HIV/AIDS-related stigma and discrimination: Accounts of HIV-positive Caribbean people in the United Kingdom
HIV/AIDS-related stigma and discrimination: Accounts of HIV-positive Caribbean people in the United Kingdom
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DOI：
10.1016/j.socscimed.2008.05.003
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发表时间：
2008-09-01
影响因子：
5.4
通讯作者：
Easterbrook, Philippa
中科院分区：
文献类型：
--
作者：
Anderson, Moji;Elam, Gillian;Easterbrook, Philippa
本文探讨了艾滋病毒/艾滋病相关的耻辱和歧视（HASD）对艾滋病毒阳性的加勒比人在加勒比和英国的影响。使用性别、年龄、性取向和出生国等主要选择标准，对有目的地选择的25名加勒比裔艾滋病毒阳性者进行了深入、半结构化的采访。对答复者的访谈表明，他们敏锐地意识到围绕艾滋病毒/艾滋病的耻辱感，有些人认为这是加勒比地区特有的对污染的恐惧、对同性恋的恐惧和无知的结合，再加上宗教信仰。事实上，宗教起着双重作用：支持污名化和协助应对艾滋病毒。HASID通常发生在被调查者失去或无法控制披露的情况下。与英国出生的受访者相比，加勒比出生的受访者（其中大多数出生在牙买加）的叙述包括更多关于严重HASD的报告，特别是暴力和就业歧视。所有受访者都采取了各种策略来避免HASID，这对他们的社会交往和情感健康有影响。虽然有些人设法避免被污名化者的“被破坏的身份”，从而形成他们自己对艾滋病毒感染的理解，但这些可能仍然是个人层面的谈判。HASD以各种方式影响国内和侨民中的艾滋病毒阳性加勒比人：情感上、精神上、经济上、社会上和身体上。必须为联合王国的加勒比人口制定专门处理羞辱和歧视问题的干预措施。要消除污名化和歧视，需要的不仅仅是教育;它需要“文化工作”，以消除根深蒂固的性观念。(C)2008爱思唯尔有限公司版权所有。
This paper explores the effects of HIV/AIDS- related stigma and discrimination (HASD) on HIV-positive Caribbean people in the Caribbean and the UK. In-depth, semi-structured interviews were held with a purposively selected group of 25 HIV-positive people of Caribbean origin, using primary selection criteria of sex, age, sexuality and country of birth. Interviews with respondents revealed that they are keenly aware of the stigma surrounding HIV/AIDS, which some attribute to a particularly Caribbean combination of fear of contamination, homophobia, and ignorance, reinforced by religious beliefs. In fact, religion serves a double role: underpinning stigma and assisting in coping with HIV. HASID has usually occurred where respondents have lost or do not have control over disclosure. Compared to UK-born respondents, the accounts of Caribbean-born respondents, most of whom were born in Jamaica, include more reports of severe HASD, particularly violence and employment discrimination. All respondents mobilise a variety of strategies in order to avoid HASID, which have implications for their social interactions and emotional well being. While some manage to avoid the "spoiled identity" of the stigmatised, thereby creating their own understandings of HIV infection, these may remain individual-level negotiations. HASD affects HIV-positive Caribbean people at home and in the diaspora in a variety of ways: emotionally, mentally, financially, socially and physically. Interventions specifically addressing stigma and discrimination must be formulated for the UK's Caribbean population. Tackling stigma and discrimination requires more than education; it requires "cultural work" to address deeply entrenched notions of sexuality. (C) 2008 Elsevier Ltd. All rights reserved.