Influences of Gender-Based Stigma on HIV Prevention and Care Among Older Women: A Scoping Review.

IF 1.6 4区医学 Q2 NURSING

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-02 DOI:10.1097/JNC.0000000000000551

Thi Vu, Jasmine A Manalel, Shivesh Shourya, Bryce Takenaka, Joan K Monin

{"title":"Influences of Gender-Based Stigma on HIV Prevention and Care Among Older Women: A Scoping Review.","authors":"Thi Vu, Jasmine A Manalel, Shivesh Shourya, Bryce Takenaka, Joan K Monin","doi":"10.1097/JNC.0000000000000551","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Older women living with HIV are uniquely situated at multiple marginalized intersections because of their gender, age, and HIV status. However, research into how gender-based stigma (GBS) affects HIV prevention and care for older women is sparse. We conducted a scoping review to explore the relationship between GBS and HIV-related psychosocial, behavioral, and well-being outcomes among older women. Our systematic search yielded 25 articles describing 22 unique studies. We identified five main themes highlighting how GBS exists at individual, interpersonal, and societal levels to adversely affect HIV prevention and treatment among older women: (a) relationship power, safe sex practices, and intimate partner violence; (b) stigma, discrimination, and harmful stereotypes; (c) quality of care; (d) caregiving roles and responsibilities; and (e) psychological and physiological manifestations. Outstanding questions remain on best methods for measuring and conceptualizing GBS in HIV research and ways to translate research findings to public health practice.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Janac-Journal of the Association of Nurses in Aids Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JNC.0000000000000551","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Abstract: Older women living with HIV are uniquely situated at multiple marginalized intersections because of their gender, age, and HIV status. However, research into how gender-based stigma (GBS) affects HIV prevention and care for older women is sparse. We conducted a scoping review to explore the relationship between GBS and HIV-related psychosocial, behavioral, and well-being outcomes among older women. Our systematic search yielded 25 articles describing 22 unique studies. We identified five main themes highlighting how GBS exists at individual, interpersonal, and societal levels to adversely affect HIV prevention and treatment among older women: (a) relationship power, safe sex practices, and intimate partner violence; (b) stigma, discrimination, and harmful stereotypes; (c) quality of care; (d) caregiving roles and responsibilities; and (e) psychological and physiological manifestations. Outstanding questions remain on best methods for measuring and conceptualizing GBS in HIV research and ways to translate research findings to public health practice.

查看原文本刊更多论文

基于性别的污名对老年妇女艾滋病毒预防和护理的影响：范围综述

摘要：老年女性艾滋病病毒感染者由于其性别、年龄和艾滋病毒状况而处于多个边缘化的十字路口。然而，关于基于性别的耻辱（GBS）如何影响老年妇女的艾滋病预防和护理的研究很少。我们进行了一项范围综述，以探讨老年妇女中GBS与hiv相关的社会心理、行为和健康结果之间的关系。我们的系统搜索产生了25篇文章，描述了22项独特的研究。我们确定了五个主要主题，突出了GBS如何在个人，人际和社会层面存在，对老年妇女的艾滋病毒预防和治疗产生不利影响：(a)关系权力，安全性行为和亲密伴侣暴力；(b)耻辱、歧视和有害的陈规定型观念；(c)护理质量；(d)照顾者的角色和责任；（五）心理和生理表现。在艾滋病毒研究中衡量和概念化GBS的最佳方法以及如何将研究结果转化为公共卫生实践方面，仍然存在悬而未决的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Janac-Journal of the Association of Nurses in Aids Care 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

120

期刊介绍： The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.