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马里农村儿童对艾滋病毒/艾滋病患者的态度:污名的原因。

Rural children's attitudes to people with HIV/AIDS in Mali: the causes of stigma.

出版信息

Cult Health Sex. 2004 Jan;6(1):1-18. doi: 10.1080/13691050310001622460.

DOI:10.1080/13691050310001622460
PMID:21972829
Abstract

Qualitative research among young people and other community members in rural Mali elicited knowledge and attitudes with regard to HIV/AIDS. Findings indicated that rumours concerning methods of infection are likely to increase the stigmatization of those with the disease. The most frequently stated mode of transmission involved urinating in a place where someone with AIDS had already urinated. Shared clothes, food and water were seen as sources of infection. Both children and teachers recommended that people with AIDS be isolated. Even talking to them would lead to a risk of infection. Discriminatory views were likely to have been reinforced by parents and community elders who possessed the same misinformation. The notion that AIDS results from sexual encounters between young women and dogs belonging to white people in Côte d'Ivoire was also widespread. These discourses may reflect perceived xenophobia and risk to migrants associated with current tensions between the two countries, together with misgivings about Western sexual liberalism. A holistic educational programme is proposed to address not simply HIV/AIDS, but the social context in which infection occurs, with view to combating stigma and discrimination associated with not just HIV but also with migration in this setting.

摘要

在马里农村地区,对年轻人和其他社区成员进行的定性研究引出了有关艾滋病毒/艾滋病的知识和态度。研究结果表明,有关感染途径的谣言可能会增加对患病者的污名化。最常提到的传播途径是在已经有艾滋病患者排尿的地方排尿。共用衣服、食物和水被视为感染源。儿童和教师都建议将艾滋病患者隔离。即使与他们交谈也会有感染的风险。这种歧视性观点可能是由父母和社区长辈强化的,他们也持有同样的错误信息。艾滋病是科特迪瓦年轻女性与白人拥有的狗之间发生性关系导致的这种说法也很普遍。这些言论可能反映了对当前两国之间紧张局势相关的移民的仇外心理和风险,以及对西方性自由的担忧。提出了一项整体教育方案,不仅要解决艾滋病毒/艾滋病问题,还要解决感染发生的社会背景问题,以消除与艾滋病毒以及在这种环境下的移徙相关的污名和歧视。

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