"You're awfully old to have this disease": Experiences of stigma and ageism in adults 50 years and older living with HIV/AIDS
"You're awfully old to have this disease": Experiences of stigma and ageism in adults 50 years and older living with HIV/AIDS
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DOI：
10.1093/geront/46.6.781
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发表时间：
2006-12-01
期刊：
影响因子：
5.7
通讯作者：
Emlet, Charles A.
中科院分区：
文献类型：
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作者：
Emlet, Charles A.
目的：感染艾滋病毒的老年人可能会被双重污名，因为他们既被贴上了年龄的标签，也被贴上了艾滋病毒的标签。通过半结构化访谈，这项研究试图检查患有艾滋病毒/艾滋病的老年人是否同时经历了年龄歧视和艾滋病毒污名，以及这些经历如何在他们的生活中表现出来。设计和方法：这是一项定性研究，对50岁及以上感染艾滋病毒或艾滋病的成年人进行了25次深度访谈。有目的的抽样被用来招募这些分享他们经验的人。对所有面谈记录进行了开放式编码和轴向编码，从而形成了这些经验的框架。结果：大多数受访者(68%)同时经历了年龄歧视和艾滋病毒相关的耻辱。这些经历往往是分开的，尽管确实发生了一些相互关联的耻辱。采访中出现了九个主题，包括拒绝、刻板印象、对传染的恐惧、违反保密规定和内在化的年龄歧视。所有主题分为四类：社会歧视、体制歧视、预期污名和其他。影响：这项研究确定了可能是Fet来源的主题，以及与老龄化和艾滋病毒有关的污名和歧视。这种双重危险的概念存在于大多数受访人的生活中，并与制定适当的干预战略有关。
Purpose: Older adults living with HIV infection may be doubly stigmatized, as they are branded by both age as well as HIV status. Through semistructured interviews, this study sought to examine whether older adults with HIV/AIDS experience both ageism and HIV stigma and how those experiences manifest in their lives. Design and Methods: This was a qualitative study in which 25 in-depth interviews were completed with adults aged 50 years and older who were living with HIV or AIDS. Purposive sampling was used to recruit these individuals who shared their experiences. Open coding and axial coding of interview transcripts were completed on all interviews, resulting in the development of a framework of these experiences. Results: The majority (68%) of the respondents experienced both ageism and HIV-associated stigma. The experiences were often separate, although some interrelated stigma did occur. Nine themes emerged from the interviews, including rejection, stereotyping, fear of contagion, violations of confidentiality, and internalized ageism. All themes fell into four categories: social discrimination, institutional discrimination, anticipatory stigma, and other. Implications: The research identified themes that may be sources of felt as well as enacted stigma and discrimination related to both aging and HIV. This concept of double jeopardy exists in the lives of the majority of people interviewed and has relevance to the creation of appropriate intervention strategies.