AIDSimpact 特刊:俄罗斯不坚持艾滋病护理的男男性行为者的污名化、血清状况披露、应对策略以及社会资本资源的作用:定性分析。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-01-30 DOI:10.1080/09540121.2024.2305785
Yuri A Amirkhanian, Anastasia Y Meylakhs, Anna V Kuznetsova, Jeffrey A Kelly, Katherine G Quinn
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引用次数: 0

摘要

艾滋病疫情在俄罗斯持续蔓延,但接受治疗的情况却不尽如人意。这项定性研究旨在了解俄罗斯未坚持治疗的男男性行为者(MSM)艾滋病病毒感染者的社会资本资源、生活污名化经历、应对方法和披露情况。在网上招募的 25 名 HIV 阳性男男性行为者通过 Zoom 完成了深度访谈,并使用 MAXQDA 软件对数据进行了分析。在与医疗服务提供者和亲属(尤其是男性)等社会关系较弱的人交往时,更有可能遭遇污名化。亲密的朋友--通常是其他艾滋病毒呈阳性的男男性行为者和女性亲属--最能给予支持,也最不容易造成污名化。在披露艾滋病毒血清状况时,最常考虑的是类似的人。减少污名化影响的应对策略包括忽视污名化经历、寻求社交圈成员的支持、尽量减少与污名化者的接触、寻求与艾滋病毒呈阳性者建立新的关系、通过参与宣传活动主动减少污名化,以及纠正神话和教育他人了解艾滋病毒感染。这些发现突出表明,有必要采取干预措施,帮助艾滋病毒呈阳性的男男性行为者建立可接受的社会资本资源,以减少污名化的影响,并在其社会网络中建立支持,通常是与其他艾滋病毒呈阳性的男男性行为者建立支持。
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Stigma, serostatus disclosure, coping strategies, and the role of social capital resources among HIV care-nonadherent MSM in Russia: a qualitative analysis.

The HIV epidemic continues to expand in Russia, with suboptimal levels of care uptake. This qualitative study aimed to characterize social capital resources and lived stigma experiences, coping, and disclosure among care-nonadherent men who have sex with men (MSM) living with HIV in Russia. Twenty-five HIV-positive MSM - recruited online - completed in-depth interviews over Zoom, with data analyzed using MAXQDA software. Stigma was more likely to be encountered in interactions with persons with whom social ties were weaker such as medical providers and relatives, particularly males. Close friends - often other HIV-positive MSM and female relatives - were the most supportive and least stigmatizing. Similar persons were most often considered for HIV serostatus disclosure. Coping strategies to reduce the impact of stigma included ignoring stigmatizing experiences, seeking support from members of one's social circle, minimizing contact with stigmatizing persons, seeking new relationships with persons who are also HIV-positive, proactively reducing stigma through involvement in advocacy roles, and correcting myths and educating others about HIV infection. These findings underscore the need for interventions to assist HIV-positive MSM in building accepting social capital resources to reduce the impact of stigma and to build support within their social networks, often with other HIV-positive MSM.

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172
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