Rudolph A E, Davis W W, Quan V M, Ha T V, Minh N L, Gregowski A, Salter M, Celentano D D, Go V
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
AIDS Care. 2012;24(2):239-44. doi: 10.1080/09540121.2011.596517. Epub 2011 Jul 21.
This paper explores how perceived stigma and layered stigma related to injection drug use and being HIV-positive influence the decision to disclose one's HIV status to family and community and experiences with stigma following disclosure among a population of HIV-positive male injection drug users (IDUs) in Thai Nguyen, Vietnam. In qualitative interviews conducted between 2007 and 2008, 25 HIV-positive male IDUs described layered stigma in their community but an absence of layered stigma within their families. These findings suggest the importance of community-level HIV prevention interventions that counter stigma and support families caring for HIV-positive relatives.
本文探讨了与注射吸毒和感染艾滋病毒相关的感知耻辱感和分层耻辱感如何影响越南谅山一群艾滋病毒呈阳性的男性注射吸毒者向家人和社区披露其艾滋病毒感染状况的决定,以及披露后所经历的耻辱感。在2007年至2008年进行的定性访谈中,25名艾滋病毒呈阳性的男性注射吸毒者描述了他们社区中的分层耻辱感,但家庭中不存在分层耻辱感。这些发现表明,在社区层面开展艾滋病毒预防干预措施以消除耻辱感并支持照顾艾滋病毒呈阳性亲属的家庭非常重要。