Stigma in HIV-poslitive women
Stigma in HIV-poslitive women
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DOI：
10.1111/j.1547-5069.2004.04024.x
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发表时间：
2004-01-01
影响因子：
3.4
通讯作者：
Barroso, J
中科院分区：
文献类型：
--
作者：
Sandelowski, M;Lambe, C;Barroso, J
目的：提出一种对HIV阳性妇女污名定性研究结果的综合集成方法。方法：采用综合集成和综合评价技术，对1991年至2002年间进行的93篇定性研究报告中有关污名的研究结果进行综合分析，这些定性研究共涉及1780名妇女，主要来自少数族裔。与艾滋病毒有关的耻辱在妇女中加剧，因为她们是妇女。污名管理在很大程度上涉及为了维护社会关系和维护道德认同而控制信息的努力。讨论：这种综合集成重复并澄清了初步定量研究中反复出现的主题与艾滋病毒阳性者转移和污名化疾病和状况之间的联系。这项工作还表明，受影响的人在关键差异轴线上的位置如何既促进也使管理污名的努力复杂化。结论：艾滋病毒阳性女性在与他人的关系中经历污名。与艾滋病毒相关的耻辱既是这些人的反映，也是艾滋病毒阳性者自身经历的核心。即使没有感染艾滋病毒的人仍然受到艾滋病毒的影响，因此是减少其负面影响的干预措施的适当目标。
Purpose: To present a metasynthesis of qualitative findings on stigma in HIV-Positive women.Method: Metasummary and metasynthesis techniques were used to integrate findings on stigma in 93 reports of qualitative studies conducted between 1991 and 2002 with a total of 1, 780 women, mostly from minority groups.Findings: Both perceived and enacted stigma were pervasive in the lives of HIV-positive women. HIV-related stigma was intensified in women because they were women. Stigma management largely involved efforts to control information in the service of Preserving social relations and maintaining moral identity.Discussion: This metasynthesis reprises and clarifies the connections between recurring themes in primary quantitative studies and metastudies of HIV-positive people and of stigmatizing diseases and conditions. This work also shows how affected people's location on key axes of difference can both facilitate and complicate efforts to manage stigma.Conclusions: HIV-positive women experience stigmatization in relationships with others. HIV-related stigma is as much a reflection of these others as it is central to the experience of HIV-positive people themselves. Even those not infected with HIV are still affected by it and are thus appropriate targets for interventions to reduce its negative effects.