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Local understanding of an HIV vaccine and its relationship with HIV-related stigma in the Dominican Republic.

机译:多米尼加共和国对艾滋病毒疫苗的本地了解及其与艾滋病毒相关污名的关系。

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摘要

The purpose of this study was to explore local perceptions and experiences regarding vaccines in general and HIV vaccines and vaccine trials in the Dominican Republic. In-depth interviews were carried out with 25 participants representing two study groups: (1) individuals considered at high risk for HIV infection including female sex workers and male STI clinic attendees and (2) individuals considered at low risk of HIV infection including women and men recruited at a general outpatient clinic. Across the groups, participants often characterized vaccines in general as having both preventive and curative properties. In turn, one of the most salient concerns regarding the receipt of an HIV vaccine was the fear that one would be labelled 'HIV positive' and stigmatized, as the vaccine may be perceived as a cure for those already infected. These findings suggest the importance of individual and community level education to clarify the nature and mechanisms of the given HIV vaccine being tested. Social support and counselling services should also accompany HIV vaccine trials and distribution plans to assist individuals in determining if and how they communicate their participation and/or receipt of an HIV vaccine to others and manage potential negative social reactions.
机译:这项研究的目的是探讨多米尼加共和国对普通疫苗,艾滋病毒疫苗和疫苗试验的当地看法和经验。对代表两个研究组的25名参与者进行了深度访谈:(1)被认为极易感染HIV的个体,包括女性性工作者和性传播感染男性门诊人员;(2)被认为极低感染HIV的个体,包括女性和女性。普通门诊诊所招募的男性。在各组中,参与者通常将疫苗的总体特征定为具有预防和治疗特性。反过来,与接种艾滋病疫苗有关的最突出的担忧之一是担心人们会被贴上“艾滋病毒阳性”标签的标签,因为这种疫苗可能被视为已经感染者的治愈方法。这些发现表明,对个人和社区进行教育以阐明所测试的特定HIV疫苗的性质和机制的重要性。社会支持和咨询服务还应伴随艾滋病毒疫苗的试验和分发计划,以帮助个人确定是否以及如何与他人交流其参与和/或接受艾滋病毒疫苗的情况,并管理潜在的负面社会反应。

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