Measuring and Mitigating HIV Stigma: A Framed Field Experiment

Measuring and Mitigating HIV Stigma: A Framed Field Experiment
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DOI:
10.1086/676145
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发表时间:
2014-07-01
影响因子:
2
通讯作者:
Messer, Kent D.
Messer, Kent D.
中科院分区:
经济学4区
文献类型:
--
作者:
Hoffmann, Vivian;Fooks, Jacob R.;Messer, Kent D.

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对艾滋病毒感染者的污名化可能会破坏预防疾病传播的努力,但传统上很难衡量或评估反污名化教育工作的效力。使用框架的实地实验,涉及成年参与者在肯尼亚农村,这项研究措施艾滋病毒的耻辱,通过第二价格拍卖,以完成涉及由艾滋病毒阳性的人处理的对象的任务所要求的补偿金额。通过不同的教育信息,我们表明,这一耻辱感的基础上,与疾病的传播风险和负面的判断。克服对传播的恐惧和使艾滋病毒/艾滋病感染者与被认为是不道德的行为脱钩的信息都是有效的,可将逃避行为减少50%。
Stigma against those living with HIV can undermine efforts to prevent the spread of the disease, but it has traditionally been hard to measure or to assess the efficacy of antistigma educational efforts. Using a framed field experiment involving adult participants in rural Kenya, this research measures HIV stigma as the amount of compensation demanded through a second-price auction to complete tasks involving objects handled by an HIV-positive person. By varying educational messages, we show that both perceived transmission risk and negative judgment of those with the disease underlie this stigma. Messages that overcome fear of transmission and that disassociate people living with HIV/AIDS from behaviors considered immoral are both effective, reducing avoidance behavior by up to 50%.