HIV-related Stigma Among an Urban Sample of Persons Living With HIV at Risk for Dropping Out of HIV-oriented Primary Medical Care

被引：9
作者：
Relf, Michael V. [1 ]
Rollins, Kate V. [2 ]
机构：
[1] Duke Univ, Sch Nursing, Durham, NC 27708 USA
[2] Evolent Hlth, Clin Operat, Arlington, VA USA
来源：
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2015年 / 26卷 / 01期
关键词：
HIV; HIV-related stigma; stigma; DEPRESSIVE SYMPTOMS; HEALTH; HIV/AIDS; PEOPLE; DISCLOSURE; WOMEN; EPIDEMIOLOGY; BEHAVIORS; SELECTION; IMPACT;
D O I：
10.1016/j.jana.2014.03.003
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
HIV-related stigma is one of the greatest barriers to preventing and ending the HIV epidemic. The purpose of our study was to examine HIV-related stigma among urban adults voluntarily seeking HIV-oriented primary medical care and at risk for dropping out after enrolling. The baseline cross-sectional analysis of perceived HIV-related stigma upon enrolling in care examined the level of HIV-related stigma and its sub-domains: personalized, disclosure, negative self-image, and public attitudes. Our study also identified precursors of HIV-related stigma and associated outcomes. HIV-related stigma continues to be a significant problem for persons living with HIV; those perceiving higher levels of HIV-related stigma reported a poorer quality of life, both physically and mentally. The relationship between HIV-related stigma and mental health was closely connected in our sample. Copyright (C) 2015 Association of Nurses in AIDS Care
引用
收藏
页码：36 / 45
页数：10
相关论文
共 33 条
[1]   Relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS [J].
Bakken, S ;
Holzemer, WL ;
Brown, MA ;
Powell-Cope, GM ;
Turner, JG ;
Inouye, J ;
Nokes, KM ;
Corless, IB .
AIDS PATIENT CARE AND STDS, 2000, 14 (04) :189-197
[2]   Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale [J].
Berger, BE ;
Ferrans, CE ;
Lashley, FR .
RESEARCH IN NURSING & HEALTH, 2001, 24 (06) :518-529
[3]   Constrained but not determined by stigma: Resistance by African American women living with HIV [J].
Buseh, Aaron G. ;
Stevens, Patricia E. .
WOMEN & HEALTH, 2006, 44 (03) :1-18
[4]  
Centers for Disease Control and Prevention, 2013, HIV SURV REP 2011
[5]  
Centers for Disease Control and Prevention, 2012, MON SEL NAT HIV PREV
[6]   JUSTICE, STIGMA, AND THE NEW EPIDEMIOLOGY OF HEALTH DISPARITIES [J].
Courtwright, Andrew M. .
BIOETHICS, 2009, 23 (02) :90-96
[7]   Commentary: Factors affecting HIV/AIDS-related stigma and discrimination by medical professionals [J].
Deacon, Harriet ;
Boulle, Andrew .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2007, 36 (01) :185-186
[8]   HIV Stigma Mechanisms and Well-Being Among PLWH: A Test of the HIV Stigma Framework [J].
Earnshaw, Valerie A. ;
Smith, Laramie R. ;
Chaudoir, Stephenie R. ;
Amico, K. Rivet ;
Copenhaver, Michael M. .
AIDS AND BEHAVIOR, 2013, 17 (05) :1785-1795
[9]   A comparison of HIV stigma and disclosure patterns between older and younger adults living with HIV/AIDS [J].
Emlet, Charles A. .
AIDS PATIENT CARE AND STDS, 2006, 20 (05) :350-358
[10]   The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer [J].
Fife, BL ;
Wright, ER .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 2000, 41 (01) :50-67
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