关键词: HIV-negative HIV-related stigma Indonesia Muslim wives marriage relationship nursing serodiscordant

来  源:   DOI:10.33546/bnj.1600   PDF(Pubmed)

Abstract:
UNASSIGNED: Although advanced treatment and accessibility of HIV/AIDS prevention and care have been increased, HIV-related stigma persists in the Indonesian community, especially among HIV-negative Muslim wives in a serodiscordant relationship. Therefore, understanding their coping strategies of the stigma is a necessity.
UNASSIGNED: The study aimed to explore HIV-related stigma and coping strategies of HIV-negative Muslim wives in a serodiscordant relationship.
UNASSIGNED: A qualitative study was conducted among seven HIV-negative Muslim wives in a serodiscordant relationship who experienced stigma. Data were collected by in-depth interview, and content analysis was used for data analysis.
UNASSIGNED: Three themes emerged from the data. The first theme was the meaning of HIV/AIDS to Muslim wives, including perceiving HIV as a wanita nakal (immoral women) disease, perceiving HIV causes death, assuming herself as a carrier, and presuming HIV is less harmful than Diabetes Mellitus. The second theme was HIV-related stigma experiences, including being shunned by people, rejected by a midwife, and humiliated by a health worker. Finally, the third theme was coping strategies with the stigma, consisting of hiding the husband\'s HIV-positive status from the neighbors, disclosing HIV-positive status to a selective person, seeking support from the peer group, and strengthening the relationship among family members.
UNASSIGNED: HIV/AIDS-related stigma affected people living with HIV/AIDS and their families, and it becomes a barrier to HIV/AIDS reduction programs in the marriage relationship. These findings will be beneficial to nurses and other health professionals to develop stigma reduction interventions related to HIV/AIDS.
摘要:
尽管艾滋病毒/艾滋病预防和护理的高级治疗和可及性得到了增加,与艾滋病毒有关的耻辱在印度尼西亚社区仍然存在,尤其是在血清不和谐关系中的HIV阴性穆斯林妻子中。因此,了解他们对污名的应对策略是必要的。
本研究旨在探讨HIV阴性穆斯林妻子在血清不和谐关系中与HIV相关的耻辱和应对策略。
对7名HIV阴性的穆斯林妻子进行了定性研究,这些妻子处于血清不一致的关系中,经历了耻辱。数据是通过深入访谈收集的,采用内容分析进行数据分析。
数据中出现了三个主题。第一个主题是艾滋病毒/艾滋病对穆斯林妻子的意义,包括将艾滋病毒视为wanitanakal(不道德的妇女)疾病,意识到艾滋病毒会导致死亡,假设自己是一个载体,假设艾滋病毒比糖尿病危害小。第二个主题是与艾滋病毒有关的耻辱经历,包括被人们避开,被助产士拒绝了,并被一名卫生工作者羞辱。最后,第三个主题是应对耻辱的策略,包括向邻居隐瞒丈夫的艾滋病毒阳性状态,向有选择的人披露艾滋病毒阳性状态,寻求同行团体的支持,加强家庭成员之间的关系。
与艾滋病毒/艾滋病有关的污名影响了艾滋病毒/艾滋病患者及其家人,它成为婚姻关系中减少艾滋病毒/艾滋病计划的障碍。这些发现将有利于护士和其他卫生专业人员制定与艾滋病毒/艾滋病有关的减少耻辱的干预措施。
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