Chan Kit Yee, Stoové Mark A, Sringernyuang Luechai, Reidpath Daniel D
School of Health and Social Development, Deakin University, 221 Burwood Highway, Burwood, Melbourne, 3125, VIC, Australia.
AIDS Behav. 2008 Jan;12(1):146-57. doi: 10.1007/s10461-007-9222-y. Epub 2007 Mar 16.
This paper analyzes the interrelationships between the stigma of HIV/AIDS stigma and the co-stigmas of commercial sex (CS) and injecting drug use (IDU). Students of a Bangkok nursing college (N=144) were presented with vignettes describing a person varying in the disease diagnoses (AIDS, leukemia, no disease) and co-characteristics (IDU, CS, blood transfusion, no co-characteristic). For each vignette, participants completed a social distance measure assessing their attitudes towards the hypothetical person portrayed. Multivariate analyses showed strong interactions between the stigmas of AIDS and IDU but not between AIDS and CS. Although AIDS was shown to be stigmatizing in and of itself, it was significantly less stigmatizing than IDU. The findings highlight the need to consider the non-disease-related stigmas associated with HIV as well as the actual stigma of HIV/AIDS in treatment and care settings. Methodological strengths and limitations were evaluated and implications for future research discussed.
本文分析了艾滋病毒/艾滋病污名与商业性行为（CS）和注射吸毒（IDU）的共同污名之间的相互关系。向曼谷一所护理学院的学生（N = 144）展示了一些短文，描述了一个在疾病诊断（艾滋病、白血病、无疾病）和共同特征（注射吸毒、商业性行为、输血、无共同特征）方面各不相同的人。对于每个短文，参与者完成了一项社会距离测量，以评估他们对所描绘的假设人物的态度。多变量分析显示，艾滋病污名与注射吸毒污名之间存在强烈的相互作用，但艾滋病污名与商业性行为污名之间不存在这种相互作用。虽然艾滋病本身就具有污名化性质，但它的污名化程度明显低于注射吸毒。研究结果凸显了在治疗和护理环境中，需要考虑与艾滋病毒相关的非疾病污名以及艾滋病毒/艾滋病的实际污名。对研究方法的优势和局限性进行了评估，并讨论了对未来研究的启示。
