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描述艾滋病毒同行支持小组与尼日利亚艾滋病毒感染者内部耻辱之间的关系
Tarfa Verinumbe1, Anna-Sophia Katomski2, Gnilane Turpin2
1Division of Infectious Diseases, Johns Hopkins University School of Medicine, 1717 East Monument St., Baltimore, MD, 21205, USA. tverinu1@jhmi.edu.
AIDS and behavior
|October 27, 2023
概括
同行支持小组显著减少了尼日利亚艾滋病毒感染者 (PLHIV) 内部的耻辱感. 参与这些团体对于减轻耻辱和改善艾滋病毒治疗坚持至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 心理学 心理学 心理学
背景情况:
- 与艾滋病毒相关的耻辱是尼日利亚有效治疗和预防艾滋病毒的主要障碍.
- 尼日利亚艾滋病毒感染者 (PLHIV) 广泛使用同行支持小组,但它们对内化污名的影响尚不清楚.
研究的目的:
- 调查参与同行支持小组与尼日利亚PLHIV人群内化耻辱程度之间的关联.
- 分析PLHIV耻辱指数2.0调查中的二次数据.
主要方法:
- 对PLHIV耻辱指数2.0调查数据的二次分析.
- 使用多项逻辑回归来评估同行支持小组成员和内化耻辱之间的关系.
- 根据人口和临床因素进行调整,包括年龄,教育,诊断后的持续时间,就业,披露状态和性工作参与.
主要成果:
- 在尼日利亚的PLHIV中存在很高的内化污名的负担,超过一半的人报告中度到高水平.
- 与不参与的个人相比,参与同行支持小组的PLHIV报告低/中等和高水平的内化耻辱的可能性明显低.
- 参与同行支持小组显示出对内化耻辱的保护作用 (aOR:0.47为低/中等;aOR:0.30为高).
结论:
- 尼日利亚的PLHIV中普遍存在内部化的耻辱感,但同行支持小组显示出显著的缓解效应.
- 加强参与同行支持小组的战略对于减少内化耻辱和解决艾滋病毒治疗差距至关重要.
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