在缺乏资源的环境中探索与艾滋病毒相关的耻辱和社会支持中的性别差异:多米尼加共和国的定性研究
Alane Celeste-Villalvir1, Denise D Payan2, Gabriela Armenta3
1Department of Health Promotion and Policy, University of Massachusetts Amherst, Amherst, Massachusetts, United States of America.
PloS one
|August 24, 2023
概括
与艾滋病毒相关的耻辱不成比例地影响着加勒比地区的妇女,导致暴力和失业等严重后果. 男人经历了更微妙的耻辱. 需要明确的方法来解决这些性别健康差异.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 医学社会学 医学社会学
背景情况:
- 与艾滋病毒相关的耻辱严重影响应对机制和社会支持系统.
- 在艾滋病毒感染者 (PLWHIV) 中的耻辱经历和社会支持方面的性别差异仍然未被充分探索,特别是在加勒比地区.
研究的目的:
- 调查和比较多米尼加共和国PLWHIV的耻辱经历和社会支持中的性别差异.
- 确定这些性别体验如何影响健康结果,并告知有针对性的干预措施.
主要方法:
- 在多米尼加共和国的两个诊所对32名PLWHIV患者进行半结构面试的定性内容分析.
- 与男性和女性参与者之间的耻辱和社会支持相关的主题的比较分析.
主要成果:
- 妇女报告了更严重的耻辱感,包括拒绝,身体暴力和亲密伴侣暴力,以及永久的工作/收入损失.
- 与女性相比,男性经历了更微妙的耻辱,临时的就业变化,以及较少的内化羞耻感.
- 两性都得到了社会支持,但女性更多地利用宗教信仰和家庭支持,而男性对个人网络不那么开放.
结论:
- 与艾滋病毒相关的耻辱在多米尼加共和国不同性别表现得不同,女性面临更严重的身体,心理和经济后果.
- 这些性别特异性对健康的影响,包括寻求医疗保健和心理健康,需要定制的缓解策略.
- 了解这些细微差别对于在该地区开发有效,性别敏感的艾滋病毒护理和支持计划至关重要.
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