Social sides of health risks: Stigma and collective efficacy

Social sides of health risks: Stigma and collective efficacy
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DOI:
10.1080/10410230701283389
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发表时间:
2007-01-01
影响因子:
3.9
通讯作者:
Witte, Kim
Witte, Kim
中科院分区:
医学3区
文献类型:
--
作者:
Smith, Rachel A.;Ferrara, Merissa;Witte, Kim

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健康威胁不可能在真空中发生;一个人可能需要他人的支持来应对特定的健康状况。例如,在纳米比亚,父母死于与艾滋病有关的疾病,使他们的孤儿需要被收养。如果人们个人没有感受到艾滋病毒的威胁,社会威胁可能会促使他们采取行动。我们扩展了扩展的平行过程模型(Witte,1992),包括2个社会感知:(a)耻辱和(B)集体效能。我们发现,纳米比亚的受访者(n = 400)谁不觉得艾滋病毒的威胁,个人表现出这些社会观念和他们愿意支持那些艾滋病毒感染者和他们愿意收养艾滋病孤儿之间的关系。这些影响出现在那些没有将艾滋病毒评估为健康威胁的人身上,这表明社会威胁与功效相结合,可能会激励人们采取建议的行动。实际应用和干预设计进行了讨论。
Health threats may not occur in a vacuum; one may need others' support to address a given health condition. For example, in Namibia, parents dying from AIDS-related illnesses leave their orphaned children in need of adoption. If people do not feel threatened by HIV personally, social threats might motivate them to action. We extend the extended parallel process model (Witte, 1992) to include 2 social perceptions: (a) stigma and (b) collective efficacy. We found that Namibian respondents (n = 400) who did not feel threatened by HIV personally showed a relationship between these social perceptions and their willingness to support those living with HIV and their willingness to adopt AIDS orphans. These effects appeared for those who did not assess HIV as a health threat, suggesting that social threats, combined with efficacy, may motivate intentions to adopt recommended actions. Practical applications and intervention designs are discussed.