Kelly J A, St Lawrence J S, Smith S, Hood H V, Cook D J
Am J Public Health. 1987 Jul;77(7):789-91. doi: 10.2105/ajph.77.7.789.
A randomly selected sample of physicians in three large cities was asked to read one of four vignettes describing a patient. They then completed a set of objective attitude measures eliciting their reactions to the patient described in the vignette. The vignettes were identical except that the patient's illness was identified as either acquired immunodeficiency syndrome (AIDS) or leukemia and the patient's sexual preference as either heterosexual or homosexual. Harsh attitude judgements were associated with the AIDS portrayals, as well as much less willingness to interact even in routine conversation when the patient's illness was identified as AIDS. Increasing numbers of AIDS patients will be seeking medical attention from physicians in all areas of the country and it will be important for health care professions to develop programs which counter unreasonable stigma and prejudicial attitudes that may be associated with this illness.
从三个大城市中随机抽取了一组医生样本，要求他们阅读描述一位患者的四个病例 vignette 中的一个。然后，他们完成了一组客观态度测量，以引出他们对 vignette 中所描述患者的反应。这些 vignette 除了将患者的疾病确定为获得性免疫缺陷综合征（艾滋病）或白血病，以及将患者的性取向确定为异性恋或同性恋外，其他内容完全相同。严厉的态度判断与对艾滋病的描述有关，而且当患者的疾病被确定为艾滋病时，即使在日常对话中，医生也极不愿意与患者互动。越来越多的艾滋病患者将在全国各个地区寻求医生的医疗服务，因此，医疗保健行业制定相关项目来消除可能与这种疾病相关的不合理污名和偏见态度非常重要。
