British Columbia Centre on Substance Use, 4th Floor, 1045 Howe Street, Vancouver, B.C, V6Z 2A9, Canada.
Department of Medicine, University of British Columbia, Vancouver, Canada.
BMC Public Health. 2020 Aug 10;20(1):1220. doi: 10.1186/s12889-020-09291-3.
While previous research has identified how criminalization of HIV non-disclosure can have deleterious effects on those living with HIV, the perspectives of people who use drugs - a population disproportionately affected by HIV- should be more meaningfully considered in these discussions.
Using constant comparative techniques, data from 60 interviews with men and women living with and without HIV and who use drugs in Vancouver were analyzed to explore their perceptions about Canada's HIV non-disclosure legal framework.
Participants' perspectives on the framework involved three themes: understandings of HIV risk; HIV-related stigma; and their own experiences with HIV. While several participants favored the punitive character of the legal framework, these arguments were premised on misinformed and stigmatized assumptions regarding HIV.
The paper concludes by discussing the challenges and opportunities for resisting HIV stigma and misconceptions about HIV within the context of personal accounts that, at times, support criminalization of non-disclosure.
虽然先前的研究已经确定了将 HIV 不披露行为刑事化可能对 HIV 感染者产生的有害影响，但在这些讨论中，更应该有意义地考虑到吸毒者的观点——这一人群受到 HIV 的影响不成比例。
使用不断比较的技术，对来自温哥华的 60 名 HIV 感染者和未感染者以及吸毒者的男女进行访谈，分析他们对加拿大 HIV 不披露法律框架的看法。
参与者对该框架的看法涉及三个主题：对 HIV 风险的理解；与 HIV 相关的污名；以及他们自己的 HIV 感染经历。虽然一些参与者赞成法律框架的惩罚性特征，但这些论点是基于对 HIV 的误解和污名化假设。
本文最后讨论了在个人叙述的背景下，抵制 HIV 污名和对 HIV 的误解所面临的挑战和机遇，这些个人叙述有时支持对不披露行为的刑事定罪。
