艾滋病相关耻辱和歧视的现状及其影响的探索性研究

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1、中国协和医科大学博士学位论文艾滋病相关耻辱和歧视的现状及其影响的探索性研究姓名：杨翌申请学位级别：博士专业：流行病与卫生统计学指导教师：张孔来20040501——生里坠翌垦型查兰堡主堡塞生兰堡堕苎APilotStudyonHIV／AIDS—RelatedStigmaandDiscriminationAbstraetHIV／AIDSrelatedstigmaanddiscriminationareregardedasthegreatestbarrierstothepreventionofnewinfections，andadequatetreatmenta

2、ndcareforpeoplelivingwithHIV／AIDS．AsituationalanalysisofHIV／AIDSrelatedstigmaanddiscriminationwerecarriedoutforthefirsttimeinChinafrom2002Aprilto2003February．Datawascollectedusingtwodatacollectionmethods：reviewandanalysisoflegislativeandinstitutionalpolicydocuments．andin-depthinl

3、eⅣie、诺．Amulti—disciplinaryteaminterviewed28peopleliving、珩thHIV／AIDS(PLWHA、and72otherkeyinformants(HIVseronegative)．Thestudyusedthe2000UNAIDSProtocolfortheIdentificationofD&criminationAgainstPeopleLivingwithH1V,whichcovered37situationsin10keydomainsofsociallife，includinghealthcare

4、，employment，jusfice／legalprocess，administration，socialwelfare，housing，education,reproductiveandfamilylife，insuranceandotherpublicaccommodationandservices．Theprotocoladoptedaqualitativeapproachtoinvestigatinglegislation，policy,andpractice．Ateamofinvestigatorswithexperienceinhealth

5、care，law,andsocialpolicyexaminedtheoccurrenceofdiscriminationineachofthe10domains．Theresultsrevealedthatmostincidentsofdiscriminationoccurredineverydaylifesituationsratherthanatstructurallevelsoflegislationandwrittenregulations，althoughthelawprescribedanti—discrimination．Healthca

6、rewasthedomaininwhichmostHIV

7、K晒SrelateddiscriminationoccurredbecausePLWHAhadmoreopportunitytoexposetheirserostatusinthisarea．AseparatesamplingofPLWHA，215total，completedanonymousquestionnairesabouttheirdemographics，personalhealth,ARVUeatmem，perceivedstigma，knowledgeaboutHIV／AIDS．q

8、ualityoflife,andpartner／family／friendsdisclosureinformation．62．8％ofrespondentsexperienceddiscrimination．ThestudyrevealedthatthoselivinginlargecitiesthatunderwentmandatoryHIVtestingandexperienceddiscriminationweremost2中国协和医科大学博士研究生学位论文likelytohavehigherlevelsofperceivedstigma．64．5

9、％ofthetime．respondentsdisclosedtheirH1Vs