Cobos Manuel Isabel, Jackson-Perry David, Courvoisier Corine, Bluntschli Cristina, Carel Sybille, Muggli Edith, Waelti Da Costa Vreneli, Kampouri Eleftheria, Cavassini Matthias, Darling Katharine E A
Consultation ambulatoire des maladies infectieuses, Service des maladies infectieuses, CHUV, 1011 Lausanne.
Antenne de la consultation des maladies infectieuses, CHUV, 1003 Lausanne.
Rev Med Suisse. 2020 Apr 15;16(690):744-748.
Medical advances in the treatment of HIV over the last 35 years mean that people living with HIV (PLHIV) now have a life expectancy close to that of the general population. Further, when successfully treated, PLHIV cannot transmit the virus. Despite this, HIV-related stigma remains widespread, including within healthcare settings. Stigma is not a vague sociological notion but represents a real threat to public health, with repercussions for both PLHIV and HIV-negative individuals. Stigma has been shown to have a negative impact on HIV prevention, testing, access to health services, and on the healthcare management of PLHIV. Taking stigma into consideration is essential, both in meeting the medical and psycho-social needs of PLHIV and in order to effectively combat HIV/AIDS.
过去35年里，艾滋病治疗方面的医学进展意味着，艾滋病毒感染者（PLHIV）现在的预期寿命已接近普通人群。此外，艾滋病毒感染者在接受成功治疗后便无法传播病毒。尽管如此，与艾滋病相关的污名仍然普遍存在，在医疗环境中亦是如此。污名并非一个模糊的社会学概念，而是对公共卫生的切实威胁，对艾滋病毒感染者和未感染者都会产生影响。事实证明，污名对艾滋病预防、检测、获得医疗服务以及艾滋病毒感染者的医疗管理都有负面影响。无论是满足艾滋病毒感染者的医疗和心理社会需求，还是有效抗击艾滋病毒/艾滋病，都必须考虑到污名问题。
