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Older African Americans' management of HIV/AIDS stigma.

机译:非裔美国人对艾滋病毒/艾滋病污名的管理。

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The purpose of this study was to describe HIV/AIDS-related stigma in older African Americans living in the South, a population disproportionately affected by HIV/AIDS. Four focus groups were conducted with 24 men and women over 50 years old and a confirmed diagnosis of HIV. The focus group discussions were audiotaped and transcribed for analysis. Additionally, two stigma instruments, Self-Perceptions of HIV Stigma, and Stigma Impact of HIV, were used to enhance the qualitative data from the focus groups. Constant comparative data analysis of the focus group discussions resulted in four themes related to HIV/AIDS stigma: (1) disclosure; (2) stigma experiences; (3) need for HIV/AIDS education; and (4) acceptance of the disease. Strategies to prevent or decrease anticipated stigma were described, such as selective or non-disclosure and not receiving care where they lived. The stigma instruments indicated that the participants had experienced the most stigma related to their internalized shame about having HIV disease, and had experienced little or no direct stigma. The study findings have implications for designing prevention programs, and strategies to improve social support for this age group.
机译:这项研究的目的是描述居住在南部的老年人中与艾滋病毒/艾滋病相关的污名,南部非洲是受艾滋病毒/艾滋病影响最大的人口。四个焦点小组与24名50岁以上的男性和女性进行了确诊为HIV的诊断。对焦点小组的讨论进行了录音和转录,以进行分析。此外,还使用了两个污名化工具,即“艾滋病毒污名的自我感知”和“艾滋病毒的污名影响”,以增强焦点小组的定性数据。对焦点小组讨论进行的持续比较数据分析得出了与艾滋病毒/艾滋病污名有关的四个主题:(1)披露; (2)污名化经历; (3)需要进行艾滋病毒/艾滋病教育; (4)接受该疾病。描述了预防或减少预期污名的策略,例如选择性或不公开以及不在其居住地接受护理。污名化工具表明,参与者因感染艾滋病毒而内在的羞耻感遭受了最大的污名化,几乎没有或没有直接的污名化。研究结果对设计预防计划和改善该年龄段社会支持的策略具有重要意义。

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