インドのヒジュラとトランスジェンダーの間での汚名,HIVリスク行動,HIV陽性:統合された生物学的および行動的監視からの洞察
Nishakar Thakur1, Shreya Jha2, Sanjay K Rai3
1PhD Scholar, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Indian journal of public health
|September 3, 2025
まとめ
インドのヒジュラとトランスジェンダー (H/TG) が経験する恥辱は,HIVリスク行動と関連しています. しかし,この集団では,ステグマとHIV陽性の直接的な相関関係はありませんでした.
科学分野:
- 公衆衛生
- 流行病学について
- 社会科学
背景:
- ヒジュラとトランスジェンダー (H/TG) の個人はHIV感染のリスクが高まります.
- 汚名とHIVの相互作用を理解することは インドのこの集団にとって極めて重要です
研究 の 目的:
- インドのH/TGの人間の汚名,HIVリスク行動,HIV陽性との関連を調査する.
- ステグマが蔓延している特定の環境とその健康上の影響を特定する.
主な方法:
- 2014~2015年の全国調査から4966人のH/TGの参加者を分析した.
- ロジスティック回帰を用いて,汚名,HIVリスク行動,HIV陽性との関連性を評価した.
- 家庭,社会,医療における汚名を調査した.
主要な成果:
- H/TGの参加者のほぼ半分は社会的な汚名を報告し,かなりの部分は医療の汚名を経験しました.
- ステグマはコンドームの使用と薬物使用の不一致を含むHIVリスク行動の増加と関連していました.
- ステグマとHIV陽性性の間には直接的な関連性が見出されず,複雑な関係があることが示された.
結論:
- H/TGの個人が社会や医療環境で経験する汚名を軽減するために,ターゲットを絞った介入が必要である.
- H/TGコミュニティの総合的なHIV予防戦略には,ステグマに対処することが不可欠です.
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