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首页> 外文期刊>AIDS care. >Prevalence and predictive factors of stigmatizing attitudes towards people living with HIV in the remote villages on the Maroni River in French Guiana
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Prevalence and predictive factors of stigmatizing attitudes towards people living with HIV in the remote villages on the Maroni River in French Guiana

机译：在法属圭亚那的马罗尼河上的偏远村庄中，对艾滋病毒感染者持鄙视态度的患病率和预测因素

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摘要

The Maroni basin, an isolated region which lies between Suriname and French Guiana, has been affected by the HIV epidemic 10 years after coastal French Guiana. However, the rise in HIV prevalence was sharp with a prevalence exceeding 1% within 10 years. Stigma and discrimination towards people living with HIV (PLWHIV) or "suspected to have HIV" is rampant as reported by health professionals or non-governmental organisations. The objective of this article is to present the first quantitative data from the general population of this region on stigma towards people living with HIV. Data were collected in 2012 by a structured questionnaire among a random sample of 896 individuals residing in remote villages on the Maroni River. Proportion comparisons between the Maroni sample and the sample from the general population on the coastline in 2011 were conducted. Simple and multivariate logistic regression models were used to predict stigmatising attitudes. For all situations involving PLWHIV, the proportion of negative attitudes was significantly higher on the Maroni than in coastal French Guiana (p < 0.001). Findings indicate that the different levels of knowledge, erroneous beliefs and poor situation (not having electricity in one's home; not having French health insurance) were associated with stigmatising attitudes. The present data could help both sides coordinate interventions both at the individual level by improving knowledge and at the community level to change norms in order to reduce stigma and discrimination aiming for increased impact.
机译：马罗尼盆地是苏里南和法属圭亚那之间的一个偏远地区，在法属圭亚那沿海地区十年后受到艾滋病毒流行的影响。但是，艾滋病毒的感染率急剧上升，在10年内，感染率超过1％。正如卫生专业人员或非政府组织所报告的那样，对艾滋病毒携带者或“怀疑患有艾滋病毒”的人的污名和歧视现象普遍存在。本文的目的是提供该地区普通人群对艾滋病毒感染者的污名化方面的第一批定量数据。 2012年，通过结构化问卷收集了随机居住在马罗尼河上偏远村庄的896个人的数据。进行了马罗尼（Maroni）样本与2011年海岸线上一般人口样本之间的比例比较。简单和多元逻辑回归模型用于预测污名化态度。在所有涉及PLWHIV的情况下，Maroni持否定态度的比例明显高于法属圭亚那沿海地区（p <0.001）。研究结果表明，不同程度的知识，错误的信念和恶劣的境况（家里没有电;法国没有医疗保险）与侮辱态度有关。现有数据可以通过提高知识水平和社区水平，帮助双方在个人层面上协调干预措施，以改变规范，从而减少污名和歧视，从而扩大影响。

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