据使用SAS v9.4进行分析；定性数据使用QRS NVIVO 11.0专业版进行分析。内化耻辱感在艾滋病毒感染者中占比为20.8%至31.8%；女性多于男性。在337名参与者中，约三分之一（31%，n = 104）报告称他们意识到自己曾被闲聊过一次、几次或经常被闲聊；女性多于男性。在233名卫生工作者中，62.3%、63.1%和55.1%表示，在他们的服务区域，艾滋病毒感染者因耻辱感而难以进行艾滋病毒检测、因耻辱感而对开始抗逆转录病毒治疗犹豫不决、因耻辱感而告诉他们在服用抗逆转录病毒药物方面存在困难，这些说法有些是真实的或肯定是真实的。
