个体态度和感知的社会规范:中国服务提供者报告的与艾滋病相关的污名。

Individual attitudes and perceived social norms: Reports on HIV/AIDS-related stigma among service providers in China.

机构信息

University of California at Los Angeles, Los Angeles,CA, USA.

出版信息

Int J Psychol. 2009 Dec;44(6):443-50. doi: 10.1080/00207590802644774.

Abstract

This study examined HIV/AIDS-related stigma among Chinese service providers by comparing their personal attitudes toward people living with HIV/AIDS with their perception of social norms related to people living with HIV/AIDS. We randomly selected three provincial hospitals, four city/prefecture hospitals, 10 county hospitals,18 township health clinics, and 54 village clinics from Yunnan, China. Doctors and nurses were randomly sampled proportionally to the doctor–nurse ratio of each hospital or clinic. Lab technicians were over-sampled in order to include an adequate representation in the analysis. A total of 1,101 service providers participated in a voluntary,anonymous survey where demographic characteristics, individual attitude and perceived social norms toward people living with HIV/AIDS, discrimination intent at work, general prejudicial attitude and knowledge on HIV/AIDS were measured. A majority of the sample demonstrated a similarity between their personal views and what they thought most people in society believe. Multiple logistic regressions revealed that participants who were younger or reported personal contact with people living with HIV/AIDS were significantly more likely to report personal attitudes toward the population that were more liberal than their perceived social norms. Holding a more liberal personal attitude toward people living with HIV/AIDS than perceived social norms was significantly and negatively related to the level of discrimination intent at work, perceived discrimination at interpersonal level and the level of general prejudicial attitude toward people living with HIV/AIDS. Results underscored the importance of understanding social norms and personal attitudes in studying HIV-related stigma and called for the incorporation of existing human capital into future HIV stigma reduction programs.

摘要

本研究通过比较中国服务提供者对艾滋病毒/艾滋病患者的个人态度与其对与艾滋病毒/艾滋病患者相关的社会规范的看法,考察了与艾滋病毒/艾滋病相关的污名。我们从中国云南省随机选择了三家省级医院、四家市级/县级医院、十家县级医院、十八家乡镇卫生院和五十四家村卫生室。医生和护士按医院或诊所的医生与护士比例进行随机抽样。为了在分析中包括足够的代表性,对实验室技术人员进行了超额抽样。共有 1101 名服务提供者参加了一项自愿、匿名的调查,调查内容包括人口特征、对艾滋病毒/艾滋病患者的个人态度和感知社会规范、工作中的歧视意图、一般偏见态度和艾滋病毒/艾滋病知识。大多数样本表现出个人观点与他们认为社会上大多数人所相信的观点之间的相似性。多元逻辑回归显示,年龄较小或报告与艾滋病毒/艾滋病患者有个人接触的参与者更有可能报告个人对该人群的态度比他们感知到的社会规范更自由。对艾滋病毒/艾滋病患者的个人态度比感知到的社会规范更自由与工作中的歧视意图水平、人际层面的歧视感知以及对艾滋病毒/艾滋病患者的一般偏见态度水平显著负相关。研究结果强调了在研究与艾滋病毒相关的污名时理解社会规范和个人态度的重要性,并呼吁将现有的人力资本纳入未来的艾滋病毒污名减少计划中。

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