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首页> 外文期刊>AIDS care. >Fighting stigma, promoting care: a study on the use of occupationally-based HIV services in the Free State Province of South Africa
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Fighting stigma, promoting care: a study on the use of occupationally-based HIV services in the Free State Province of South Africa

机译：战斗耻辱，促进护理：南非自由州省职业艾滋病毒服务的研究

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Fear of breaches in confidentiality and HIV-related stigma in the workplace have been shown to be primary concerns and potential barriers to uptake of HIV testing and treatment by health care workers (HCWs) at the Occupational Health Unit (OHU). In a context of human resource shortages, it is essential to investigate potential ways of reducing HIV-related stigma and promoting confidentially in the workplace. Using Structural Equation Modelling (SEM), baseline data of the "HIV and TB Stigma among Health Care Workers Study" (HaTSaH Study) for 818 respondents has been analysed to investigate (1) whether bottom-up stigma-reduction activities already occur; and (2) whether such grassroots actions can reduce the fear of breaches in confidentiality and HIV-related stigma - and thus indirectly stimulate the uptake of HIV services at the OHU. Results (aim 1) illustrate the occurrence of existing activities aiming to reduce HIV-related stigma, such as HCWs giving extra support to HIV positive co-workers and educating co-workers who stigmatise HIV. Furthermore, results of the SEM analysis (aim 2) show that the Fighting-stigma factor has a significant negative effect on HIV-related stigma and a significant positive effect on Confidentiality. Results show that the latent fighting-stigma factor has a significant positive total indirect effect on the use of HIV testing, CD4 cell count and HIV-treatment at the OHU. The findings reveal that the fear of breaches in confidentiality and HIV-related stigma can be potential barriers to the uptake of occupationally-based HIV services. However, results also show that a bottom-up climate of fighting HIV-related stigma can stimulate confidentiality in the workplace and diminish the negative effect of HIV-related stigma - resulting in an overall positive effect on the reported willingness to access occupationally-based HIV services.
机译：在工作场所的保密性和艾滋病毒相关耻辱中违反违规的恐惧是职业对职业健康单位（OHU）的卫生保健工人（HCW）吸收艾滋病毒检测和治疗的主要问题和潜在的障碍。在人力资源短缺的背景下，必须调查减少艾滋病毒相关耻辱和在工作场所保密促进的潜在方法。使用结构方程建模（SEM），已经分析了818名受访者的“医疗工作人员之间的艾滋病毒和TB耻辱”的基线数据，以调查（1）是否已经发生了自下而上的耻辱减少活动; （2）这种基层行动是否可以减少机密性和艾滋病毒相关耻辱中对违规行为的恐惧 - 因此间接刺激OHU的艾滋病毒服务的摄取。结果（AIM 1）说明了旨在减少艾滋病病毒相关耻辱的现有活动的发生，例如HCW，为艾滋病毒阳性同事提供额外的支持，并教育艾滋病病毒的培训人员。此外，SEM分析（AIM 2）的结果表明，战斗 - 耻辱因素对艾滋病毒相关耻辱具有显着的负面影响和对机密性的显着积极影响。结果表明，潜在的战斗 - 耻辱因素对OHU在OHU的使用，CD4细胞计数和HIV治疗的使用具有显着的完全间接影响。调查结果表明，对机密性和艾滋病毒相关耻辱的违规可能是对职业基础艾滋病毒服务的吸收的潜在障碍。然而，结果还表明，与艾滋病毒相关耻辱的自下而上的气候可以刺激工作场所的机密性，并减少与艾滋病毒相关耻辱的负面影响 - 导致对据报道的进入基于职业艾滋病毒的意愿进行了总体积极影响服务。

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