Intersectional stigma among midlife and older Black women living with HIV.
Intersectional stigma among midlife and older Black women living with HIV.
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DOI：
10.1080/13691058.2017.1312530
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Dyer T
中科院分区：
文献类型：
--
作者：
Sangaramoorthy T;Jamison A;Dyer T
与艾滋病毒有关的污名是预防和治疗艾滋病毒的障碍。对于中年和老年黑人女性来说，与艾滋病毒相关的耻辱的性质和强度可能会因为她们基于性别、种族和年龄的多重边缘化社会地位而变得更加复杂。我们调查了居住在美国马里兰州乔治王子郡的中年和老年黑人妇女对艾滋病毒相关耻辱的看法和经历。2014-2015年间，我们对35名携带艾滋病毒的中老年黑人妇女进行了半结构化访谈。使用改进的扎根理论方法，我们探索了与横断性污名的表现和经历以及污名经历随时间的变化有关的紧急主题。我们的发现表明，交叉污名是中年和老年黑人女性生活中的一个中心特征，女性报告了在人际/家庭、社区和机构/结构层面上的交叉污名经历。尽管妇女承认随着时间的推移逐渐接受她们的艾滋病毒阳性状态，但她们继续经历与性别、种族、年龄和疾病有关的负面反应。我们的发现表明，要更有力地理解艾滋病毒相关污名的影响，需要研究美国日益老龄化的黑人女性人口中跨部门污名的复杂表现。
HIV-related stigma is a barrier to the prevention and treatment of HIV. For midlife and older Black women, the nature and intensity of HIV-related stigma may be compounded by their multiple marginalised social status based on gender, race, and age. We examined the perceptions and experiences of HIV-related stigma among midlife and older Black women living in Prince George’s County, Maryland, USA. Between 2014–2015, we conducted semi-structured interviews with a sample of 35 midlife and older Black women living with HIV. Using a modified grounded theory approach, we explored emergent themes related to the manifestation and experience of intersectional stigma and changes in stigma experience over time. Our findings suggest that intersectional stigma is a central feature in midlife and older Black women’s lives, with women reporting experiences of intersectional stigma at the interpersonal/familial, community, and institutional/structural levels. Although women acknowledged gradual acceptance of their HIV-positive status over time, they continued to experience negative responses related to gender, race, age, and disease. Our findings indicate that a more robust understanding of the impact of HIV-related stigma requires work to consider the complex manifestations of intersectional stigma among an increasingly aging population of Black women in the USA.
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DOI：
10.1111/1552-6909.12481
发表时间：
2014-09-01
影响因子：
1.8
作者：
Brawner, Bridgette M.
通讯作者：
Brawner, Bridgette M.
影响因子：
3.2
作者：
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通讯作者：
GLASER, BG
影响因子：
12.7
作者：
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通讯作者：
O'Leary, Ann
影响因子：
5.7
作者：
Emlet, Charles A.;Tozay, Shakima;Raveis, Victoria H.
通讯作者：
Raveis, Victoria H.
影响因子：
5.7
作者：
Emlet, Charles A.
通讯作者：
Emlet, Charles A.