Relationship of stigma to HIV risk among women with mental illness.
Relationship of stigma to HIV risk among women with mental illness.
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DOI：
10.1037/a0014581
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发表时间：
2008-10
影响因子：
3.3
通讯作者：
Zybert, Patricia A.
中科院分区：
文献类型：
--
作者：
Collins, Pamela Y.;Elkington, Katherine S.;von Unger, Hella;Sweetland, Annika;Wright, Eric R.;Zybert, Patricia A.
患有严重精神疾病（SMI）的城市女性很容易受到与精神疾病和其他污名标签相关的耻辱和歧视。耻辱经历可能会增加他们出现负面健康结果的风险，例如感染艾滋病毒。这项研究测试了 SMI 女性的耻辱感与艾滋病毒危险行为之间的关系。作者使用女性精神疾病和性行为耻辱问卷调查采访了 92 名参加社区心理健康项目的女性。精神疾病的个人经历与性交伴随的物质使用之间存在显着关系；感受到种族耻辱并拥有风险较高的伴侣类型；以及遭受歧视和拥有临时伴侣或性交换伴侣的经历。关系耻辱得分越高，危险性行为越多。研究结果强调了探索精神疾病的污名如何与其他污名标签相交叉以产生独特的艾滋病毒风险配置的重要性。降低艾滋病毒风险的干预措施和预防研究应关注患有 SMI 的妇女生活中的污名化身份。
Urban women with severe mental illness (SMI) are vulnerable to stigma and discrimination related to mental illness and other stigmatized labels. Stigma experiences may increase their risk for negative health outcomes, such as HIV infection. This study tests the relationship between perceived stigma and HIV risk behaviors among women with SMI. The authors interviewed 92 women attending community mental health programs using the Stigma of Psychiatric Illness and Sexuality Among Women Questionnaire. There were significant relationships between personal experiences of mental illness and substance use accompanying sexual intercourse; perceived ethnic stigma and having a riskier partner type; and experiences of discrimination and having a casual or sex-exchange partner. Higher scores on relationship stigma were associated with a greater number of sexual risk behaviors. The findings underscore the importance of exploring how stigma attached to mental illness intersects with other stigmatized labels to produce unique configurations of HIV risk. HIV risk reduction interventions and prevention research should integrate attention to stigmatized identities in the lives of women with SMI.
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影响因子：
3.8
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