Darlington Caroline K, Hutson Sadie P
College of Nursing, University of Tennessee, 1200 Volunteer Blvd., Room 337, Knoxville, TN, 37996, USA.
AIDS Behav. 2017 Jan;21(1):12-26. doi: 10.1007/s10461-016-1504-9.
Societal stigmatization of HIV/AIDS due to assumptions about transmission and associated behaviors plays a substantial role in the psychosocial well-being of people living with this chronic illness, particularly for women in traditionally conservative geographic regions. Known for social conservatism, the Southern United States (US) holds the highest incidence rate of HIV infection in the US. A systematic search of four databases was used to identify 27 relevant scientific articles pertaining to HIV-related stigma among women living with HIV/AIDS in the Southern US. These studies revealed a rudimentary understanding of stigma sources, effects, and stigma-reduction interventions in this population. Due to the cultural specificity of stigma, further differentiation of stigma in discrete sectors of the South as well as a dialogue about the moral implications of stigma is necessary to lay the groundwork for patient-centered interventions to mitigate the destructive effects of stigma experienced by women in this region.
由于对传播途径及相关行为的臆测,社会对艾滋病毒/艾滋病存在污名化现象,这对患有这种慢性病的人群的心理社会福祉产生了重大影响,对于生活在传统保守地理区域的女性而言尤为如此。美国南部以社会保守主义著称,其艾滋病毒感染发病率在美国最高。通过对四个数据库进行系统检索,共识别出27篇与美国南部感染艾滋病毒/艾滋病女性中与艾滋病毒相关污名化现象有关的科学文章。这些研究揭示了对该人群污名化来源、影响及减少污名化干预措施的初步理解。鉴于污名化的文化特殊性,有必要进一步区分美国南部不同地区的污名化现象,并开展关于污名化道德影响的对话,以便为以患者为中心的干预措施奠定基础,减轻该地区女性所经历的污名化的破坏性影响。