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首页> 外文期刊>AIDS care. >Understanding internalized HIV/AIDS-related stigmas in the Dominican Republic: a short report
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Understanding internalized HIV/AIDS-related stigmas in the Dominican Republic: a short report

机译：了解多米尼加共和国内部与艾滋病毒/艾滋病相关的污名化：简短报告

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HIV/AIDS-related stigmas can become internalized, resulting in declines in physical and mental health. Pathways to internalized HIV-related stigma (IS), characterized by persistently negative, self-abasing thoughts, are not well established among women living with HIV/AIDS (WLWHA) in the Dominican Republic (DR). Identifying factors involved in self-directed shaming and blaming is important, given the high HIV prevalence in the DR's most vulnerable populations. The present study sheds light on factors involved in negative and self-abasing thoughts in WLWHA in the DR by examining the relationship between depression, perceived HIV-related stigma from the community (PSC), perceived HIV-related stigma from family (PSF), and IS. The Internalized AIDS-Related Stigma Scale (IA-RSS), the Center for Epidemiologic Studies Short Depression Scale (CES-D 10), and an instrument designed to measure perceived HIV-related stigma from the community and family was administered to 233 WLWHA in Puerto Plata, DR. Data were analyzed using descriptive statistics and ordered multiple logistic regression. Results showed that depression (OR = 1.60; p < .05), PSC (OR = 3.68; p < .001), and PSF (OR = 1.60; p < .01) were positively associated with IS. These findings indicate that IS-reducing interventions should address HIV-related depression. Additionally, HIV-related treatment and care services should work with WLWHA to adopt healthier attitudes about how community members view people living with HIV/AIDS in the DR.
机译：与艾滋病毒/艾滋病有关的污名可能被内部化，导致身心健康下降。在多米尼加共和国（DR）的感染HIV / AIDS（WLWHA）的女性中，建立以持续消极，自我淡化思想为特征的内部化HIV相关污名（IS）的途径尚不完善。鉴于DR最脆弱的人群中HIV感染率很高，因此识别与自我指导的羞辱和责备有关的因素非常重要。本研究通过检查抑郁症，社区中与艾滋病相关的耻辱感（PSC），家庭中与HIV相关的耻辱感（PSF）之间的关系，揭示了DR中WLWHA的负面和自我淡化思想所涉及的因素，并且是。对233名WLWHA进行了内部艾滋病相关的污名量表（IA-RSS），流行病学研究中心的短期抑郁量表（CES-D 10），以及旨在测量社区和家庭的艾滋病相关污名的仪器。普拉塔港（DR）使用描述性统计数据分析数据，并进行多元逻辑回归分析。结果显示，抑郁症（OR = 1.60; p <.05），PSC（OR = 3.68; p <.001）和PSF（OR = 1.60; p <.01）与IS正相关。这些发现表明，减少IS的干预措施应解决与HIV相关的抑郁症。此外，与HIV相关的治疗和护理服务应与WLWHA合作，就社区成员如何看待DR中的HIV / AIDS患者采取更健康的态度。

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