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首页> 外文期刊>AIDS care. >Differences in testing, stigma, and perceived consequences of stigmatization among heterosexual men and women living with HIV in Bengaluru, India
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Differences in testing, stigma, and perceived consequences of stigmatization among heterosexual men and women living with HIV in Bengaluru, India

机译：印度班加罗尔的艾滋病毒异性恋男性和女性在测试，污名化和耻辱感方面的差异

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Approximately 2.4 million people in India are living with HIV. Gender inequality affects HIV prevention, detection, and management. The purpose of this paper was to describe gender differences in the experience of living with HIV in Bengaluru, India. A subsample of n = 313 (159 men and 154 women) from a larger cohort was used for these analyses. Participants were recruited through AIDS service organizations. They completed an interviewer-administered survey assessing HIV testing experience, types of stigma, and perceived consequences of stigmatization. The majority of men (67%) reported getting HIV tested because of illness, while women were more likely to be tested after learning their spouse's HIV-positive status (42%). More men (59%) than women (45%, p<0.05) were tested in private care settings. Men reported significantly higher mean levels of internalized stigma (men: M=0.71, SD = 0.63; women: M=0.46, SD = 0.55; p<0.001), whereas the women reported significantly higher scores for enacted stigma (men: M=1.30, SD = 1.69; women: M=2.10, SD = 2.17; p<0.001). These differences remained significant after controlling for potential socio-demographic covariates. Following their diagnosis, more women reported moving out of their homes (men: 16%; women: 26%; p<0.05). More men (89%) than women (66%; p<0.001) reported to have modified their sexual behavior after being diagnosed. These findings suggest that the experience of living with HIV and HIV stigma varies by gender in this population. Suggestions for a gender-based approach to HIV prevention and stigma reduction are provided.
机译：印度大约有240万人感染艾滋病毒。性别不平等影响艾滋病毒的预防，发现和管理。本文的目的是描述印度班加罗尔的艾滋病毒感染者经验中的性别差异。这些分析使用了来自较大队列的n = 313（159位男性和154位女性）的子样本。参加者是通过艾滋病服务组织招募的。他们完成了由访调员管理的调查，评估了HIV检测的经验，污名的类型以及污名化的后果。多数男性（67％）报告说是因为疾病而接受了艾滋病毒检测，而女性在得知其配偶的艾滋病毒阳性后，更有可能接受检测（42％）。在私人护理机构中测试的男性（59％）多于女性（45％，p <0.05）。男性报告的内部污名平均水平明显较高（男性：M = 0.71，SD = 0.63;女性：M = 0.46，SD = 0.55; p <0.001），而女性报告的已制定污名平均得分较高（男性：M = 1.30，SD = 1.69;女性：M = 2.10，SD = 2.17; p <0.001）。在控制潜在的社会人口统计学协变量后，这些差异仍然很明显。诊断后，更多妇女报告搬出家门（男性：16％;女性：26％; p <0.05）。据报告，被诊断出有性行为改变的男性（89％）多于女性（66％; p <0.001）。这些发现表明，该人群的艾滋病毒感染和艾滋病毒耻辱感的经历因性别而异。提供了关于基于性别的艾滋病毒预防和减少污名化方法的建议。

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