Benoit Cecilia, McCarthy Bill, Jansson Mikael
Centre for Addictions Research of BC, Department of Sociology, University of Victoria, BC, Canada.
Sociol Health Illn. 2015 Mar;37(3):437-51. doi: 10.1111/1467-9566.12201. Epub 2015 Feb 16.
Stigma is a widely used concept in social science research and an extensive literature claims that stigmatisation contributes to numerous negative health outcomes. However, few studies compare groups that vary in the extent to which they are stigmatised and even fewer studies examine stigma's independent and mediating effects. This article addresses these gaps in a comparative study of perceived stigma and drug use among three low-income feminised service occupations: sex work, food and alcoholic beverage serving, and barbering and hairstyling. An analysis of longitudinal data shows positive associations between sex work, perceived stigma, and socially less acceptable drug use (for example, heroin and cocaine), and that stigma mediates part of the link between sex work and the use of these drugs. Our overall findings suggest that perceived stigma is pronounced among those who work in the sex industry and negatively affects health independently of sex work involvement.
污名化是社会科学研究中广泛使用的概念，大量文献称污名化会导致众多负面健康结果。然而，很少有研究比较不同程度污名化的群体，更少的研究考察污名的独立作用和中介作用。本文通过对三种低收入女性化服务行业（性工作、食品和酒精饮料服务以及理发和美发）中感知到的污名与药物使用情况的比较研究，填补了这些空白。对纵向数据的分析表明，性工作、感知到的污名与社会接受度较低的药物使用（例如海洛因和可卡因）之间存在正相关，并且污名在性工作与这些药物使用之间的联系中起到了部分中介作用。我们的总体研究结果表明，在性产业工作的人群中，感知到的污名较为明显，并且独立于性工作参与情况对健康产生负面影响。
