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乌干达西部 HIV 阳性青年的 HIV 相关耻辱感。

HIV-Related Stigma Among Youth Living With HIV in Western Uganda.

机构信息

Mountains of the Moon University, Fort Portal, Uganda.

University of Applied Sciences and Arts, Gent, Belgium.

出版信息

Qual Health Res. 2021 Aug;31(10):1937-1950. doi: 10.1177/10497323211012347. Epub 2021 May 13.

Abstract

We present an explanatory theory for HIV-related stigma from the perspectives of youth living with HIV/AIDS (YLWHA) in Western Uganda, on which the fight against this relentless stigma in this age group and locality can be founded. A constant comparative method was used to analyze textual data from in-depth interviews with 35 YLWHA, selected from three health facilities. A stigma process model for YLWHA was developed with the stigmatizing feelings and behaviors as the core category. Concepts delineating causes, consequences, and moderators of HIV-related stigma emerged from the data to complete the stigma process. The specific focus on YLWHA and contextual characteristics adds new dimensions to the understanding of HIV-related stigma that are scant in existing HIV-related stigma models. In light of our findings, research is necessary to identify context-specific strategies to overcome the deep-rooted causes of stigmatizing views and behaviors in all social spheres of YLWHA within Western Uganda.

摘要

我们从乌干达西部感染艾滋病毒/艾滋病的青年(YLWHA)的角度提出了一个关于艾滋病毒相关耻辱感的解释性理论,该理论可以为该年龄段和该地区与这种无情的耻辱感作斗争提供基础。我们使用了一个不断比较的方法,对来自三个卫生机构的 35 名 YLWHA 的深入访谈的文本数据进行了分析。我们通过对 YLWHA 的污名化感受和行为作为核心类别,制定了一个 YLWHA 的污名化过程模型。从数据中出现的概念描述了 HIV 相关耻辱感的原因、后果和调节因素,从而完成了污名化过程。具体关注 YLWHA 和情境特征为理解 HIV 相关耻辱感增添了新的维度,而现有的 HIV 相关耻辱感模型对此很少涉及。鉴于我们的发现,有必要进行研究,以确定在乌干达西部的所有社会领域中,针对 YLWHA 的特定情境策略,以克服对污名化观点和行为的根深蒂固的原因。

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