Jeffries William L, Townsend Ebony Symone, Gelaude Deborah J, Torrone Elizabeth A, Gasiorowicz Mari, Bertolli Jeanne
AIDS Educ Prev. 2015 Feb;27(1):58-71. doi: 10.1521/aeap.2015.27.1.58.
Stigma can compromise the health of persons living with HIV. Although HIV is increasingly affecting young men who have sex with men (MSM), little is known about their experiences with HIV stigma. We used narrative data to examine HIV stigma experienced by young MSM living with HIV. Data came from 28 qualitative interviews with young MSM. We used inductive content analysis to identify themes across these interviews. Participants commonly discussed negative perceptions and treatment of persons living with HIV. Stigma could result in nondisclosure of HIV status, internalized stigma, and avoidance of HIV-related things. Some men discussed strategies that might combat stigma. Findings suggest that HIV stigma might challenge young MSM's health by undermining health-conducive resources (e.g., social support) and contributing to HIV vulnerability. Interventions that counteract HIV stigma may help to create environments that promote well-being among young MSM living with HIV.
耻辱感会损害艾滋病毒感染者的健康。尽管艾滋病毒对男男性行为者(MSM)的影响日益增加,但对于他们所经历的艾滋病毒耻辱感却知之甚少。我们使用叙事数据来研究感染艾滋病毒的年轻男男性行为者所经历的艾滋病毒耻辱感。数据来自对年轻男男性行为者的28次定性访谈。我们采用归纳性内容分析法来确定这些访谈中的主题。参与者普遍讨论了对艾滋病毒感染者的负面看法和对待方式。耻辱感可能导致隐瞒艾滋病毒感染状况、内化耻辱感以及回避与艾滋病毒相关的事物。一些男性讨论了可能对抗耻辱感的策略。研究结果表明,艾滋病毒耻辱感可能通过破坏有益健康的资源(如社会支持)并导致感染艾滋病毒的易感性,对年轻男男性行为者的健康构成挑战。消除艾滋病毒耻辱感的干预措施可能有助于营造促进感染艾滋病毒的年轻男男性行为者福祉的环境。