Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward.

Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward.
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DOI:
10.1097/01.aids.0000327438.13291.62
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发表时间:
2008-08
期刊:
AIDS (London, England)
影响因子:
--
通讯作者:
Coates TJ
Coates TJ
中科院分区:
其他
文献类型:
--
作者:
Mahajan AP;Sayles JN;Patel VA;Remien RH;Sawires SR;Ortiz DJ;Szekeres G;Coates TJ

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尽管耻辱被认为是有效应对艾滋病毒/艾滋病流行的主要障碍,但减少耻辱的努力却被置于艾滋病规划优先事项的最后位置。艾滋病毒/艾滋病相关耻辱的复杂性经常被认为是对这种普遍现象反应有限的主要原因。在本文中,我们系统地回顾了与艾滋病毒/艾滋病相关的耻辱感的科学文献,以记录研究的现状,找出现有证据中的差距,并强调解决耻辱感的有希望的策略。我们重点关注以下关键挑战:定义、衡量和减少与艾滋病毒/艾滋病相关的耻辱感,以​​及评估耻辱感对艾滋病毒预防和治疗计划有效性的影响。根据文献,我们最后提出了一系列建议,这些建议可能代表了多方面应对艾滋病毒/艾滋病流行病耻辱感的重要后续步骤。
Although stigma is considered a major barrier to effective responses to the HIV/AIDS epidemic, stigma reduction efforts are relegated to the bottom of AIDS program priorities. The complexity of HIV/AIDS related stigma is often cited as a primary reason for the limited response to this pervasive phenomenon. In this paper, we systematically review the scientific literature on HIV/AIDS related stigma to document the current state of research, identify gaps in the available evidence, and highlight promising strategies to address stigma. We focus on the following key challenges: defining, measuring, and reducing HIV/AIDS related stigma as well as assessing the impact of stigma on the effectiveness of HIV prevention and treatment programs. Based on the literature, we conclude by offering a set of recommendations that may represent important next steps in a multifaceted response to stigma in the HIV/AIDS epidemic.
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