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首页> 外文期刊>AIDS care. >Late HIV diagnosis of people from culturally and linguistically diverse backgrounds in Sydney: the role of culture and community.
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Late HIV diagnosis of people from culturally and linguistically diverse backgrounds in Sydney: the role of culture and community.

机译：在悉尼，对来自文化和语言背景不同的人群进行的艾滋病毒晚期诊断：文化和社区的作用。

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In Australia more than 85% of newly diagnosed HIV infections in 1999-2003 were homosexually acquired. In contrast, among people from culturally and linguistically diverse backgrounds, there is a much higher proportion of heterosexual exposure and many of the heterosexually acquired infections are diagnosed 'late', with people sometimes presenting with symptoms of AIDS. This paper reports on circumstances of late HIV diagnosis, meaning of an HIV-positive diagnosis and perceptions of risk among HIV-positive people from a variety of cultural and ethnic backgrounds in Sydney. The focus was on commonalities across cultures and ethnicities. Data were collected through semi-structured in-depth interviews with clients of the Multicultural HIV/AIDS and Hepatitis C Service and a sexual health clinic. Regular HIV tests were the exception in this group. Testing was usually motivated by a serious health crisis. Participants interpreted their diagnosis in the context of their knowledge and experiences with HIV/AIDS in their country of birth and the perceptions of HIV/AIDS in their ethnic communities in Australia. Many were not aware of the relationship between HIV and AIDS. Risk was perceived in terms of 'risk group' membership not in terms of practices and behaviours. Late diagnosis cannot be explained solely by association with country of birth, race or ethnicity. Rather, it is located within complex sets of social and cultural relations: the values attributed to HIV/AIDS and those infected and the social and cultural relations of ethnic communities in Australia and the dominant culture. These are enacted in healthcare seeking behaviour, perceptions of people with HIV and perceptions of being 'at risk'.
机译：在澳大利亚，1999-2003年新诊断出的HIV感染中有85％以上是同性恋。相反，在具有不同文化和语言背景的人群中，异性接触的比例要高得多，许多异性获得性感染被诊断为“晚期”，人们有时会表现出艾滋病的症状。本文报道了悉尼晚期艾滋病毒的诊断情况，艾滋病毒阳性诊断的含义以及对艾滋病毒阳性人群的风险感知。重点是跨文化和种族的共性。通过与多文化HIV / AIDS和丙型肝炎服务以及性健康诊所的客户进行的半结构化深度访谈收集了数据。常规艾滋病毒检测是该组的例外。测试通常是由严重的健康危机引起的。参加者根据其出生国对艾滋病毒/艾滋病的知识和经验以及澳大利亚各族裔社区对艾滋病毒/艾滋病的看法来解释他们的诊断。许多人不知道艾滋病毒和艾滋病之间的关系。风险被认为是“风险组”成员，而不是行为和行为。不能仅通过与出生国家，种族或种族的关联来解释晚期诊断。相反，它位于复杂的社会和文化关系中：归因于艾滋病毒/艾滋病和被感染者的价值观以及澳大利亚各族社区和主导文化的社会和文化关系。这些是在医疗保健行为，对艾滋病毒感染者的看法以及“处于危险中”的看法中制定的。

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