Department of Psychology, University of Connecticut, Storrs, CT, 06269-1020, USA.
AIDS Behav. 2009 Dec;13(6):1160-77. doi: 10.1007/s10461-009-9593-3. Epub 2009 Jul 28.
Recent analyses suggest that lack of clarity in the conceptualization and measurement of HIV stigma at an individual level is a significant barrier to HIV prevention and treatment efforts. In order to address this concern, we articulate a new framework designed to aid in clarifying the conceptualization and measurement of HIV stigma among individuals. The HIV Stigma Framework explores how the stigma of HIV elicits a series of stigma mechanisms, which in turn lead to deleterious outcomes for HIV uninfected and infected people. We then apply this framework to review measures developed to gauge the effect of HIV stigma since the beginning of the epidemic. Finally, we emphasize the utility of using three questions to guide future HIV stigma research: who is affected by, how are they affected by, and what are the outcomes of HIV stigma?
最近的分析表明,在个体层面上,对 HIV 污名概念化和测量的不明确是 HIV 预防和治疗工作的一个重大障碍。为了解决这一问题,我们提出了一个新的框架,旨在帮助澄清个体中 HIV 污名的概念化和测量。HIV 污名框架探讨了 HIV 污名如何引发一系列污名机制,进而对 HIV 未感染者和感染者造成有害后果。然后,我们应用这一框架来审查自艾滋病流行开始以来为衡量 HIV 污名影响而制定的措施。最后,我们强调使用三个问题来指导未来的 HIV 污名研究的效用:谁受到影响,他们如何受到影响,以及 HIV 污名的结果是什么?