Department of Counselling, Human Services and Social Work, University of Auckland, Auckland, New Zealand.
Afr J AIDS Res. 2020 Dec;19(4):276-286. doi: 10.2989/16085906.2020.1834416.
Domestic stigmatisation serves as an umbrella term for acts of enacted or felt stigma experienced in a person's domestic environment. This article reports on the term which transpired from a narrative inquiry in 2011 with people living with HIV (PLWH) who reported humiliation or segregation, experienced or perceived, within the domestic environment that rendered the individual disabled, diseased, unworthy, unhealthy, or deficient. A literature review about this form of stigma was conducted using the following inclusion criteria: 1) a peer-reviewed source; 2) published between 2011 and 2018; 3) access to full-text articles; 4) accessible in English; 5) reported from any country; and 6) using qualitative or mixed-method approaches. A total of 37 studies were included in the review - documenting 51 specific experiences of domestic stigmatisation (referred to as for the purpose of the review) across all studies. A matrix was developed detailing each study's' publication date, geographical context, participant gender (where possible) and the reported acts. A critical analysis is offered on the concept "domestic stigmatisation" and its relevance to domestic or family interventions. Deliberate attention to this concept can potentially refocus HIV stigma-reducing interventions to benefit families and promote coping strategies to reduce stigma-related stress associated with seropositive identities.
家庭污名是指在个人的家庭环境中经历或感受到的被实施或感受到的污名行为。本文报道了这一术语，它源于 2011 年对艾滋病毒感染者（PLWH）的叙事研究，他们报告了在家庭环境中遭受的羞辱或隔离，这些经历或感知使个人变得残疾、患病、不值得、不健康或有缺陷。使用以下纳入标准对这种形式的污名进行了文献回顾：1）同行评议的来源；2）发表于 2011 年至 2018 年之间；3）可获取全文文章；4）可获取英文文章；5）来自任何国家的报告；6）使用定性或混合方法方法。共有 37 项研究被纳入综述——在所有研究中记录了 51 种特定的家庭污名化体验（在综述中称为 ）。详细描述了每个研究的发表日期、地理背景、参与者性别（在可能的情况下）和报告的行为的矩阵。对“家庭污名”的概念及其与家庭或家庭干预的相关性进行了批判性分析。有意关注这一概念可以使 HIV 污名减少干预措施重新集中于家庭，并促进应对策略，以减少与血清阳性身份相关的污名相关压力。
