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对艾滋病毒/艾滋病感染者的误解和污名化:来自 2017 年印度尼西亚人口与健康调查的横断面研究。

Misconceptions and stigma against people living with HIV/AIDS: a cross-sectional study from the 2017 Indonesia Demographic and Health Survey.

机构信息

Faculty of Sciences and Technology, Universitas Islam Negeri (UIN) Sunan Kalijaga Yogyakarta, Sleman, Indonesia.

出版信息

Epidemiol Health. 2021;43:e2021094. doi: 10.4178/epih.e2021094. Epub 2021 Nov 6.

Abstract

OBJECTIVES

Data are not available in Indonesia to measure the main indicators of zero new infections, zero acquired immune deficiency syndrome (AIDS)-related deaths and zero discrimination. This study aimed to determine factors related to misconceptions about human immunodeficiency virus (HIV) transmission and the stigma against people living with HIV/AIDS (PLWHA) in Indonesia.

METHODS

This cross-sectional study used secondary data from the 2017 Indonesia Demographic and Health Survey (IDHS). The sample was women and men aged 17-45 years and married (n=3,023).

RESULTS

Education and wealth index quintile were significantly related to misconceptions about HIV transmission. Respondents with low levels of education were more likely to have misconceptions about HIV transmission. Respondents who were in the poorest, poorer, middle, and richer quintiles of the wealth index were more likely to have misconceptions about HIV transmission than those in the richest quintile. Educational level, employment status, and wealth index quintile were predictors of stigma against PLWHA.

CONCLUSIONS

There are still many Indonesian people with misconceptions about HIV transmission and stigma against PLWHA. Future studies should focus on educational programs or interventions aimed at increasing public knowledge and awareness, promoting compassion towards PLWHA, and emphasizing respect for the rights of PLWHA. These interventions are particularly important for populations who are uneducated and living in poverty.

摘要

目的

印度尼西亚缺乏衡量零新发感染、零艾滋病相关死亡和零歧视主要指标的数据。本研究旨在确定与印度尼西亚人群对人类免疫缺陷病毒(HIV)传播的误解和对艾滋病毒感染者/艾滋病患者(PLWHA)的污名化相关的因素。

方法

本横断面研究使用了 2017 年印度尼西亚人口与健康调查(IDHS)的二级数据。样本为年龄在 17-45 岁且已婚的女性和男性(n=3023)。

结果

教育程度和财富指数五分位数与对 HIV 传播的误解显著相关。受教育程度较低的受访者更容易对 HIV 传播产生误解。与最富裕五分位数的受访者相比,处于最贫穷、较贫穷、中等和较富裕五分位数的受访者更有可能对 HIV 传播产生误解。教育程度、就业状况和财富指数五分位数是对 PLWHA 污名化的预测因素。

结论

仍有许多印度尼西亚人对 HIV 传播存在误解,并对 PLWHA 存在污名化。未来的研究应重点关注教育项目或干预措施,旨在增加公众的知识和意识,促进对 PLWHA 的同情,并强调尊重 PLWHA 的权利。这些干预措施对于受教育程度低和生活贫困的人群尤为重要。

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