莫桑比克抗逆转录病毒治疗坚持的性别和耻辱:一种定性研究
Kirsi Viisainen1, Marion Baumgart Dos Santos2, Ute Sunderbrink3
1Department of Global Health and Social Medicine, King's College, London, United Kingdom.
PLOS global public health
|July 15, 2024
概括
性别和艾滋病毒污名显著影响艾滋病毒感染者 (PLWH) 坚持治疗. 了解它们与性别规范的相互作用对于改善抗逆转录病毒疗法 (ART) 保留至关重要.
科学领域:
- 社会和行为科学 社会和行为科学
- 公共卫生 公共卫生
- 医学社会学 医学社会学
背景情况:
- 性别和艾滋病毒污名独立影响艾滋病毒感染者 (PLWH) 抗逆转录病毒疗法 (ART) 的坚持.
- 在影响治疗决策方面,性别规范和艾滋病污名之间的相互作用仍然未被充分探索.
研究的目的:
- 定性地探索艾滋病毒污名和性别在莫桑比克艾滋病毒感染者 (PLWH) 护理决策中的相互作用.
- 确定性别角色和耻辱经历如何影响ART的坚持和中断.
主要方法:
- 半结构面试对68名艾滋病毒感染者男性和71名艾滋病毒感染者女性进行.
- 用演和归纳编码分析数据,以确定与艾滋病毒污名,性别规范和治疗途径相关的主题.
主要成果:
- 性别角色影响了耻辱的经历;女性面临着更强烈的耻辱,特别是来自伴侣的耻辱,因为害怕负面反应而影响了坚持.
- 男性的内化耻辱和坚持受到男性力量规范和预期的耻辱的影响.
- 仅有有限支持的单身母亲由于严重的内化耻辱而未能接受治疗.
- 照顾者的角色和社会支持促进了女性的坚持,而症状严重程度和提供者的角色帮助了男性的坚持.
结论:
- 艾滋病毒污名和不平等的性别规范共同成为ART坚持的障碍.
- 挑战限制性性别规范可以改善艾滋病毒污名化管理和治疗坚持.
- 文化相关,性别敏感的项目对于减少艾滋病毒污名和提高ART坚持是必不可少的.
相关概念视频
01:26Sexually Transmitted Infections
294
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
294
01:10Retrovirus Life Cycles
45.8K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
45.8K