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“自我安慰并相信自己”:探索肯尼亚 HIV 阳性女性经历污名化的体验。

"You comfort yourself and believe in yourself": exploring lived experiences of stigma in HIV-positive Kenyan women.

机构信息

University of Wisconsin-Milwaukee, College of Nursing, Milwaukee, Wisconsin 53201-0413, USA.

出版信息

Issues Ment Health Nurs. 2013 Mar;34(3):150-7. doi: 10.3109/01612840.2012.740765.

Abstract

HIV-related stigma has a negative effect on women's health and can hinder interventions aimed at eradicating HIV. In Kenya, women withstand the worst of HIV-related stigma, because they are the most affected. In this longitudinal qualitative study, we explored experiences of stigma among 54 HIV-positive Kenyan women. Using Goffman's stigma definition and Foucault's social construction of stigma to analyze women's narratives, two main themes emerged: (1) women's experience of socially constructed HIV-related stigma and (2) women's resistance of socially constructed HIV-related stigma. Even though women are creative in resisting HIV-related stigma, psychological impact of stigma can hinder HIV prevention, care, treatment, and support. Interventions that empower women are critical in reducing HIV-related stigma.

摘要

艾滋病相关耻辱感对妇女健康有负面影响,并可能阻碍消除艾滋病的干预措施。在肯尼亚,妇女承受着与艾滋病相关耻辱感的最严重影响,因为她们是受影响最大的群体。在这项纵向定性研究中,我们探索了 54 名肯尼亚艾滋病阳性妇女的耻辱感经历。使用戈夫曼的耻辱感定义和福柯的耻辱感的社会建构来分析女性的叙述,出现了两个主要主题:(1)女性经历的与艾滋病相关的社会建构耻辱感,以及(2)女性对与艾滋病相关的社会建构耻辱感的抵制。尽管女性在抵制与艾滋病相关的耻辱感方面很有创意,但耻辱感的心理影响可能会阻碍艾滋病的预防、护理、治疗和支持。赋予妇女权力的干预措施对于减少与艾滋病相关的耻辱感至关重要。

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