Varas-Díaz N, Marzán-Rodríguez M
Graduate School of Social Work, University of Puerto Rico, San Juan, Puerto Rico.
AIDS Care. 2007 Nov;19(10):1247-57. doi: 10.1080/09540120701405403.
People who live with HIV/AIDS (PLWHA) in Puerto Rico have been a vulnerable group for stigmatization. Emotions have been a widely ignored issue in stigma-related research. Emotions influence the way people establish their relationship with their environment, relate to each other and assign social meanings to who and what surrounds them. Therefore, emotions have a vital role in the stigmatization of PLWHA. The main objective of this study was to explore the role of emotions in the process of stigmatization of PLWHA by health professionals and health profession students. We implemented an exploratory and mixed method design integrating semi-structured interviews and self-administered questionnaires. The sample was composed of 501 health professionals and health profession students. Qualitative results evidenced the role of negative emotions, such as fear, pity, disgust and embarrassment, in the stigmatization of PLWHA. Participants also described emotions as phenomena that should be suppressed in order to provide effective services. Quantitative results evidenced the manifestation of negative emotions for most of the situations presented to them related to HIV/AIDS. Emotions manifested in health scenarios can hinder the productive provision of health-related services and therefore should be addressed as part of stigma reduction interventions.
在波多黎各，感染艾滋病毒/艾滋病的人（PLWHA）一直是易受污名化影响的弱势群体。在与污名相关的研究中，情感一直是一个被广泛忽视的问题。情感影响着人们与周围环境建立关系、相互交往以及赋予周围人和事物社会意义的方式。因此，情感在对艾滋病毒/艾滋病感染者的污名化过程中起着至关重要的作用。本研究的主要目的是探讨情感在卫生专业人员和卫生专业学生对艾滋病毒/艾滋病感染者的污名化过程中的作用。我们采用了探索性混合方法设计，将半结构化访谈和自填式问卷相结合。样本由501名卫生专业人员和卫生专业学生组成。定性结果证明了恐惧、怜悯、厌恶和尴尬等负面情绪在对艾滋病毒/艾滋病感染者的污名化过程中的作用。参与者还将情感描述为为了提供有效服务而应加以抑制的现象。定量结果证明，对于向他们呈现的与艾滋病毒/艾滋病相关的大多数情况，都会出现负面情绪。在卫生场景中表现出的情感会阻碍与健康相关服务的有效提供，因此应作为减少污名干预措施的一部分加以解决。
