Healthcare lived experiences of African, Caribbean, and Black individuals in Alberta living with HIV/AIDS: A phenomenological study.

IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Joseph Osuji, Alyssa Domingo, Funke Olokude
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引用次数: 0

Abstract

Objective: This study explores the lived experiences of African, Caribbean, and Black (ACB) individuals in Alberta living with HIV/AIDS and the issues they encounter when accessing services.

Methods: Interpretive phenomenological analysis (IPA) provided the underlying philosophy, data collection, and analysis methods. Participants self-identified after responding to recruitment posters posted at HIV/AIDS-supporting agencies in Alberta and on related social media pages. A total of 22 research informants were recruited and interviewed. Texts resulting from audio-taped interviews constituted data for analysis.

Results: Data analysis yielded four broad themes, with stigma, discrimination, and racism serving as common threads in the lived experiences of ACB individuals accessing HIV/AIDS services in Alberta. These themes were organized into four categories: (a) health literacy and empowerment, (b) non-belonging and invisibility, (c) barriers to care and adherence, and (d) psychosocial life impacts.

Conclusion: The findings suggest the need for greater sensitivity and knowledge among healthcare and service providers, such as providing culturally appropriate support services for the ACB population living with HIV/AIDS. Moreover, a comprehensive community awareness program is necessary to address discrimination, anti-Black racism, and stigma. Expanded efforts to recognize and mitigate barriers to care, such as poverty, accessibility, and settlement issues, are also critical. This perspective advocates for intentional policy and practice changes that focus on diversity, equity, and inclusivity in protocols governing how ACB individuals access HIV/AIDS care in Alberta.

目的:本研究探讨艾伯塔省非洲裔、加勒比裔和黑人(ACB)艾滋病毒/艾滋病感染者的生活经历以及他们在获得服务时遇到的问题:本研究探讨艾伯塔省非洲裔、加勒比裔和黑人(ACB)艾滋病毒/艾滋病感染者的生活经历,以及他们在获得服务时遇到的问题:方法:解释性现象分析法(IPA)提供了基本理念、数据收集和分析方法。参与者在回应艾伯塔省艾滋病支持机构张贴的招募海报和相关社交媒体页面后进行自我认同。共招募并访谈了 22 名研究信息提供者。访谈录音文本构成分析数据:数据分析得出了四个广泛的主题,其中污名化、歧视和种族主义是艾伯塔省获得艾滋病服务的 ACB 人士生活经历中的共同点。这些主题被分为四类:(a)健康知识和赋权,(b)非归属感和隐匿性,(c)护理和坚持治疗的障碍,以及(d)对社会心理生活的影响:结论:研究结果表明,医疗保健和服务提供者需要提高敏感性和增加知识,例如为感染艾滋病毒/艾滋病的 ACB 群体提供文化上适当的支持服务。此外,有必要开展一项全面的社区宣传计划,以解决歧视、反黑人种族主义和污名化问题。扩大努力,认识并减少护理障碍,如贫困、无障碍环境和定居问题,也是至关重要的。本观点主张有意识地改变政策和做法,在管理艾伯塔省 ACB 个人如何获得艾滋病毒/艾滋病护理的协议中注重多样性、公平性和包容性。
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来源期刊
Canadian Journal of Public Health-Revue Canadienne De Sante Publique
Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.10
自引率
4.70%
发文量
128
期刊介绍: The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer.   Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.
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