与医疗机构相关的耻辱感及艾滋病毒感染者求医行为的关联因素
The Correlates of Health Facility-related Stigma and Health-seeking Behaviors of People Living with HIV.
作者信息
De Los Santos Janet Alexis A, Tuppal Cyruz P, Milla Norberto E
机构信息
College of Nursing, Visayas State University.
Graduate School, St. Paul University Philippines.
出版信息
Acta Med Philipp. 2023 Apr 28;57(4):5-12. doi: 10.47895/amp.vi0.4447. eCollection 2023.
OBJECTIVE
This study aims to assess the presence of stigma in health facilities and health-seeking behaviors of persons living with HIV (PLHIV).
METHODS
This study utilized a cross-sectional design employing self-report questionnaires answered online. A total of 100 PLHIV participants were recruited using the respondent-driven sampling method.
RESULTS
Results revealed that most participants are young adult men who have been diagnosed with HIV within the last five years. Overall, participants display moderate health-seeking behavior ( = 2.94, = 0.54), and moderate experience of health facility-related stigma ( = 2.21, = 0.87). Further, there is a negative correlation between age and health-seeking behavior ( = -0.2796, = 0.049). The type of facility is significantly correlated with HIV stigma ( = 0.4050, = 0.036).
CONCLUSION
A sustained linkage to care is essential for a PLHIV to remain engaged on his health and well-being. Necessary strategies should be implemented to improve the health-seeking behaviors of PLHIV. Public Rural Health Units are considered to be the most stigmatizing health facility. The presence of health facility-related stigma requires immediate action of the government to reinvigorate these catchment centers as providers of stigma-free and nondiscriminatory primary health care.
目的
本研究旨在评估医疗机构中耻辱感的存在情况以及艾滋病毒感染者（PLHIV）的求医行为。
方法
本研究采用横断面设计，通过在线回答自我报告问卷进行。使用应答驱动抽样方法共招募了100名PLHIV参与者。
结果
结果显示，大多数参与者是在过去五年内被诊断出感染艾滋病毒的年轻成年男性。总体而言，参与者表现出中等程度的求医行为（= 2.94，= 0.54），以及中等程度的与医疗机构相关的耻辱感经历（= 2.21，= 0.87）。此外，年龄与求医行为之间存在负相关（= -0.2796，= 0.049）。医疗机构类型与艾滋病毒耻辱感显著相关（= 0.4050，= 0.036）。
结论
持续的护理联系对于PLHIV保持对自身健康和福祉的关注至关重要。应实施必要策略以改善PLHIV的求医行为。农村公共卫生单位被认为是最具耻辱感的医疗机构。与医疗机构相关的耻辱感的存在需要政府立即采取行动，振兴这些集水区中心，使其成为提供无耻辱感和非歧视性初级卫生保健的机构。
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