tailieunhanh - báo cáo hóa học:" Experiences of stigma in healthcare settings among adults living with HIV in the Islamic Republic of Iran Fatemeh Rahmati-Najarkolaei1†, Shamsaddin "

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Experiences of stigma in healthcare settings among adults living with HIV in the Islamic Republic of Iran Fatemeh Rahmati-Najarkolaei1†, Shamsaddin | Rahmati-Najarkolaei et al. Journal of the International AIDS Society 2010 13 27 http content 13 1 27 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Experiences of stigma in healthcare settings among adults living with HIV in the Islamic Republic of Iran 1Ỷ 2 Ỷ 1Ỷ 1Ỷ Fatemeh Rahmati-Najarkolaei Shamsaddin Niknami Farkhondeh Aminshokravi Mohsen Bazargan Fazlollah Ahmadi3Ỷ Ebrahim Hadjizadeh43 Sedigheh S Tavafian13 Abstract Background People living with HIV PLHIV sometimes experience discrimination. There is little understanding of the causes forms and consequences of this stigma in Islamic countries. This qualitative study explored perceptions and experiences of PLHIV regarding both the quality of healthcare and the attitudes and behaviours of their healthcare providers in the Islamic Republic of Iran. Methods In-depth semi-structured interviews were held with a purposively selected group of 69 PLHIV recruited from two HIV care clinics in Tehran. Data were analyzed using the content analysis approach. Results and discussion Nearly all participants reported experiencing stigma and discrimination by their healthcare providers in a variety of contexts. Participants perceived that their healthcare providers fear of being infected with HIV coupled with religious and negative value-based assumptions about PLHIV led to high levels of stigma. Participants mentioned at least four major forms of stigma 1 refusal of care 2 sub-optimal care 3 excessive precautions and physical distancing and 4 humiliation and blaming. The participants healthcare-seeking behavioural reactions to perceived stigma and discrimination included avoiding or delaying seeking care not disclosing HIV status when seeking healthcare and using spiritual healing. In addition emotional responses to perceived acts of stigma included feeling undeserving of care diminished motivation to stay healthy feeling angry and vengeful and experiencing emotional stress. Conclusions While .

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