与艾滋病毒相关的耻辱,信任和测试行为之间的关联在美国的一般人中. 成年人口 成年人口
Sue Hyon Kim1,2,3, Stephen Bonett4,5, José Bauermeister4,5
1University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA, 19104, USA. kshyon@upenn.edu.
AIDS and behavior
|March 24, 2025
概括
与艾滋病毒相关的耻辱影响测试,但对医疗保健提供者的信任很重要. 低信任会增加人们的耻辱感.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 流行病学 流行病学
背景情况:
- 艾滋病毒检测对于实现95-95-95全球目标至关重要.
- 美国目前的艾滋病毒检测率低于推指南.
- 围绕艾滋病毒的耻辱感会阻碍人们获得医疗保健服务.
研究的目的:
- 探索与艾滋病毒相关的耻辱感 (HRS) 和艾滋病毒检测行为之间的关系.
- 调查在这种关系中对医疗保健提供者 (HCP) 的信任的调节作用.
主要方法:
- 利用了来自2022年一般社会调查的数据,这是一个具有全国代表性的样本.
- 在三个领域评估HRS:感知歧视,由于恐惧而回避和道德判断.
- 采用加权分层后勤回归来分析HRS,信任和测试行为.
主要成果:
- 在对医疗保健人员信任度较低的人群中,由于毫无根据的恐惧,避免与艾滋病毒感染者 (PLWH) 接触的人与艾滋病毒检测的几率较低有关.
- 在高信任组中,HRS域没有显著预测测试;相反,艾滋病毒风险行为是主要相关的.
- 研究结果表明,耻辱,信任和测试决策之间存在复杂的相互作用.
结论:
- 解决关于艾滋病毒传播的误解和提高对风险行为的认识是必不可少的.
- 培养对医疗保健提供者的信任是改善艾滋病毒检测普及的关键组成部分.
- 公共卫生战略必须考虑减少耻辱和建立信任的倡议.
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