探讨预期的耻辱和社区对艾滋病毒的共同担忧与南非农村艾滋病毒护理违约之间的关系
Erica N Browne1, Marie C D Stoner1, Chodziwadziwa Kabudula2
1Women's Global Health Imperative, RTI International, Berkeley, CA, USA.
Stigma and health
|July 10, 2024
概括
在这项南非研究中,个人对艾滋病毒的耻辱和社区对艾滋病毒的担忧并没有显著影响未能获得护理. 减少耻辱感的干预措施对艾滋病毒治疗计划的保留有很小的影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 耻辱感与艾滋病毒感染者从护理中失败有关.
- 在了解个人耻辱和社区关注对艾滋病毒护理缺失的影响方面存在差距.
研究的目的:
- 分析个人预期的耻辱感,社区对艾滋病毒的担忧,以及缺失护理之间的关联.
- 估计减少耻辱感和增加对艾滋病毒护理缺失的担忧的干预措施在人口层面的影响.
主要方法:
- 关联的卫生设施和社区调查数据的二次分析来自南非Mpumalanga农村 (2018年).
- 用于估计关联和干预效应的参数g公式.
- 包括319名接受艾滋病毒治疗的参与者.
主要成果:
- 13.2%的参与者 (42/319) 违约了护理.
- 预期的耻辱感,低感知社区/领导者关注,低共享社区关注与违约没有显著联系.
- 假设干预结果显示,违约率的减少很小 (~1%).
结论:
- 减少预期的耻辱和增加共同关注对这个样本中的HIV护理保留的影响有限.
- 未来的研究应该探索其他耻辱的来源,以及它们在艾滋病毒护理级联中的影响.
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