The fight against stigma: an overview of stigma-reduction strategies and interventions.
The fight against stigma: an overview of stigma-reduction strategies and interventions.
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DOI：
10.1080/13548500600595327
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发表时间：
2006-08-01
期刊：
影响因子：
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通讯作者：
Van Der Meij, Suzanne
中科院分区：
文献类型：
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作者：
Heijnders, Miriam;Van Der Meij, Suzanne
在许多健康状况下，人们受到与健康有关的耻辱和歧视的严重影响。进行了一项文献审查，以确定艾滋病毒/艾滋病、精神疾病、麻风病、结核病和癫痫领域的减少耻辱感战略和干预措施。审查确定了正在实施干预措施和战略的几个层面。这些是个人内部、人际、组织/机构、社区和政府/结构层面。尽管在污名化和减少污名化方面已经做了大量工作，但在评估减少污名化战略的有效性方面所做的工作要少得多。所确定的有效战略主要集中在个人和社区两级。为了大幅度减少与健康有关的羞辱和歧视，单一层次和单一目标群体的办法是不够的。所需要的是一种以病人为中心的方法，首先是针对个人内部的干预措施，以增强受影响者的能力，使他们能够协助在其他层面制定和执行减少耻辱感的方案。
In many health conditions, people are severely affected by health-related stigma and discrimination. A literature review was conducted to identify stigma-reduction strategies and interventions in the field of HIV/AIDS, mental illness, leprosy, TB and epilepsy. The review identified several levels at which interventions and strategies are being implemented. These are the intrapersonal, interpersonal, organizational/institutional, community and governmental/structural level. Although a lot of work has been carried out on stigma and stigma reduction, far less work has been done on assessing the effectiveness of stigma-reduction strategies. The effective strategies identified mainly concentrated on the individual and the community level. In order to reduce health-related stigma and discrimination significantly, single-level and single-target group approaches are not enough. What is required is a patient-centred approach, which starts with interventions targeting the intrapersonal level, to empower affected persons to assist in the development and implementation of stigma-reduction programmes at other levels.