Interventions to reduce HIV/AIDs stigma: What have we learned?

Interventions to reduce HIV/AIDs stigma: What have we learned?
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DOI:
10.1521/aeap.15.1.49.23844
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发表时间:
2003-02-01
影响因子:
1.8
通讯作者:
Trujillo, L
Trujillo, L
中科院分区:
医学4区
文献类型:
--
作者:
Brown, L;Macintyre, K;Trujillo, L

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本文回顾了 22 项研究,这些研究测试了发达国家和发展中国家减少艾滋病耻辱感的各种干预措施。本文评估了符合严格评估标准的已发表研究,以便为未来制定打击耻辱的干预措施吸取经验教训。这些研究的目标群体、背景、干预类型、措施和规模差异很大。大多数(14 项)研究旨在提高普通人群对艾滋病毒/艾滋病感染者 (PLHA) 的耐受性。其余研究测试了干预措施,以提高医疗保健提供者治疗艾滋病毒感染者的意愿,或改进应对艾滋病毒携带者或高危人群中艾滋病耻辱感的应对策略。结果表明,一些减少污名化干预措施似乎有效,至少在小规模和短期内有效,但仍然存在许多差距,特别是在影响规模和持续时间以及减少污名化干预措施的性别影响方面。
This article reviews 22 studies that test a variety of interventions to decrease AIDS stigma in developed and developing countries. This article assesses published studies that met stringent evaluation criteria in order to draw lessons for future development of interventions to combat stigma. The target group, setting, type of intervention, measures, and scale of these studies varied tremendously. The majority (14) of the studies aimed to increase tolerance of persons living with HIV/AIDS (PLHA) among the general population. The remaining studies tested interventions to increase willingness to treat PLHA among health care providers or improve coping strategies for dealing with AIDS stigma among PLHA or at-risk groups. Results suggest some stigma reduction interventions appear to work, at least on a small scale and in the short term, but many gaps remain especially in relation to scale and duration of impact and in terms of gendered impact of stigma reduction interventions.