捷克共和国艾滋病毒感染者的耻辱化和歧视:试点研究
Anna Kubátová1, Alena Fialová1,2, Jiří Stupka1
1National Institute of Public Health, Prague, Czech Republic.
Central European journal of public health
|November 7, 2023
概括
在捷克共和国,对艾滋病毒感染者的耻辱和歧视很普遍,影响了他们的生活质量和获得医疗保健的机会. 需要进一步的研究来理解和应对这些问题.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 医学社会学 医学社会学
背景情况:
- 艾滋病毒阳性诊断经常与社会耻辱和歧视有关,即使是在发达国家.
- 了解艾滋病毒感染者的生活经验对于改善医疗保健和社会支持系统至关重要.
研究的目的:
- 评估捷克共和国艾滋病毒感染者 (PLWH) 的生活质量.
- 评估PLWH所面临的污名化和歧视的程度和感知.
- 确定PLWH在医疗保健,家庭和公共互动方面面临的挑战.
主要方法:
- 在2021年至2022年期间,利用便利抽样进行了一项试点研究.
- 参与者包括捷克国民和在捷克共和国感染艾滋病毒的外国人.
- 数据是通过ECDC在线调查问卷收集的,以及在康复期间的出席,并使用描述性统计和利克尔特尺度进行分析.
主要成果:
- 77%的受访者学会了与他们的艾滋病毒状况相处,但21%的受访者经历了低自尊.
- 81%的人披露了他们的身份,尽管40%的人发现很难;17%的人报告了伴侣的威胁.
- 显著的医疗保健障碍包括拒绝护理 (27%),工作人员的负面评论 (44%) 和拒绝牙科护理 (41%).
结论:
- 尽管样本规模很小,但该研究证实了捷克社会对PLWH的污名化和歧视的存在.
- 这种耻辱可能会降低患者的动机和参与治疗的风险.
- 为了确定耻辱的根本原因和制定有效的预防策略,必须进行更大规模的研究.
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