"I'm So Passive, Every Visit Is a Challenge": Stigma Experienced by Older People Living With HIV During Follow-up Health Care Visits in Wuxi, China-A Qualitative Study.

IF 1.6 4区 医学 Q2 NURSING
Jiaxin Hao, Limei Feng, Dan Zhang, Judi Chen
{"title":"\"I'm So Passive, Every Visit Is a Challenge\": Stigma Experienced by Older People Living With HIV During Follow-up Health Care Visits in Wuxi, China-A Qualitative Study.","authors":"Jiaxin Hao, Limei Feng, Dan Zhang, Judi Chen","doi":"10.1097/JNC.0000000000000557","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>HIV-related stigma remains a significant challenge for older people living with HIV (PLWH), particularly during routine health care visits. Our qualitative study explores the perceptions and experiences of stigma among 12 older PLWH in Wuxi, China, through semi-structured interviews. Using Braun and Clarke's thematic analysis, 4 primary themes emerged: (a) self-psychological emotional experiences, including both negative and positive encounters; (b) personal stigma-related medical behaviors, such as voluntary disclosure and seeking care for non-HIV-related conditions; (c) medical expectations regarding HIV treatment and health care providers; and (d) insufficient medical support, including digital divide and economic constraints. Participants faced diverse challenges, highlighting the need for comprehensive strategies to address stigma in health care visits for older PLWH.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-05-14","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.0000000000000557","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: HIV-related stigma remains a significant challenge for older people living with HIV (PLWH), particularly during routine health care visits. Our qualitative study explores the perceptions and experiences of stigma among 12 older PLWH in Wuxi, China, through semi-structured interviews. Using Braun and Clarke's thematic analysis, 4 primary themes emerged: (a) self-psychological emotional experiences, including both negative and positive encounters; (b) personal stigma-related medical behaviors, such as voluntary disclosure and seeking care for non-HIV-related conditions; (c) medical expectations regarding HIV treatment and health care providers; and (d) insufficient medical support, including digital divide and economic constraints. Participants faced diverse challenges, highlighting the need for comprehensive strategies to address stigma in health care visits for older PLWH.

“我很被动,每次就诊都是挑战”:无锡市老年艾滋病病毒感染者随访期间的耻辱感——一项定性研究
摘要:艾滋病毒相关的耻辱感仍然是老年艾滋病毒感染者(PLWH)面临的一个重大挑战,特别是在常规卫生保健就诊期间。我们的定性研究通过半结构化访谈探讨了中国无锡市12名老年PLWH的耻辱感和经历。利用Braun和Clarke的主题分析,我们发现了4个主要主题:(a)自我心理情感体验,包括消极和积极的遭遇;(b)与个人耻辱有关的医疗行为,例如自愿披露和寻求与艾滋病毒无关的治疗;(c)对艾滋病毒治疗和保健提供者的医疗期望;(d)医疗支助不足,包括数字鸿沟和经济限制。与会者面临着各种挑战,突出表明需要制定全面战略,解决老年PLWH就诊中的耻辱问题。
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
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信