Perceived AIDS Stigma: A Multinational African Study

艾滋病耻辱感：一项非洲跨国研究

• 批准号: 6953498
• 负责人: WILLIAM L HOLZEMER
• 金额: $ 9万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6953498
• 关键词: AIDS education /prevention; Africa; HIV infections; behavioral /social science research tag; clinical research; community health services; health care quality; human subject; interview; longitudinal human study; method development; nurse patient relations; nurses; prejudice; psychometrics; psychosocial separation; quality of life; social group process

DESCRIPTION (provided by applicant): AIDS stigma and discrimination continue to impact those living with and affected by HIV disease and their health care providers, particularly in Southern Africa where the burden of the AIDS is so significant. Many health care workers in South Africa have come to the conclusion that unless stigma is conquered, the illness will not be defeated. A five-year collaboration project is proposed linking five country members (Lesotho, Malawi, South Africa, Swaziland, and Tanzania) of the Southern African AIDS Network of Nurses and Midwives (SANNAM) with the Schools of Nursing at the University of Natal and the University of California, San Francisco. The aims are: 1) to develop and validate two linguistically and culturally appropriate measures of perceived HIV/AIDS stigma appropriate for persons living with HIV/AIDS and nurses; 2) To explore potential relationships, over time, among stigma, quality of health care, and quality of life for persons living with HIV/AIDS and among stigma, quality of work life, and quality of life for nurses; and, 3) To utilize community-based participatory research methods to intervene at a community level with five national nurses association and to track the impact of the community-level events on the perceived stigma of nurse members of those associations. Psychometric strategies designed to develop and validate new instruments are proposed for Aim 1. Two models will be examined in Aim 2 with a repeated measures design using covariant equation analysis. Aim 3 proposes a quasi-experimental design to test the impact of community-level stigma reducing interventions within national nurses associations on its nurse members.

描述（由申请人提供）：艾滋病的污名和歧视继续影响与艾滋病毒疾病及其医疗保健提供者有关的人，特别是在艾滋病负担如此重要的南部非洲。南非的许多卫生保健工作者得出的结论是，除非征服污名，否则这种疾病将不会被击败。提出了一个为期五年的合作项目，将南部非洲艾滋病护士和助产士网络（SANNAM）与纳塔尔大学和加利福尼亚大学旧金山分校的护理学校联系起来，将五名国家成员（莱索托，马拉维，南非，斯威士兰和坦桑尼亚）联系起来。目的是：1）在语言和文化上开发和验证两个适合于艾滋病毒/艾滋病和护士的人的感知的艾滋病毒/艾滋病污名； 2）探索艾滋病毒/艾滋病患者以及护士的污名，工作质量以及护士的生活质量的污名，医疗保健质量以及生活质量的潜在关系； 3）利用基于社区的参与研究方法与五个国家护士协会在社区层面进行干预，并跟踪社区级事件对这些协会护士成员感知的污名的影响。为AIM 1提出了旨在开发和验证新工具的心理测量策略。在AIM 2中将检查两个模型，并使用协证方程分析进行重复测量设计。 AIM 3提出了一种准实验设计，以测试国家护士协会对其护士成员的社区水平污名的影响。