Health, Community, and Development Group, Institute of Social Psychology, London School of Economics and Political Science, London, UK.
Am J Public Health. 2011 Jun;101(6):1004-10. doi: 10.2105/AJPH.2010.202838. Epub 2010 Dec 16.
We studied the impact of antiretroviral treatment availability on HIV/AIDS stigma through interviews with 118 antiretroviral treatment users, HIV/AIDS caregivers, and nurses in Zimbabwe. Treatment enables positive social and economic participation through which users can begin to reconstruct their shattered sense of social value. However, stigma remains strong, and antiretroviral treatment users remain mired in conflictual symbolic relationships between the HIV/AIDS people and the untested. To date, the restoration of users' own sense of self-worth through treatment has not reduced fear and sexual embarrassment in framing community responses to people living with HIV/AIDS. Much remains to be learned about the complex interaction of economic and psychosocial dimensions of poverty, treatment availability, and conservative sexual moralities in driving HIV/AIDS stigma in specific settings.
我们通过对津巴布韦 118 名接受抗逆转录病毒治疗的患者、艾滋病病毒/艾滋病护理人员和护士进行访谈，研究了抗逆转录病毒治疗的可及性对艾滋病病毒/艾滋病污名的影响。治疗使人们能够积极参与社会和经济活动，从而开始重建他们破碎的社会价值感。然而，污名仍然很严重，接受抗逆转录病毒治疗的患者仍然陷入艾滋病病毒感染者和未接受检测者之间充满冲突的象征性关系中。迄今为止，通过治疗恢复患者的自我价值感并没有减少人们对艾滋病毒感染者的恐惧和性尴尬，也没有改变社区对艾滋病毒感染者的反应。在特定环境中，经济和社会心理贫困维度、治疗可及性以及保守的性道德观念对艾滋病病毒/艾滋病污名的复杂相互作用还有很多需要了解。
