Varas-Díaz N, Neilands T B, Malavé Rivera S, Betancourt E
a Center for the Study of Social Differences and Health, Graduate School of Social Work Beatriz Lassalle , University of Puerto Rico , P.O. Box 23345 , San Juan , 00931-3345 , Puerto Rico.
Glob Public Health. 2010;5(3):295-312. doi: 10.1080/17441690903436581. Epub 2010 May 17.
Abstract HIV/AIDS stigma continues to be a barrier for prevention efforts. Its detrimental effects have been documented among people living with HIV/AIDS and encompass loss of social support and depression. When it is manifested by health professionals, it can lead to sub-optimal services. Although strides have been made to document the effects of HIV/AIDS stigma, much needs to be done in order to understand the structural factors that can foster it. Such is the case of religion's role on HIV/AIDS stigma in Puerto Rico. The Caribbean Island has a Judeo-Christian-based culture due to years of Spanish colonisation. This religious influence continued under Protestantism as part of the Island's integration as a non-incorporated territory of the USA. The main objective of this study was to explore the role of religion in HIV/AIDS stigma manifested by Puerto Rican health professionals in practice and in training. Through a mixed-method approach, 501 health professionals completed qualitative interviews (n=80) and self-administered questionnaires (n=421). Results show that religion plays some role in conceptualisations of health and illness among participants in the study. Furthermore, the importance placed on religion and participation in such activities was related to higher levels of HIV/AIDS stigma.
摘要 艾滋病毒/艾滋病污名化仍然是预防工作的障碍。其有害影响在艾滋病毒/艾滋病感染者中已有记载，包括社会支持的丧失和抑郁。当这种污名化由卫生专业人员表现出来时，可能会导致服务质量欠佳。尽管在记录艾滋病毒/艾滋病污名化的影响方面已经取得了进展，但要了解可能助长这种污名化的结构因素，仍有许多工作要做。波多黎各宗教在艾滋病毒/艾滋病污名化方面所起的作用就是如此。由于多年的西班牙殖民统治，这个加勒比岛屿拥有基于犹太 - 基督教的文化。作为美国的非合并领土，在新教的影响下，这种宗教影响得以延续。本研究的主要目的是探讨宗教在波多黎各卫生专业人员在实际工作和培训中表现出的艾滋病毒/艾滋病污名化中所起的作用。通过混合方法，501名卫生专业人员完成了定性访谈（n = 80）和自填式问卷调查（n = 421）。结果表明，宗教在研究参与者对健康和疾病的概念化中发挥了一定作用。此外，对宗教的重视程度和参与此类活动与更高程度的艾滋病毒/艾滋病污名化有关。
