An 'elephant in the room'? Stigma and hepatitis C transmission among HIV-positive 'serosorting' gay men
An 'elephant in the room'? Stigma and hepatitis C transmission among HIV-positive 'serosorting' gay men
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DOI：
10.1080/13691050802061673
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发表时间：
2008-01-01
影响因子：
2.2
通讯作者：
Owen, Gareth
中科院分区：
文献类型：
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作者：
Owen, Gareth
最近的研究强调了对男男性行为者中艾滋病毒阳性男性人群中丙型肝炎病毒（HCV）性传播感染的关注。本文介绍了一项定性试点研究的结果，该研究探索了HIV/HCV合并感染男性的耻辱经历。初步研究结果表明，在男同性恋者和其他男男性行为者中，丙型肝炎病毒感染比艾滋病毒更令人感到耻辱。这种等级歧视使丙型肝炎病毒感染的披露复杂化，威胁到艾滋病毒血清分类的无保护性行为的“安全性”。需要进一步的研究来探索耻辱感对HIV/HCV合并感染男性的影响，但这些初步研究结果表明，需要采取健康促进措施，通过提高认识和促进对丙型肝炎作为同性恋社区问题的更多同理心来对抗丙型肝炎耻辱感。
Recent research has highlighted concerns about sexually transmitted infection with hepatitis C virus (HCV) in populations of HIV-positive men who have sex with men. This paper presents results from a qualitative pilot study exploring the experience of stigma in HIV/HCV co-infected men. The preliminary findings suggest that HCV infection can be experienced as more stigmatising than HIV among gay and other men who have sex with men. This hierarchical stigmatisation complicates the disclosure of HCV infection, threatening the 'safety' of HIV serosorted unprotected sexual practice. Further research is required to explore the effect of stigma on HIV/HCV co-infected men, but these preliminary findings suggest that heath promotion initiatives are needed to counter hepatitis C stigma by raising awareness and facilitating greater empathetic ownership of hepatitis C as a gay community issue.