通过photovoice捕捉关键人群经历的与艾滋病毒相关的社会排斥实践:一个解释性的现象学研究
Ami Kamila1,2, Widyawati Widyawati3, Mubasysyir Hasanbasri4
1Doctoral Program, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Reproductive health
|July 14, 2024
概括
关键人群,包括与男性发生性关系的男性 (MSM),跨性别者 (TG),注射毒品的人 (PID) 和女性性工作者 (FSW),面临着严重的社会和精神排斥,这影响了他们获得艾滋病毒治疗的机会. 尽管面临挑战,他们通过同行支持和自我反思表现出性,突出了包容性艾滋病预防策略的必要性.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 艾滋病毒研究 艾滋病毒研究
背景情况:
- 关键人群 (男性与男性发生性关系,跨性别者,注射毒品的人,女性性工作者) 在印度尼西亚非常容易感染艾滋病毒.
- 这些群体经历了社会排斥和医疗服务障碍,阻碍了获得治疗的机会.
- 这项研究调查了关键人群关于社会和精神排斥的经历.
研究的目的:
- 探索印尼关键人口中社会和精神排斥的多方面的经验.
- 了解排斥对获得与艾滋病毒有关的服务和支持的影响.
- 在这些脆弱社区中确定应对机制和弹性因素.
主要方法:
- 从7月到2022年12月,利用光声方法进行了一项定性现象学研究.
- 参与者包括男性与男性发生性关系 (MSM),变性人 (TG),注射毒品的人 (PID) 和女性性工作者 (FSW) 通过雪球采样招募.
- 数据收集包括研讨会,焦点小组讨论,采访,以及使用Atlas.ti.的叙述和照片的主题分析.
主要成果:
- 出现了四个主要主题:有限的访问 (不平等的待遇,骚扰),社会和精神影响,应对机制和通过光声进行自我反思.
- 社会排斥是由社区规范驱动的,这些规范使关键人群失去人性,导致缺乏支持.
- 参与者通过利用内部资源和同行支持来表现出性,而光声促进了自信和意识.
结论:
- 开放地分享经验可以培养同理心,促进社区参与艾滋病毒预防.
- 调查结果可以为艾滋病毒政策和实践提供信息,以更好地包括关键人群.
- 建议通过展览和媒体倡导更广泛的可访问性,以放大他们的声音.
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