The Impact of Intersectional Discrimination and Stigma on HIV Care for African, Caribbean, and Black Women Living With HIV During the COVID-19 Pandemic in British Columbia: A Descriptive Study.

IF 1.6 4区 医学 Q2 NURSING Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-03-01 DOI:10.1097/JNC.0000000000000457
Emmanuela Ojukwu, Saima Hirani, Tatiana Sotindjo, Emily McKay, Ijeoma Okedo-Alex, Patience Magagula, Ava Pashaei, Ginikachukwu Marylinda Agudosi
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Abstract

Abstract: African, Caribbean, and Black women living with HIV (ACB WWH) in British Columbia experience discrimination on the basis of their race, sex, gender identity, sexual orientation, and HIV status. The various forms of stigma that ACB WWH experience intersect to create a uniquely marginalized experience that has negative consequences for quality of life and overall well-being. Eighteen semistructured interviews were completed with ACB WWH in British Columbia. Interviews were conducted by phone, Zoom, or in-person at the participant's request. Participants consistently reported experiences of various forms of discrimination. There was additional stigmatization due to COVID-19 pandemic that negatively influenced the lives of ACB WWH. Interventions and resources are needed to support ACB WWH in navigating how to work through the multifaceted impacts of intersectional stigmatization. Efforts are needed to identify ways to continue the delivery of resources like social support groups throughout future pandemics.

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在不列颠哥伦比亚省 COVID-19 大流行期间,交叉歧视和污名化对非洲、加勒比和黑人女性艾滋病毒感染者的艾滋病毒护理的影响:描述性研究。
摘要:不列颠哥伦比亚省感染艾滋病毒的非洲裔、加勒比裔和黑人妇女(ACB WWH)因其种族、性别、性别认同、性取向和艾滋病毒感染状况而遭受歧视。非洲、加勒比和黑人女性艾滋病感染者所遭受的各种形式的污名交织在一起,形成了一种独特的边缘化体验,对生活质量和整体福祉造成了负面影响。我们对不列颠哥伦比亚省的 ACB WWH 进行了 18 次半结构化访谈。访谈通过电话、Zoom 或应受访者要求当面进行。参与者一致报告了遭受各种形式歧视的经历。由于 COVID-19 的流行,对 ACB WWH 的生活产生了负面影响,他们还受到了额外的侮辱。需要采取干预措施和提供资源,以支持非洲、加勒比海和太平洋地区的妇女、青年和健康,帮助他们了解如何克服交叉鄙视带来的多方面影响。需要努力确定如何在未来的大流行中继续提供社会支持小组等资源。
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来源期刊
CiteScore
2.90
自引率
10.00%
发文量
120
期刊介绍: The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.
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