Health Systems Research Center, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Qual Health Res. 2009 Dec;19(12):1656-68. doi: 10.1177/1049732309353909.
In this study we examined the origins and consequences of HIV/AIDS-related stigma on the Mexican-Guatemalan border. To explore these issues, an inductive/deductive approach was taken. Data were collected using qualitative methods including nonparticipant observation, in-depth interviews, and informal conversation. Informants included Central American immigrants, locals, and contextual key informants. Findings reveal that gender, social class, and race/ ethnicity function as key determinants of HIV/AIDS-related stigma, but serve also as the basis around which migration-related stigma is constructed within this particular context. These issues need to be taken into account in addressing the vulnerability of mobile populations, as well as the stigma attached to migration and HIV/AIDS. To be effective, responses should be based in the social and contextual realities faced by migrants and mobile populations, and be part of a more general process of empowerment that improves their legal, social, economic, and health status.
在本研究中，我们考察了墨西哥-危地马拉边境地区艾滋病污名的起源和后果。为了探讨这些问题，我们采用了归纳/演绎的方法。研究数据采用定性方法收集，包括非参与式观察、深入访谈和非正式对话。受访者包括中美洲移民、当地人和情境关键知情者。研究结果表明，性别、社会阶层和种族/民族是艾滋病相关污名的关键决定因素，但也是在这一特定背景下构建与移民相关污名的基础。在解决流动人口的脆弱性以及与移民和艾滋病相关的污名问题时，需要考虑到这些问题。要想取得成效，应对措施必须基于移民和流动人口所面临的社会和情境现实，并成为更广泛赋权进程的一部分，以改善他们的法律、社会、经济和健康状况。
