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Front Public Health. 2023 Jun 21;11:1188446. doi: 10.3389/fpubh.2023.1188446. eCollection 2023.
2
Shame anxiety, stigma and clinical encounters.羞耻焦虑、污名和临床接触。
J Eval Clin Pract. 2022 Oct;28(5):854-860. doi: 10.1111/jep.13744. Epub 2022 Jul 28.
3
Perceived Stigma as a Contextual Barrier to Early Uptake of HIV Testing, Treatment Initiation, and Disclosure; the Case of Patients Admitted with AIDS-Related Illness in a Rural Hospital in South Africa.感知到的耻辱感作为早期接受艾滋病毒检测、开始治疗及披露信息的背景障碍;以南非一家乡村医院收治的艾滋病相关疾病患者为例
Healthcare (Basel). 2021 Jul 29;9(8):962. doi: 10.3390/healthcare9080962.
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Stigma and Discrimination towards People Living with HIV in the Context of Families, Communities, and Healthcare Settings: A Qualitative Study in Indonesia.在家庭、社区和医疗保健环境中针对艾滋病毒感染者的污名和歧视:印度尼西亚的一项定性研究。
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越南HIV感染门诊患者中与HIV相关的耻辱感与生活质量的关系:一项横断面研究

The relationship between HIV-related stigma and quality of life among HIV infected outpatients: A cross-sectional study in Vietnam.

作者信息

Hoang Van Thi Hai, Pham Hai-Thanh, Nguyen Linh Thi Phuong, Tran Ngoc-Anh, Le-Thi Va Quynh-Trang

机构信息

School of Preventive Medicine and Public Health, Hanoi Medical University, Ha Noi, Vietnam.

Institute of Environmental Health and Sustainable Development (IEHSD), Ha Noi, Vietnam.

出版信息

J Public Health Res. 2024 Mar 28;13(1):22799036241238667. doi: 10.1177/22799036241238667. eCollection 2024 Jan.

DOI:10.1177/22799036241238667
PMID:38559759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10981238/
Abstract

BACKGROUND

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.

DESIGN AND METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

设计与方法

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

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。

结论

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。