Dela Cruz Aniela M, Maposa Sithokozile, Patten San, Abdulmalik Inusa, Magagula Patience, Mapfumo Sipiwe, Abate Tsion Demeke, Carter Andrea, Spies Peggy, Harrowing Jean, Hall Marc, Afzal Arfan R, Caine Vera
Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
College of Nursing, University of Saskatchewan, Prince Albert, Saskatchewan, Canada.
J Migr Health. 2022 Mar 11;5:100088. doi: 10.1016/j.jmh.2022.100088. eCollection 2022.
We report on qualitative findings from a mixed methods study, examining enacted and internalized stigma during mandatory HIV screening among immigration applicants living with HIV in Canada. Qualitative findings show alignment with characteristics of internalized HIV stigma. We conducted 34 semi-structured interviews, and analyzed the data through thematic analysis, using Intersectionality and the Internalized HIV Stigma Scale as our theoretical and analytical frameworks. Participants described experiences of enacted and internalized HIV stigma in ways that were consistent with the four main domains of stereotypes, disclosure concerns, social relationships, and self-acceptance, but also extended the description of HIV stigma beyond these domains. Experiences of internalized HIV stigma and enacted stigma during the Canadian Immigration Medical Examination could potentially influence individuals' long-term engagement in the HIV care cascade during the process of migration to, and settlement in, Canada. We present recommendations for the broader migrant health research agenda, health and social care providers, and public health policies.
我们报告了一项混合方法研究的定性结果，该研究考察了加拿大感染艾滋病毒的移民申请人在强制艾滋病毒筛查期间所遭受的外在表现出的和内化的耻辱感。定性结果显示与内化艾滋病毒耻辱感的特征相符。我们进行了34次半结构化访谈，并通过主题分析对数据进行了分析，使用交叉性理论和内化艾滋病毒耻辱感量表作为我们的理论和分析框架。参与者描述的外在表现出的和内化的艾滋病毒耻辱感经历，与刻板印象、披露担忧、社会关系和自我接纳这四个主要领域一致，但也扩展了对艾滋病毒耻辱感在这些领域之外的描述。在加拿大移民体检期间，内化艾滋病毒耻辱感和外在表现出的耻辱感经历可能会影响个人在移民到加拿大并定居的过程中对艾滋病毒治疗流程的长期参与度。我们针对更广泛的移民健康研究议程、健康和社会护理提供者以及公共卫生政策提出了建议。
