Felt and enacted stigma among HIV/HCV-coinfected adults: the impact of stigma layering.

Felt and enacted stigma among HIV/HCV-coinfected adults: the impact of stigma layering.
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DOI:
10.1177/1049732311405684
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发表时间:
2011-09
影响因子:
3.2
通讯作者:
Leider J
Leider J
中科院分区:
医学2区
文献类型:
--
作者:
Lekas HM;Siegel K;Leider J

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认识到许多艾滋病毒/艾滋病感染者由于属于社会上离经叛道和被剥夺权利的群体(例如,注射毒品使用者、种族/族裔和性少数群体)是人们越来越关注污名分层现象的原因。与HCV相关的耻辱也被概念化为分层的。然而,研究人员忽视了一个事实,即HCV增加了一层艾滋病毒的耻辱,反之亦然。对132例HIV/HCV合并感染者进行定性访谈,探讨他们如何经历两层污名。大多数参与者将与每种疾病相关的耻辱按等级排序,并将艾滋病毒视为两者中更具耻辱性的疾病。少数人认为艾滋病毒和丙型肝炎病毒同样令人感到耻辱。探讨了两种污名的等级和非等级排序对合并感染患者的感受和制定的污名化的影响,并讨论了干预措施的影响。
The realization that many persons with HIV/AIDS are subjected to multiple layers of stigmatization because they belong to socially deviant and disenfranchised groups (e.g., injection drug users, racial/ethnic and sexual minorities) accounts for an increasing interest in the phenomenon of stigma layering. The stigma associated with HCV has also been conceptualized as layered. However, researchers have overlooked the fact that HCV adds a layer to the HIV stigma and vice versa. Qualitative interviews with 132 HIV/HCV coinfected patients were analyzed to explore how they experience the two layers of stigma. Most participants hierarchically ordered the stigmas associated with each disease and regarded HIV as the more stigmatizing of the two. A small number perceived HIV and HCV as equally stigmatizing. The impact of the hierarchical and non-hierarchical ordering of the two stigmas on coinfected patients’ felt and enacted stigmatization is explored and implications for interventions are discussed.
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