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中国、欧洲和拉丁美洲老年 HIV 感染者的污名与健康相关生活质量的交叉。

Intersectionality of stigmas and health-related quality of life in people ageing with HIV in China, Europe, and Latin America.

机构信息

Section of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA; Veterans Affairs Connecticut Healthcare System, West Haven VA Medical Center, West Haven, CT, USA.

HIV, STIs, Viral Hepatitis and Tuberculosis Control Division, Ministry of Health, Madrid, Spain.

出版信息

Lancet Healthy Longev. 2022 Mar;3(3):e206-e215. doi: 10.1016/S2666-7568(22)00003-4. Epub 2022 Feb 23.


DOI:10.1016/S2666-7568(22)00003-4
PMID:36098292
Abstract

People ageing with HIV face crucial challenges that can compromise their long-term health, one of which is stigma. HIV-related stigma can interact with other coexistent inequities to create a unique oppression system that results in traumatic experiences. This intersectionality of stigmas represents a new inequality that is greater than the sum of the original component inequalities. In this Series paper we review the literature regarding the intersectionality of HIV-related and ageing-related stigma and health-related quality of life among people ageing with HIV in China, Europe, and Latin America-three regions that represent distinct epidemiological and cultural trends in terms of HIV and ageing. Substantial gaps in the literature were identified, in particular a scarcity of data from Latin America. We also found inconsistencies between countries in terms of definitions and reporting practices related to people ageing with HIV. Research that fully considers the intersectional stigmas faced by this vulnerable population will contribute to advancing the United Nations 2030 Agenda for Sustainable Development.

摘要

随着年龄增长而感染艾滋病毒的人群面临着诸多重大挑战,这些挑战可能会影响他们的长期健康,其中之一就是污名化。与艾滋病毒相关的污名可能会与其他同时存在的不平等现象相互作用,从而形成一种独特的压迫体系,导致创伤性经历。这种污名的交叉性代表了一种新的不平等,其程度超过了原有组成部分不平等的总和。在本系列论文中,我们回顾了有关中国、欧洲和拉丁美洲(这三个地区在艾滋病毒和老龄化方面代表了不同的流行病学和文化趋势)的与年龄增长相关的艾滋病毒相关污名和与健康相关的生活质量的交叉性的文献。我们发现文献中存在很大的差距,特别是拉丁美洲的数据稀缺。我们还发现各国在与感染艾滋病毒的老年人相关的定义和报告做法方面存在不一致。充分考虑这一弱势群体所面临的交叉污名的研究将有助于推进联合国 2030 年可持续发展议程。

相似文献

[1]
Intersectionality of stigmas and health-related quality of life in people ageing with HIV in China, Europe, and Latin America.

Lancet Healthy Longev. 2022-3

[2]
Reframing Intersectional Stigma for a South African Context Integrating Tuberculosis, HIV and Poverty Stigmas.

J Assoc Nurses AIDS Care.

[3]
A Photovoice Exploration of the Lived Experience of Intersectional Stigma among People Living with HIV.

Arch Sex Behav. 2021-10

[4]
Intersectional stigma and its impact on HIV prevention and care among MSM and WSW in sub-Saharan African countries: a protocol for a scoping review.

BMJ Open. 2021-8-6

[5]
Stigma and intersectionality: a systematic review of systematic reviews across HIV/AIDS, mental illness, and physical disability.

BMC Public Health. 2018-7-27

[6]
Intersectionality and health-related stigma: insights from experiences of people living with stigmatized health conditions in Indonesia.

Int J Equity Health. 2020-11-11

[7]
Tuberculosis-related mortality in people living with HIV in Europe and Latin America: an international cohort study.

Lancet HIV. 2016-2-2

[8]
The Association Between HIV Disclosure Status and Perceived Barriers to Care Faced by Women Living with HIV in Latin America, China, Central/Eastern Europe, and Western Europe/Canada.

AIDS Patient Care STDS. 2016-9

[9]
Finding the Right Angle: A Geometric Approach to Measuring Intersectional HIV Stigma.

AIDS Behav. 2022-1

[10]
Intersectional health-related stigma in persons living with HIV and chronic pain: implications for depressive symptoms.

AIDS Care. 2018-6

引用本文的文献

[1]
"They didn't think we'd live this long": A qualitative exploration of older adults living with HIV perspectives on geriatric care in Ontario.

HIV Med. 2025-8

[2]
Epidemiological and spatiotemporal analysis of elderly HIV-1/AIDS patients in Ningxia, China, from 2018 to 2023.

Sci Rep. 2025-4-23

[3]
Perspectives on Continuing Care, From Home Care to Long-Term Care, for Older People Living With HIV: A Cross-Sectional Study.

Health Sci Rep. 2025-3-19

[4]
Impact of stigma on the HIV care cascade among older persons living with HIV in sub-Saharan Africa: protocol for a systematic review.

BMJ Open. 2025-3-18

[5]
Intersectional HIV stigma in Sub-Saharan Africa, Latin America and the Caribbean: Insights and pathways forward - A scoping review.

PLOS Glob Public Health. 2025-2-10

[6]
Healthcare Experiences and Needs of Older Adults Living With HIV: A Qualitative Study.

J Clin Nurs. 2024-12

[7]
Substance Use Stigma Among Clinical and Nonclinical Staff Who Provide Care for People With HIV in the Deep South: A Pilot Training Intervention.

J Assoc Nurses AIDS Care.

[8]
Exploring experiences of ageing in older adults living with HIV in Sweden: a qualitative study.

Int J Qual Stud Health Well-being. 2024-12

[9]
HIV-related stigma and associated factors: a systematic review and meta-analysis.

Front Public Health. 2024

[10]
A Scoping Review of Stigma Related to Prostate Cancer in Black Men.

J Racial Ethn Health Disparities. 2024-7-9

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