Hoang Van Thi Hai, Pham Hai-Thanh, Nguyen Linh Thi Phuong, Tran Ngoc-Anh, Le-Thi Va Quynh-Trang
School of Preventive Medicine and Public Health, Hanoi Medical University, Ha Noi, Vietnam.
Institute of Environmental Health and Sustainable Development (IEHSD), Ha Noi, Vietnam.
J Public Health Res. 2024 Mar 28;13(1):22799036241238667. doi: 10.1177/22799036241238667. eCollection 2024 Jan.
The impact of stigma on individuals with HIV remains a significant challenge, causing feelings of worthlessness, shame, and emotional distress. This study aimed to examine the relationship between HIV-related stigma and quality of life (QOL) among HIV-infected outpatients initiating antiretroviral therapy (ART) in Vietnam.
This was a cross-sectional study which conducted at Vinh General Hospital, Nghe An Province, involved 323 HIV-infected outpatients. Participants were surveyed between October 2020 and October 2021. The study collected data through structured interviews, assessing socio-demographic factors, HIV stigma, and QOL.
The result showed that HIV-infected outpatients experiencing higher stigma showed poorer QOL across various domains. The negative impact of stigma was particularly evident in domains related to physical health, psychological well-being, and spirituality. Participants who were married, had children, consumed alcohol, had comorbidities (particularly hepatitis B/C), and lacked a history of drug use reported varying levels of correlation with QOL domains and stigma.
By identifying the intricate connections between stigma and QOL, the study provides valuable insights for designing comprehensive interventions that prioritize the well-being of HIV infected outpatients.
耻辱感对艾滋病毒感染者的影响仍然是一项重大挑战,会导致他们产生无用感、羞耻感和情绪困扰。本研究旨在探讨越南开始接受抗逆转录病毒治疗(ART)的艾滋病毒感染门诊患者中,与艾滋病毒相关的耻辱感和生活质量(QOL)之间的关系。
这是一项横断面研究,在义安省荣市综合医院开展,涉及323名艾滋病毒感染门诊患者。研究于2020年10月至2021年10月期间对参与者进行了调查。研究通过结构化访谈收集数据,评估社会人口学因素、艾滋病毒耻辱感和生活质量。
结果显示,耻辱感较高的艾滋病毒感染门诊患者在各个领域的生活质量较差。耻辱感的负面影响在与身体健康、心理健康和精神层面相关的领域尤为明显。已婚、有子女、饮酒、患有合并症(尤其是乙型/丙型肝炎)以及没有吸毒史的参与者报告了与生活质量领域和耻辱感的不同程度的相关性。
通过确定耻辱感与生活质量之间的复杂联系,本研究为设计以艾滋病毒感染门诊患者的福祉为优先的综合干预措施提供了宝贵的见解。