Wagner Anne C, Girard Todd, McShane Kelly E, Margolese Shari, Hart Trevor A
Department of Psychology, Ryerson University, Toronto, Ontario.
An Independent Consultant, Blenheim, Ontario.
AIDS Educ Prev. 2017 Aug;29(4):364-376. doi: 10.1521/aeap.2017.29.4.364.
HIV continues to be a stigmatized disease, despite significant advances in care and concerted effort to reduce discrimination, stereotypes, and prejudice. Living with HIV is often associated with a multitude of overlapping and intersecting experiences which can, in and of themselves, also be stigmatized, and which may exacerbate HIV-related stigma. The consequences of these stigmatizing experiences are particularly impactful when the stigmatizing individual is a health care provider, as this can influence access to and quality of care. The current study empirically investigates a model of overlapping stigmas (homophobia, racism, sexism, stigma against injection drug use and stigma against sex work) potentially held by health care provider trainees in Canada to determine how these constructs overlap and intersect, and to assess whether HIV-related stigma may have unique attributes. Understanding overlapping stigmas can help inform targeted, stigma-informed training for health care trainees in order to provide effective, compassionate care for people living with HIV.
尽管在治疗方面取得了重大进展,并且为减少歧视、刻板印象和偏见做出了共同努力,但艾滋病毒仍然是一种受到污名化的疾病。感染艾滋病毒往往与众多相互重叠和交叉的经历相关联,这些经历本身也可能受到污名化,并且可能会加剧与艾滋病毒相关的污名。当实施污名化的个体是医疗保健提供者时,这些污名化经历的后果尤其严重,因为这可能会影响获得医疗服务的机会和医疗质量。本研究通过实证调查了加拿大医疗保健实习人员可能存在的重叠污名模型(恐同、种族主义、性别歧视、对注射吸毒的污名和对性工作的污名),以确定这些概念是如何重叠和交叉的,并评估与艾滋病毒相关的污名是否可能具有独特属性。了解重叠污名有助于为医疗保健实习生提供有针对性的、基于污名认知的培训,以便为艾滋病毒感染者提供有效、富有同情心的护理。