Stigma, Culture, and HIV and AIDS in the Western Cape, South Africa: An Application of the PEN-3 Cultural Model for Community-Based Research
Stigma, Culture, and HIV and AIDS in the Western Cape, South Africa: An Application of the PEN-3 Cultural Model for Community-Based Research
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DOI：
10.1177/0095798408329941
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发表时间：
2009-11-01
影响因子：
5.2
通讯作者：
Shisana, Olive
中科院分区：
文献类型：
--
作者：
Airhihenbuwa, Collins;Okoror, Titilayo;Shisana, Olive
据报告，与艾滋病毒和艾滋病有关的污名是造成艾滋病毒传播的一个主要因素。在这项研究中，作者探索了耻辱的含义及其对南非家庭和卫生保健中心艾滋病毒和艾滋病的影响。他们在西开普省卡耶利沙、古古莱图和米切尔平原的非洲人和有色人种中进行了焦点小组和主要线人的采访。录音采访被转录，并使用NVivo进行编码。使用PEN-3文化模型，作者分析的结果表明，参与者的共同经历从积极/非污名化，到存在/独特于环境，再到消极/污名化。研究发现，家庭和保健中心在解决艾滋病毒/艾滋病相关的耻辱方面既有积极的非污名化价值观，也有消极的污名化特征。作者的结论是，相对于身份认同，以文化为中心的分析对于理解南非艾滋病毒/艾滋病相关耻辱的性质和背景至关重要。
HIV- and AIDS-related stigma has been reported to be a major factor contributing to the spread of HIV. In this study, the authors explore the meaning of stigma and its impact on HIV and AIDS in South African families and health care centers. They conducted focus group and key informant interviews among African and Colored populations in Khayelitsha, Gugulethu, and Mitchell's Plain in the Western Cape province. The audio-recorded interviews were transcribed and coded using NVivo. Using the PEN-3 cultural model, the authors analyzed results showing that participants' shared experiences ranged from positive/nonstigmatizing, to existential/unique to the contexts, to negative/stigmatizing. Families and health care centers were found to have both positive nonstigmatizing values and negative stigmatizing characteristics in addressing HIV/AIDS-related stigma. The authors conclude that a culture-centered analysis, relative to identity, is central to understanding the nature and contexts of HIV/AIDS-related stigma in South Africa.