耻辱感与健康素养：推进研究与实践的议程
Stigma and health literacy: an agenda for advancing research and practice.
作者信息
Mackert Michael, Donovan Erin E, Mabry Amanda, Guadagno Marie, Stout Patricia A
机构信息
Department of Advertising, The University of Texas at Austin, Austin, TX, USA.
Department of Communication Studies, The University of Texas at Austin, Austin, TX, USA.
出版信息
Am J Health Behav. 2014 Sep;38(5):690-8. doi: 10.5993/AJHB.38.5.6.
OBJECTIVES
To propose a framework addressing various factors contributing to stigma associated with low health literacy, how stigma is manifested, and how it may contribute to adverse health consequences.
METHOD
The framework incorporated concepts found in existing empirical research on stigmatized health conditions with an emphasis on concealable conditions such as mental health, HIV status, and some chronic illnesses.
RESULTS
Pursuing the proposed research agenda would provide a better understanding of the various factors contributing to stigma associated with low health literacy, how that stigma is manifested, and how it may contribute to adverse health consequences.
CONCLUSION
The goal of proposing a wide-ranging research agenda is to encourage research that will inform the development of a comprehensive framework that addresses factors that influence stigma associated with health literacy from multiple levels: micro, meso, and macro.
目标
提出一个框架，该框架涉及导致与低健康素养相关的耻辱感的各种因素、耻辱感是如何表现的，以及它如何可能导致不良健康后果。
方法
该框架纳入了现有关于受污名化健康状况的实证研究中发现的概念，重点关注诸如心理健康、艾滋病毒感染状况和一些慢性病等可隐瞒的状况。
结果
推进拟议的研究议程将能更好地理解导致与低健康素养相关的耻辱感的各种因素、该耻辱感是如何表现的，以及它如何可能导致不良健康后果。
结论
提出一个广泛研究议程的目标是鼓励开展相关研究，这些研究将为制定一个全面框架提供信息，该框架从微观、中观和宏观多个层面解决影响与健康素养相关的耻辱感的因素。
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