Charbonney R
Aide Suisse contre le Sida, Zurich.
Schweiz Med Wochenschr. 1991 Aug 24;121(34):1212-6.
Rejection, exclusion and discriminating attitudes may disturb an AIDS prophylactic approach, which is based on individual responsibility. Fear, apprehension and mistrust induce dissimulation, evasion and refusal. In Switzerland, the selective policy of some group insurances, which offer necessary covering for employment, forms a prejudicial element of social splitting for seropositive people. The practice of HIV-tests for exclusion purpose promotes a tendency to secrecy, which is unfavourable to the social and medical control of the epidemic, especially because medical secret relatively to insurances is insufficient. This situation alarms the Swiss Aids Foundation which has put forward several motions and began speaking with the most important representative unions of Swiss insurers.
排斥、排挤和歧视态度可能会扰乱基于个人责任的艾滋病预防措施。恐惧、忧虑和不信任会导致隐瞒、逃避和拒绝。在瑞士,一些团体保险的选择性政策为就业提供必要保障,这对血清反应呈阳性者而言构成了社会分裂的有害因素。出于排除目的进行艾滋病毒检测的做法助长了保密倾向,这不利于对该流行病进行社会和医疗管控,特别是因为相对于保险而言医疗保密措施不足。这种情况令瑞士艾滋病基金会感到担忧,该基金会已提出多项动议,并开始与瑞士保险公司最重要的代表性工会进行对话。