Shadow on my heart: a culturally grounded concept of HIV stigma among chinese injection drug users.

Shadow on my heart: a culturally grounded concept of HIV stigma among chinese injection drug users.
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我内心深处的影子:中国注射吸毒者的艾滋病毒污名的一种文化扎根的概念。

DOI:
10.1016/j.jana.2011.07.002
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发表时间:
2012-01
影响因子:
2
通讯作者:
Williams, Ann Bartley
Williams, Ann Bartley
中科院分区:
医学4区
文献类型:
--
作者:
Li, Xianhong;Wang, Honghong;He, Guoping;Fennie, Kristopher;Williams, Ann Bartley

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尽管耻辱是全球艾滋病毒预防和治疗的一个重要障碍,但中国艾滋病毒感染者经历耻辱的文化特定社会心理过程尚未得到描述。本研究运用扎根理论探讨了中国注射吸毒者hiv相关的耻辱感的社会和心理过程,并提出了一个文化特异性的耻辱感概念。焦点小组有6名参与者,我们进行了16次个人访谈。核心类别是“双重斗争:回归正常”。关键概念是双重耻辱和家庭支持,而保守秘密和积极吸毒是影响努力恢复正常的因素。家庭责任在使家庭成员团结起来对付艾滋病毒方面发挥了重要作用。对中国卫生保健提供者的建议包括利用中国传统的家庭责任观念,建立家庭联盟,以应对双重耻辱,并在治疗诊所提供心理咨询和教育。
Although stigma is a significant barrier to HIV prevention and treatment globally, the culture-specific psychosocial processes through which HIV-infected Chinese experience stigma have not been described. This study used grounded theory to explore the social and psychological processes of HIV-related stigma experienced by Chinese injection drug users and proposed a culture-specific concept of stigma. The focus group had six participants, and we conducted 16 individual interviews. The core category emerged as “Double struggle: Returning to normalcy.” Key concepts were dual stigma and family support, while keeping secrets and active drug use were factors influencing the struggle to return to normalcy. Family responsibility played an important role in bringing family members together to cope with HIV. Recommendations for Chinese health care providers include leveraging the traditional Chinese concept of family responsibility to establish a family alliance in response to the dual stigma and providing psychological counseling and education in treatment clinics.
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