Examining HIV/AIDS-Related Stigma at Play: Power, Structure, and Implications for HIV Interventions
Examining HIV/AIDS-Related Stigma at Play: Power, Structure, and Implications for HIV Interventions
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检查正在发挥作用的艾滋病毒/艾滋病相关耻辱：艾滋病毒干预措施的力量、结构和影响
DOI：
10.1080/10410236.2019.1652386
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发表时间：
2019
影响因子：
3.9
通讯作者：
Shamshad A Khan
中科院分区：
文献类型：
--
作者：
Shamshad A Khan
摘要借鉴印度北部与艾滋病毒/艾滋病相关的批判性理论观点和民族志实地研究，本文主张以文化为中心的方法来减少耻辱干预和传播实践，一方面基于对更大的社会和结构过程的评估，另一方面基于艾滋病毒携带者(PLWH)的生活经历和叙事。本文认为，虽然耻辱的复杂性质，特别是与艾滋病毒/艾滋病有关的耻辱，使人难以理解和应对，但在很大程度上以个人和行为为中心的研究进一步加剧了这一问题，这种研究仍然主导着健康传播领域。这样的研究将人类认知视为耻辱的主要来源，而淡化了权力、结构、支配和控制的问题。更具体地说，通过来自公共卫生部门日常生活经历的具体例子--例如他们在家庭和医疗保健环境中的经历，本文展示了权力和结构如何深刻地影响他们的生活，并仍然是他们经历(和抵抗)耻辱的核心，从而为健康传播中的另类理论和实践开辟了空间。
ABSTRACT Drawing on critical theoretical perspectives and ethnographic field research related to HIV/AIDS in northern India, this paper argues for a cultured-centered approach to stigma reduction interventions and communication practices that are based on an assessment of larger social and structural processes on the one hand and the lived experiences and narratives of people living with HIV (PLWH) on the other. This paper suggests that while the complex nature of stigma, particularly as it relates to HIV/AIDS, makes it difficult to understand and respond to, this problem is further exacerbated by a largely individual and behavior-centered research that still dominates the field of Health Communication. Such research sees human cognition as the main source of stigma and underplays issues of power, structure, domination, and control. More specifically, and with concrete examples from the everyday lived experiences of PLWH – such as their experiences within family and health-care settings, this paper demonstrates how power and structure deeply impact their lives and remain central to their experience of (and resistance to) stigma, thus opening up space for alternative theorizing and practices in Health Communication.
影响因子：
2.9
作者：
Nambiar D
通讯作者：
Nambiar D