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