Public tolerance, private pain: Stigma and sexually transmitted infections in the American Deep South
Public tolerance, private pain: Stigma and sexually transmitted infections in the American Deep South
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DOI：
10.1080/13691050412331271416
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发表时间：
2005-01-01
影响因子：
2.2
通讯作者：
Sharma, AK
中科院分区：
文献类型：
--
作者：
Lichtenstein, B;Hook, EW;Sharma, AK
这项试点电话调查旨在找出社会保守州（美国阿拉巴马州）治疗性传播感染 (STI) 的社会障碍。样本由 250 名年龄在 19 岁至 50 岁之间的家庭居民组成，大部分是非裔美国人和白人，他们是从普通人群中抽取的。与会者报告说，感染者本身不应该受到侮辱。然而，近一半的受访者表示，他们会对感染他们的伴侣进行报复。尴尬感会对寻求医疗保健的意愿产生负面影响；近一半的受访者表示，如果被感染，他们会推迟治疗或根本不寻求治疗。种族和宗教信仰方面的反应存在差异，非裔美国人和经常去教堂的人比其他人更有可能表示，他们会因为尴尬而推迟或拒绝治疗。性别差异也出现了：受访者表示，如果女性被感染，她们会比男性受到更多的耻辱，尽管男性应该对传播性传播感染负责。这些发现表明，耻辱感可能是美国南部腹地控制性传播感染的一个巨大障碍，而种族、性别和宗教信仰在对待治疗的态度中发挥着重要作用。
This pilot telephone survey sought to identify social barriers to treating sexually transmitted infections (STIs) in a socially conservative state (Alabama, USA). The sample consisted of 250 household residents aged 19-50 years, mostly African-American and White, who were drawn from the general population. The participants reported that infected persons, per se, should not be stigmatized. However, almost half of respondents stated that they would seek revenge against a partner who infected them. Feelings of embarrassment negatively affected willingness to seek health care; almost half of the respondents stated that, if infected, they would delay treatment or not seek treatment at all. Differences in responses emerged in relation to ethnicity and religiosity, with African-Americans and regular churchgoers being more likely than others to say they would delay or refuse treatment because of embarrassment. Gender differences also emerged: respondents reported that women would be more stigmatized than men if they were infected, even though men should be held responsible for spreading STIs. These findings suggest that stigma may be a compelling barrier to STI control in the American Deep South, and that ethnicity, gender and religiosity play an important role in attitudes toward treatment.