Department of Educational Psychology and Leaning Systems, College of Education, Florida State University, Tallahassee, FL, USA.
Department of Counseling, Educational Psychology, and Research, College of Education, University of Memphis, Memphis, TN, USA.
Ethn Health. 2023 Nov;28(8):1128-1144. doi: 10.1080/13557858.2023.2231667. Epub 2023 Jul 13.
Women living with the human immunodeficiency virus (HIV) are less of a focus in the HIV literature, which tends to focus on the HIV experiences of men who have sex with men (MSMs). Hence, we conducted a qualitative study that examined: (a) the type of stigma and discrimination that women living with HIV experience related to their HIV status, (b) the source of this stigma and discrimination, (c) their responses related to this stigma and discrimination, and (d) the ways in which women living with HIV cope with these experiences of stigma and discrimination.
Participants consisted of 14 self-identified women living with HIV that were recruited at a community organization in the Southern United States that provides services to individuals living with HIV. The participants ranged in age from 27 to 65 = 47.92, = 13.08). The sample primarily identified as Black (= 12), followed by White (= 1) and Multiracial (= 1). Most women were cisgender (= 13) with one woman identifying as transgender (= 1).
Fourteen women participated in one of two focus groups (seven in each focus group), which were audio recorded and transcribed. We identified 24 categories across five domains (, , , and ).
This study identified that women living with HIV experience stigma and discrimination in a multitude of ways from different sources. Moreover, women with HIV responded to and coped in negative and positive ways. Multidimensional approaches including personal and community education may help alleviate the stigma and discrimination faced by women living with HIV.
感染人类免疫缺陷病毒(HIV)的女性在 HIV 文献中关注度较低,这些文献往往侧重于与男性发生性行为的男性(MSM)的 HIV 经历。因此,我们进行了一项定性研究,研究了:(a)感染 HIV 的女性因 HIV 状况而经历的污名化和歧视类型,(b)这种污名化和歧视的来源,(c)她们对这种污名化和歧视的反应,以及(d)感染 HIV 的女性应对这些污名化和歧视经历的方式。
参与者由 14 名自我认同的感染 HIV 的女性组成,她们是在美国南部的一个社区组织中招募的,该组织为感染 HIV 的个人提供服务。参与者年龄从 27 岁到 65 岁不等,平均年龄为 47.92 岁,标准差为 13.08 岁。样本主要是黑人(12 人),其次是白人(1 人)和多种族(1 人)。大多数女性是顺性别者(13 人),有 1 人是跨性别者(1 人)。
14 名女性参加了两个焦点小组之一(每个小组 7 人),小组讨论内容被录音并转录。我们在五个领域(,,,和)中确定了 24 个类别。
这项研究表明,感染 HIV 的女性以多种方式从不同来源经历污名化和歧视。此外,感染 HIV 的女性以消极和积极的方式对污名化和歧视做出反应并应对。包括个人和社区教育在内的多维方法可能有助于减轻感染 HIV 的女性所面临的污名化和歧视。