Vaughan Elena, Power Martin, Sixsmith Jane
Health Promotion Research Centre, College of Medicine, Nursing and Health Sciences, National University of Ireland, Galway, Ireland.
Discipline of Health Promotion, College of Medicine, Nursing and Health Sciences, National University of Ireland, Galway, Ireland.
AIDS Care. 2020 Sep;32(9):1162-1167. doi: 10.1080/09540121.2020.1781761. Epub 2020 Jun 16.
Stigma in healthcare settings remains a barrier to accessing screening, treatment and care for HIV and is a driver of the global HIV epidemic. This study examined the stigma experiences in healthcare settings of people living with HIV (PLHIV) in Ireland. Semi-structured interviews were carried out with 4 women and 10 men living with HIV. Data were analysed using a Directed Content Analysis approach to assess experiences of enacted, anticipated and internalised stigma. The findings indicate experiences of enacted, anticipated and internalised stigma were common. A further finding of spatial stigma was also uncovered. Analysis showed these experiences impacted participants' engagement with care and affected health-seeking behaviours and treatment adherence. The results suggest stigma experienced in healthcare settings may impact negatively on health outcomes.
医疗环境中的耻辱感仍然是获得艾滋病毒筛查、治疗和护理的障碍，也是全球艾滋病毒流行的一个驱动因素。本研究调查了爱尔兰艾滋病毒感染者（PLHIV）在医疗环境中的耻辱经历。对4名感染艾滋病毒的女性和10名男性进行了半结构化访谈。采用定向内容分析法对数据进行分析，以评估所经历的、预期的和内化的耻辱感。研究结果表明，所经历的、预期的和内化的耻辱感很常见。还发现了空间耻辱感这一进一步的研究结果。分析表明，这些经历影响了参与者接受护理的情况，并影响了寻求医疗行为和治疗依从性。结果表明，在医疗环境中经历的耻辱感可能会对健康结果产生负面影响。
