Anjali Sharma, C. Mwamba, Natalie St Clair-Sullivan, B. Chihota, J. Pry, C. Bolton-Moore, M. Vinikoor, G. Muula, Harriet Daultrey, J. Gittelsohn, Lloyd. B. Mulenga, Namasiku Siyumbwa, Gilles Wandeler, Jaime H. Vera
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引用次数: 0
摘要
我们的探索性定性研究包括对诊所客户的 36 次深入访谈,以及对为客户提供服务的 36 名专业和非专业医护人员的 4 次焦点小组讨论。我们根据社会建构理论确定了研究主题。在个人层面,老龄化是多方面的,既被视为 HIV 时代的成就,也被视为认知、身体和经济衰退期。在社会交往中,老年人往往被定型为无助、贫穷和 "巫婆"。感染艾滋病毒的人还面临着被贴上滥交标签的耻辱。一些未感染艾滋病毒的参与者拒绝每天服用治疗非传染性疾病的药物,以免被误认为是在接受艾滋病毒抗逆转录病毒治疗。老年人希望获得高质量的医疗保健和家庭支持,以解决老龄化、贫困和慢性病带来的交叉性污名。
The Social Construction of Aging Among a Clinic-Based Population and Their Healthcare Workers in Zambia
We sought to understand the social construction of aging in a clinic-based population, with and without HIV, to address gaps in care for older individuals living with HIV in Zambia.Our exploratory qualitative study included 36 in-depth interviews with clinic clients and four focus group discussions with 36 professional and lay healthcare workers providing services to the clients. We identified themes based on social construction theory.At the individual level, aging was multidimensional, perceived both as an achievement in the HIV era and as a period of cognitive, physical, and economic decline. In social interactions, older individuals were often stereotyped and treated as helpless, poor, and “witches.” Those living with HIV faced the additional stigma of being labeled as promiscuous. Some of the participants living without HIV refused to take daily medication for non-communicable diseases to avoid being mistaken for taking antiretroviral therapy for HIV. Older individuals wanted quality healthcare and family support to address the intersectional stigma of aging, poverty, and chronic illness.Multifaceted interventions are required to combat age-related prejudice, intersectional stigma, and discriminatory practices, particularly for people living with HIV.
期刊介绍:
The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.