Mailman School of Public Health at Columbia University, Department of Sociomedical Sciences, New York, NY, USA.
Am J Public Health. 2013 Feb;103(2):293-9. doi: 10.2105/AJPH.2012.300916. Epub 2012 Dec 13.
I incorporated qualitative methods to explore how HIV-related stigma functions in New York City's House and Ball Community (HBC).
From January through March 2009, I conducted 20 in-depth 1-on-1 interviews with a diverse sample of New York City HBC members. Interviews addressed perceptions of HIV-related stigma, the treatment of HIV-positive members in the community, and the potential impact of HIV-related stigma on risk behaviors.
HIV-related stigma contributes to a loss of moral experience for HBC members. Moral experience (i.e., threats to what really matters in a community) disrupts established social connections and hinders the attainment of "ball status" (i.e., amassing social recognition) in the local world of these individuals.
My recommendations address HIV-related stigma in the New York City HBC from the vantage of moral experience and highlight the need for longitudinal studies of individual house members and for the implementation of stigma-focused interventions in the community that utilize the unique ball status hierarchy and HBC network to influence social norms surrounding the treatment of HIV-positive community members.
本研究采用定性方法，以探索在纽约市的“会所和舞会社区”（HBC）中，HIV 相关污名是如何发挥作用的。
2009 年 1 月至 3 月期间，我对具有不同特征的纽约市 HBC 成员进行了 20 次深入的一对一访谈。访谈内容包括对 HIV 相关污名的看法、社区中对 HIV 阳性成员的对待方式，以及 HIV 相关污名对风险行为的潜在影响。
HIV 相关污名导致 HBC 成员失去了道德体验。道德体验（即对社区中真正重要的东西的威胁）破坏了既定的社会联系，并阻碍了这些人在当地世界中获得“舞会地位”（即获得社会认可）。
我的建议从道德体验的角度出发，探讨了纽约市 HBC 中的 HIV 相关污名问题，并强调需要对个体会所成员进行纵向研究，以及在社区中实施以污名为重点的干预措施，利用独特的舞会地位等级制度和 HBC 网络来影响围绕 HIV 阳性社区成员的治疗的社会规范。
