HIV-related stigma within communities of gay men: a literature review.

HIV-related stigma within communities of gay men: a literature review.
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DOI:
10.1080/09540121.2011.613910
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发表时间:
2012
期刊:
影响因子:
1.7
通讯作者:
Thompson M
Thompson M
中科院分区:
医学4区
文献类型:
--
作者:
Smit PJ;Brady M;Carter M;Fernandes R;Lamore L;Meulbroek M;Ohayon M;Platteau T;Rehberg P;Rockstroh JK;Thompson M

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虽然与艾滋病毒感染有关的耻辱感得到了广泛的认可,但关于与艾滋病毒有关的耻辱感在男男性行为者之间和男同性恋者社区内的影响的信息有限。与艾滋病毒有关的污名化的后果可能是个人和整个社区的,包括对情绪和情感健康、预防、检测行为以及精神和一般健康的影响。这篇文献综述报告了艾滋病毒阳性和艾滋病毒阴性男同性恋者之间日益增长的分歧,以及基于沿着感知或实际艾滋病毒状态的同性恋社区的碎片化。这些文献多次提到男同性恋者、男同性恋者之间以及许多同性恋社区之间的艾滋病毒污名化和歧视。这种艾滋病毒污名化有多种形式,可能包括社会排斥、年龄歧视、基于外貌和健康状况的歧视、排斥和暴力等方面。我们希望通过汇编关于这一未充分研究的艾滋病毒相关歧视形式的现有资料,更好地了解和针对旨在减少其在多个层面的影响的研究和对策。
While stigma associated with HIV infection is well recognised, there is limited information on the impact of HIV-related stigma between men who have sex with men and within communities of gay men. The consequences of HIV-related stigma can be personal and community-wide, including impacts on mood and emotional well-being, prevention, testing behaviour, and mental and general health. This review of the literature reports a growing division between HIV-positive and HIV-negative gay men, and a fragmentation of gay communities based along lines of perceived or actual HIV status. The literature includes multiple references to HIV stigma and discrimination between gay men, men who have sex with men, and among and between many gay communities. This HIV stigma takes diverse forms and can incorporate aspects of social exclusion, ageism, discrimination based on physical appearance and health status, rejection and violence. By compiling the available information on this understudied form of HIV-related discrimination, we hope to better understand and target research and countermeasures aimed at reducing its impact at multiple levels.
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