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首页> 外文期刊>AIDS care. >Effects of HIV-related stigma among an early sample of patients receiving antiretroviral therapy in Botswana.
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Effects of HIV-related stigma among an early sample of patients receiving antiretroviral therapy in Botswana.

机译：在博茨瓦纳接受抗逆转录病毒治疗的早期样本中，HIV相关污名的影响。

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Botswana, with its estimated HIV prevalence of 37%, instituted a policy of universal access to antiretroviral therapy (ART) in 2002. Initial enrolment lagged behind expectations, with a shortfall in voluntary testing that observers have attributed to HIV-related stigma - although there are no published data on stigma among HIV-positive individuals in Botswana. We interviewed 112 patients receiving ART in 2000, finding evidence of pervasive stigma in patterns of disclosure, social sequelae, and delays in HIV testing. Ninety-four percent of patients reported keeping their HIV status secret from their community, while 69% withheld this information even from their family. Twenty-seven percent of patients said that they feared loss of employment as a result of their HIV status. Forty percent of patients reported that they delayed getting tested for HIV; of these, 51% cited fear of a positive test result as the primary reason for delay in seeking treatment, which was often due to HIV-related stigma. These findings suggest that success of large-scale national ART programmes will require initiatives targeting stigma and its social, economic and political correlates.
机译：估计感染艾滋病毒的37％的博茨瓦纳于2002年制定了普及抗逆转录病毒疗法（ART）的政策。最初的入学人数落后于预期，观察员归因于HIV相关污名的自愿检测不足-尽管存在博茨瓦纳尚无关于艾滋病毒阳性患者中耻辱感的公开数据。我们在2000年采访了112位接受抗逆转录病毒治疗的患者，发现了在披露方式，社会后遗症和HIV检测延迟方面普遍存在的污名的证据。 94％的患者报告称其社区对自己的HIV状况保密，而69％的患者甚至不向其家人隐瞒此信息。 27％的患者表示，他们担心自己因HIV感染而失去工作。 40％的患者报告说他们延迟接受HIV检测。其中，有51％的人将对测试结果呈阳性的恐惧视为延迟寻求治疗的主要原因，这通常是由于与HIV相关的污名。这些发现表明，大规模的国家抗逆转录病毒疗法计划的成功将需要针对污名及其社会，经济和政治关系的倡议。

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