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首页> 美国卫生研究院文献>AIDS Research and Treatment >Experiences and Impact of Stigma and Discrimination among People on Antiretroviral Therapy in Dar es Salaam: A Qualitative Perspective
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Experiences and Impact of Stigma and Discrimination among People on Antiretroviral Therapy in Dar es Salaam: A Qualitative Perspective

机译：达累斯萨拉姆抗逆转录病毒疗法在人中的耻辱和歧视的经历及其影响：定性分析

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摘要

Background. The impact of stigma on adherence to antiretroviral therapy (ART) has been less studied in Tanzania. Recent studies indicate that people on ART still experience stigma. Qualitative information on the subject matter is especially insufficient. Objective. This paper reports on the dimensions of stigma and discrimination and their impact on adherence to ART as experienced by people living with HIV (PLHIV). Design. A phenomenological approach was used to gather information on the lived experiences of stigma and discrimination. The sample size was determined according to the saturation principle. Results. Respondents experienced different forms of HIV-related stigma such as verbal, social, and perceived stigma. Various forms of discrimination were experienced, including relational discrimination, mistreatment by health care workers, blame and rejection by spouses, and workplace discrimination. HIV-related stigma and discrimination compromised ART adherence by reinforcing concealment of HIV status and undermining social suppport. Conclusion. After nearly a decade of increasing the provision of ART in Tanzania, PLHIV still experience stigma and discrimination; these experiences still appear to have a negative impact on treatment adherence. Efforts to reduce stigma and discrimination remain relevant in the ART period and should be given more impetus in order to maximize positive treatment outcomes.
机译：背景。坦桑尼亚对柱头对坚持抗逆转录病毒疗法（ART）的影响的研究较少。最近的研究表明，接受抗逆转录病毒治疗的人仍然遭受耻辱。有关主题的定性信息尤其不足。目的。本文报道了艾滋病毒感染者（PLHIV）遭受的污名和歧视的程度及其对坚持抗逆转录病毒疗法的影响。设计。现象学方法用于收集有关污名和歧视生活经历的信息。样本量是根据饱和原理确定的。结果。受访者经历了各种形式的与艾滋病相关的污名，例如口头，社会和被认为的污名。经历了各种形式的歧视，包括关系歧视，医护人员的虐待，配偶的责备和拒绝以及工作场所的歧视。艾滋病毒相关的污名和歧视通过加强对艾滋病毒状况的隐瞒和破坏社会支持，损害了抗逆转录病毒疗法的依从性。结论。在坦桑尼亚增加了近十年的抗病毒治疗后，艾滋病毒/艾滋病感染者仍然受到污名和歧视。这些经验似乎仍然对治疗依从性产生负面影响。在抗逆转录病毒治疗期间，减少污名和歧视的努力仍然很重要，应给予更大的推动力，以最大程度地提高积极的治疗效果。

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