Understanding HIV-related stigma and discrimination in a "blameless" population
Understanding HIV-related stigma and discrimination in a "blameless" population
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DOI：
10.1521/aeap.2006.18.6.518
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发表时间：
2006-12-01
影响因子：
1.8
通讯作者：
Wu, Zunyou
中科院分区：
文献类型：
--
作者：
Cao, Xiaobin;Sullivan, Sheena G.;Wu, Zunyou
与人类免疫缺陷病毒有关的耻辱和歧视是成功控制艾滋病毒的主要障碍。耻辱与疾病以及导致感染的行为有关。为了解中国农村流行的艾滋病相关污名的原因、来源和类型，进行了定性研究。对艾滋病毒/艾滋病患者、他们的家人、卫生保健提供者和未感染的村民进行了80次深入访谈。污名化行为主要与对艾滋病毒的恐惧有关，而不是与感染途径有关。未受感染的村民是歧视的主要来源，卫生工作者和家庭成员也持有一些污名化的态度。艾滋病毒阳性村民的一个主要关切是保护他们的家人，特别是他们的孩子不受歧视。次级污名也延伸到同一村庄的未感染成员。这一结果已被用于制定干预措施，以减少对这些社区中偶然传播和污名的恐惧。
HN-related stigma and discrimination are major barriers to the successful control of HIV. Stigma is associated with the disease as well as the behaviors that lead to infection. A qualitative study was conducted to identify the reasons, sources, and types of HIV-related stigma prevalent in rural China. Eighty in-depth interviews were conducted with people living with HIV/AIDS, their family members, health care providers, and uninfected villagers. Stigmatizing behaviors were primarily associated with fear of HIV rather than with the route of infection. Uninfected villagers were the main source of discrimination, with health workers and family members also holding some stigmatizing attitudes. A primary concern for HIV-positive villagers was protecting their families, especially their children, from discrimination. Secondary stigma also extended to uninfected members of the same village. The results have been used to develop an intervention to reduce fear of casual transmission and stigma in these communities.