[SOCIO STRUCTURAL FACTORS AND HIV/AIDS STIGMA: EXPERIENCES FROM PUERTO RICANS LIVING WITH HIV/AIDS ACCESING HEALTH SERVICES.]

Salud y Sociedad Pub Date : 2012-01-01
Marinilda Rivera-Diaz, Nelson Varas-Diaz, Marcos Reyes-Estrada, Beatriz Suro, Doralis Coriano
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Abstract

HIV/AIDS stigma continues affecting the provision of health services to people living with HIV/AIDS, as well as their physical and mental well-being. Scientific literature has highlighted the importance of understanding stigma manifestations that surpass one-on-one social interactions. For that reason, social research in Puerto Rico and elsewhere has highlighted the importance of understanding the Socio-Structural Factors (SSF) that foster HIV/AIDS stigma. With the objective of exploring the SSF that influence stigma manifestations related to HIV/AIDS, we conducted 9 focus groups composed by women and men on HIV/AIDS treatment that had experienced social stigma related to the disease. Participants identified SSF that they understood were related to stigma such as a) development of housing projects for people with HIV/AIDS, b) decentralization of health related services, and c) health services administrative protocols that fostered exclusion. Results evidence the importance of addressing SSF when developing stigma related interventions for this population.

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[社会结构因素与艾滋病毒/艾滋病耻辱:波多黎各艾滋病毒/艾滋病感染者获得保健服务的经验。]
艾滋病毒/艾滋病的污名继续影响着向艾滋病毒/艾滋病感染者提供保健服务,以及他们的身心健康。科学文献强调了理解超越一对一社会互动的病耻感表现的重要性。因此,波多黎各和其他地方的社会研究强调了了解助长艾滋病毒/艾滋病污名的社会结构因素(SSF)的重要性。为了探索影响与HIV/AIDS相关的耻辱感表现的SSF,我们对经历过与该疾病相关的社会耻辱感的HIV/AIDS治疗进行了9个由女性和男性组成的焦点小组。与会者确定了他们认为与污名有关的社会福利问题,例如a)为艾滋病毒/艾滋病患者制定住房项目,b)卫生相关服务的权力下放,以及c)助长排斥的卫生服务行政协议。结果表明,在为这一人群制定与病耻感相关的干预措施时,解决SSF的重要性。
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