Understanding and addressing AIDS-related stigma: From anthropological theory to clinical practice in Haiti
Understanding and addressing AIDS-related stigma: From anthropological theory to clinical practice in Haiti
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DOI：
10.2105/ajph.2003.028563
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发表时间：
2005-01-01
影响因子：
12.7
通讯作者：
Farmer, P
中科院分区：
文献类型：
--
作者：
Castro, A;Farmer, P
在过去几年中，在关于艾滋病的讨论中，人们提到了各种各样而且往往是混乱的污名化概念。许多人令人信服地指出，与艾滋病有关的耻辱感是自愿咨询和检测的障碍。关于污名化的来源或污名化在降低艾滋病毒护理兴趣方面的作用的意见不那么令人信服。我们回顾了这些主张以及人类学、社会学和公共卫生方面的文献。在海地农村进行的研究的初步数据表明，采用高质量的艾滋病毒护理可以迅速减少耻辱感，从而增加检测的接受率。决定谁将获得这些服务的不是耻辱，而是后勤和经济障碍。扩大综合艾滋病预防和护理的影响进行了探讨。
For the past several years, diverse and often confused concepts of stigma have been invoked in discussions on AIDS. Many have argued compellingly that AIDS-related stigma acts as a barrier to voluntary counselling and testing. Less compelling are observations regarding the source of stigma or its role in decreasing interest in HIV care. We reviewed these claims as well as literature from anthropology, sociology, and public health. Preliminary data from research in rural Haiti suggest that the introduction of quality HIV care can lead to a rapid reduction in stigma, with resulting increased uptake of testing. Rather than stigma, logistic and economic barriers determine who will access such services. Implications for scale-up of integrated AIDS prevention and care are explored.