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首页> 美国卫生研究院文献>Journal of Public Health in Africa >Is Socio-Economic Status a Determinant of HIV-Related Stigma Attitudes in Zimbabwe? Findings from Project Accept
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Is Socio-Economic Status a Determinant of HIV-Related Stigma Attitudes in Zimbabwe? Findings from Project Accept

机译：社会经济地位是否是津巴布韦与艾滋病相关的污名态度的决定因素？项目验收结果

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摘要

HIV related stigma and discrimination is a known barrier for HIV prevention and care. We aimed to assess the relationship between socio-economic status (SES) and HIV related stigma in Zimbabwe. This paper uses data from Project Accept, which examined the impact of community-based voluntary counseling and testing intervention on HIV incidence and stigma. Total of 2522 eligible participants responded to a psychometric assessment tool, which assessed HIV related stigma and discrimination attitudes on 4 point Likert scale. The tool measured three components of HIV-related stigma: shame, blame and social isolation, perceived discrimination, and equity. Participants’ ownership of basic assets was used to assess the socio-economic status. Shame, blame and social isolation component of HIV related stigma was found to be significantly associated with medium [odds ratio (OR)=1.73, P<0.01] and low SES (OR=1.97, P<0.01), indicating more stigmatizing attitudes by participants belonging to medium and low SES in comparison to high SES. For HIV related stigma and discrimination programs to be effective, they should take into account the socio-economic context of target population.
机译：与艾滋病毒有关的污名和歧视是艾滋病毒预防和护理的已知障碍。我们旨在评估津巴布韦的社会经济状况（SES）与艾滋病相关的污名之间的关系。本文使用来自Project Accept的数据，该数据检查了基于社区的自愿咨询和测试干预对HIV发生率和污名化的影响。共有2522名符合条件的参与者对心理测评工具做出了回应，该工具以4点李克特量表对HIV相关的污名和歧视态度进行了评估。该工具衡量了与艾滋病相关的污名的三个组成部分：羞耻，责备和社会孤立，感知到的歧视和公平。参与者对基本资产的所有权被用来评估社会经济地位。发现与艾滋病相关的耻辱的羞耻，责备和社会隔离成分与中等[比值比（OR）= 1.73，P <0.01]和低SES（OR = 1.97，P <0.01）显着相关，表明有更多的污名化态度。与高SES相比属于中低SES的参与者。为了使与艾滋病相关的污名和歧视计划有效，它们应考虑目标人群的社会经济背景。

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