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首页> 外文期刊>Tropical Medicine and International Health: TM and IH >Relationship between expressed HIV/AIDS-related stigma and HIV-beliefs/knowledge and behaviour in families of HIV infected children in Kenya.
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Relationship between expressed HIV/AIDS-related stigma and HIV-beliefs/knowledge and behaviour in families of HIV infected children in Kenya.

机译：肯尼亚艾滋病毒感染儿童家庭中表达的与艾滋病毒/艾滋病相关的污名与艾滋病信仰/知识和行为之间的关系。

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OBJECTIVES: To quantify expressed stigma in clients of the Kangemi program for HIV+ children, and to characterize the association between stigma and other population characteristics. METHODS: By means of a household survey we created a stigma index and indices for other social and knowledge domains that influence HIV-related healthcare. We used chi2, anova, and correlation to identify associations between domains. RESULTS: The mean (+/-SD) expressed stigma on a six points scale (6 = least stigma) was 3.65 +/- 1.64. Composite scores on knowledge about AIDS were skewed toward more knowledge; and analysis of individual knowledge items indicates that most respondents reject erroneous traditional beliefs and myths about the causes and transmission routes of AIDS. Respondents who were younger, had never married, and had less education expressed greater stigma. Differences in stigma were associated with poor knowledge about AIDS and negative attitudes toward testing, but not with gender or tribal affiliation.Condom use at last intercourse, unrelated to stigma, was only 40% (n = 218). CONCLUSIONS: While this population has good knowledge about AIDS and appraises risks realistically, it fails to reduce these risks. Associations between stigma and other domains can inform interventions that improve HIV care and mitigate spread of HIV.
机译：目的：量化Kangemi计划针对HIV +儿童的客户中表达的污名，并表征污名与其他人群特征之间的关联。方法：通过家庭调查，我们创建了耻辱指数，以及影响艾滋病毒相关医疗保健的其他社会和知识领域的指数。我们使用chi2，方差分析和相关性来识别域之间的关联。结果：六点量表（6 =最小柱头）上的柱头平均（+/- SD）为3.65 +/- 1.64。关于艾滋病知识的综合得分偏向于更多知识;对个别知识项目的分析表明，大多数受访者拒绝接受有关艾滋病病因和传播途径的错误传统观念和神话。年龄较小，从未结婚，受过较少教育的被调查者表示更大的污名。污名上的差异与对艾滋病的了解不足以及对检测的否定态度有关，但与性别或部落隶属关系无关。最后一次性交中使用避孕套与污名无关，仅为40％（n = 218）。结论：尽管该人群对艾滋病有很好的了解，可以现实地评估风险，但无法降低这些风险。污名与其他领域之间的联系可以为改善艾滋病毒护理和减轻艾滋病毒传播的干预措施提供信息。

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