Comparative stigma of HIV/AIDS, SARS, and tuberculosis in Hong Kong.

Comparative stigma of HIV/AIDS, SARS, and tuberculosis in Hong Kong.
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DOI:
10.1016/j.socscimed.2006.04.016
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发表时间:
2006-10
期刊:
Social science & medicine (1982)
影响因子:
--
通讯作者:
Lee D
Lee D
中科院分区:
其他
文献类型:
--
作者:
Mak WW;Mo PK;Cheung RY;Woo J;Cheung FM;Lee D

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本研究比较了公众对三种传染病——人类免疫缺陷病毒/后天免疫缺陷综合症(HIV/AIDS)、严重急性呼吸系统综合症(SARS)和结核病(TB)——的耻辱感,测试了耻辱感的归因模型,并探讨了耻辱感与公众对香港政府政策的态度之间的关系。通过基于人群的电话调查,3011 名香港华人成年人被随机分配到三种疾病中的一种,并接受采访,了解他们对指定疾病的态度和信念。调查结果显示,公众对艾滋病毒/艾滋病的耻辱感最高,其次是结核病和非典。使用多样本模型结构方程模型,我们发现可控性、个人责任和责备的归因适用于解释三种疾病类型的耻辱感。有关疾病的知识对耻辱感没有显着影响。污名化观点较少的参与者对政府与疾病相关的政策持更有利的态度。该研究是理解传染病耻辱归因机制的重要尝试。讨论了减少耻辱以及提高公众意识和疾病预防的影响。
This study compares public stigma towards three types of infectious diseases— human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), severe acute respiratory syndrome (SARS), and tuberculosis (TB)—tests an attribution model of stigma, and explores the relationships between stigma and public attitudes towards government policies in Hong Kong. Using a population-based telephone survey, 3011 Hong Kong Chinese adults were randomly assigned to one of the three disease conditions and were interviewed about their attitudes and beliefs towards the assigned disease. Findings showed that public stigma was the highest towards HIV/AIDS, followed by TB and SARS. Using multi-sample model structural equation modeling, we found that the attributions of controllability, personal responsibility, and blame were applicable in explaining stigma across three disease types. Knowledge about the disease had no significant effect on stigma. Participants with less stigmatizing views had significantly more favorable attitudes towards government policies related to the diseases. The study is an important attempt in understanding the attributional mechanisms of stigma towards infectious diseases. Implications for stigma reduction and promotion of public awareness and disease prevention are discussed.
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