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哈拉雷的艾滋病毒:社会耻辱感的作用与影响

HIV in Harare: the role and relevance of social stigma.

作者信息

O'Brien Stephen, Broom Alex

机构信息

a School of Humanities and Social Science , The University of Newcastle , Newcastle , Australia.

出版信息

Afr J AIDS Res. 2014;13(4):339-49. doi: 10.2989/16085906.2014.961941.

Abstract

HIV is a significant social, political and economic problem in Zimbabwe. However, few researchers have explored peoples' experiences of living with HIV in that country. Drawing on 60 qualitative interviews conducted with Zimbabweans living in Harare in 2010, this paper focuses on how people from four different urban communities cope with HIV-related social stigma. To provide theoretical context to this issue, we utilised the ideas of Erving Goffman for exploring the individual experience of stigma and the concept of structural violence to understand stigma as a social phenomenon. This paper considers the relevance and role of stigma in the context of a country undergoing significant social, political and economic crisis. We investigated the strategies adopted by the Zimbabwean state and the influence of traditional and religious interpretations to appreciate the historical roots of HIV-related stigma. We took into account the ways in which the articulation of HIV with gender has caused women to experience stigma differently than men, and more intensely, and how grassroots activism and biomedical technologies have transformed the experience of stigma.

摘要

在津巴布韦,艾滋病病毒是一个重大的社会、政治和经济问题。然而,很少有研究者探究该国艾滋病病毒感染者的生活经历。本文基于2010年对居住在哈拉雷的津巴布韦人进行的60次定性访谈,重点关注来自四个不同城市社区的人们如何应对与艾滋病病毒相关的社会耻辱感。为了给这个问题提供理论背景,我们运用欧文·戈夫曼的观点来探究耻辱感的个体体验,并运用结构性暴力的概念来理解耻辱感这一社会现象。本文探讨了在一个正经历重大社会、政治和经济危机的国家中,耻辱感的相关性及作用。我们调查了津巴布韦政府采取的策略以及传统和宗教解释的影响,以了解与艾滋病病毒相关耻辱感的历史根源。我们考虑了将艾滋病病毒与性别联系起来的方式如何导致女性比男性更强烈地体验到耻辱感,以及基层行动主义和生物医学技术如何改变了耻辱感的体验。

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