将与艾滋病毒相关的污名、治疗依从性和健康结果联系起来的框架机制。
Framing Mechanisms Linking HIV-Related Stigma, Adherence to Treatment, and Health Outcomes.
作者信息
Turan Bulent, Hatcher Abigail M, Weiser Sheri D, Johnson Mallory O, Rice Whitney S, Turan Janet M
机构信息
Bulent Turan and Whitney S. Rice are with the Department of Psychology, University of Alabama at Birmingham. Abigail M. Hatcher and Mallory O. Johnson are with the Department of Medicine, University of California, San Francisco. Sheri D. Weiser is with the Division of HIV, Infectious Disease and Global Medicine, University of California, San Francisco. Janet M. Turan is with the Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham.
出版信息
Am J Public Health. 2017 Jun;107(6):863-869. doi: 10.2105/AJPH.2017.303744. Epub 2017 Apr 20.
Abstract
We present a conceptual framework that highlights how unique dimensions of individual-level HIV-related stigma (perceived community stigma, experienced stigma, internalized stigma, and anticipated stigma) might differently affect the health of those living with HIV. HIV-related stigma is recognized as a barrier to both HIV prevention and engagement in HIV care, but little is known about the mechanisms through which stigma leads to worse health behaviors or outcomes. Our conceptual framework posits that, in the context of intersectional and structural stigmas, individual-level dimensions of HIV-related stigma operate through interpersonal factors, mental health, psychological resources, and biological stress pathways. A conceptual framework that encompasses recent advances in stigma science can inform future research and interventions aiming to address stigma as a driver of HIV-related health.
摘要
我们提出了一个概念框架，该框架突出了个体层面与艾滋病相关的耻辱感的独特维度（感知到的社区耻辱感、经历的耻辱感、内化的耻辱感和预期的耻辱感）可能如何不同地影响艾滋病毒感染者的健康。与艾滋病相关的耻辱感被认为是艾滋病预防和参与艾滋病护理的障碍，但对于耻辱感导致更差健康行为或结果的机制知之甚少。我们的概念框架假定，在交叉性和结构性耻辱的背景下，个体层面与艾滋病相关的耻辱感维度通过人际因素、心理健康、心理资源和生物应激途径发挥作用。一个包含耻辱感科学最新进展的概念框架可以为未来旨在将耻辱感作为艾滋病相关健康驱动因素加以解决的研究和干预措施提供信息。
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