Stigmatization of AIDS patients:: Disentangling thai nursing students' attitudes towards HIV/AIDS, drug use, and commercial sex

Stigmatization of AIDS patients:: Disentangling thai nursing students' attitudes towards HIV/AIDS, drug use, and commercial sex
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DOI:
10.1007/s10461-007-9222-y
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发表时间:
2008-01-01
期刊:
影响因子:
4.4
通讯作者:
Reidpath, Daniel D.
Reidpath, Daniel D.
中科院分区:
医学2区
文献类型:
--
作者:
Chan, Kit Yee;Stoove, Mark A.;Reidpath, Daniel D.

文献摘要

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本文分析了HIV/AIDS耻辱感与商业性行为(CS)和注射吸毒(IDU)的共同耻辱感之间的相互关系。曼谷一所护理学院的学生(N = 144)观看了描述一个人不同疾病诊断(艾滋病、白血病、无疾病)和共同特征(IDU、CS、输血、无共同特征)的小插图。对于每个小插图,参与者完成了一项社会距离测量,评估他们对所描绘的假想人物的态度。多变量分析显示,艾滋病的耻感与IDU之间存在很强的相互作用,而艾滋病与CS之间没有相互作用。虽然艾滋病本身被证明是一种耻辱,但它的耻辱程度明显低于注射过量。研究结果强调,需要考虑与艾滋病毒有关的与疾病无关的耻辱,以及在治疗和护理环境中艾滋病毒/艾滋病的实际耻辱。评估了方法的优势和局限性,并讨论了对未来研究的影响。
This paper analyzes the interrelationships between the stigma of HIV/AIDS stigma and the co-stigmas of commercial sex (CS) and injecting drug use (IDU). Students of a Bangkok nursing college (N = 144) were presented with vignettes describing a person varying in the disease diagnoses (AIDS, leukemia, no disease) and co-characteristics (IDU, CS, blood transfusion, no co-characteristic). For each vignette, participants completed a social distance measure assessing their attitudes towards the hypothetical person portrayed. Multivariate analyses showed strong interactions between the stigmas of AIDS and IDU but not between AIDS and CS. Although AIDS was shown to be stigmatizing in and of itself, it was significantly less stigmatizing than IDU. The findings highlight the need to consider the non-disease-related stigmas associated with HIV as well as the actual stigma of HIV/AIDS in treatment and care settings. Methodological strengths and limitations were evaluated and implications for future research discussed.