The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer

The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer
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DOI:
10.2307/2676360
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发表时间:
2000-03-01
影响因子:
5
通讯作者:
Wright, ER
Wright, ER
中科院分区:
医学2区
文献类型:
--
作者:
Fife, BL;Wright, ER

文献摘要

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污名对自我的影响是否因疾病类型而异?本研究的重点是比较与艾滋病毒/艾滋病和癌症相关的耻辱感对自尊,身体形象和个人控制的影响。我们测试的假设,个人的耻辱的看法占显着差异的疾病对自我的影响:我们研究了四个方面的感知耻辱:社会排斥,内化的羞耻,社会孤立和经济不安全。反过来,我们考虑这些方面如何影响艾滋病毒/艾滋病和癌症的影响。我们的样本包括130名HIV/AIDS患者和76名癌症患者。我们通过包括功能健康状态的测量来控制疾病的严重程度,该功能健康状态是基于参与者对其疾病严重程度的主观看法。我们的研究结果为修正的标签理论提供了额外的支持;然而,我们的研究结果还指出了耻辱的维度及其对自我特定元素的不同负面影响;无论疾病类型如何。
Does the impact of stigma on the self differ by illness type? This study focuses on a comparison of the effects of the stigma associated with HIV/AIDS and cancer on self-esteem, body image, and personal control. We test the hypothesis that individuals' perceptions of stigma account for significant differences in the impact of an illness on the self: We examine four dimensions of perceived stigma: social rejection, internalized shame, social isolation, and financial insecurity. In turn,we consider how these dimensions medicate the effects of HIV/AIDS and cancer. Our sample includes 130 persons with HIV/AIDS arm 76 persons with cancer. We control for illness severity by including a measure of functional health status that is based on participants' subjective perspectives of the severity of their symptomatology. Our findings provide additional support for modified labeling theory; however; our findings also point to the dimensionality of stigma and its differential negative impact on particular elements of the self; regardless of illness type.