Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands.
Department of Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, The Netherlands.
J Med Virol. 2023 Sep;95(9):e29091. doi: 10.1002/jmv.29091.
People with or at risk for mpox are likely to be stigmatized because of analogies to other sexually transmitted infections. Stigma is driven by beliefs about the perceived severity of the condition and perceived responsibility for acquiring the condition, both in broader society and individual responsibility. We explored these beliefs and compared them across mpox, human immunodeficiency virus (HIV), syphilis, gonorrhoea, and chlamydia in an online survey, conducted in July 2022, with 394 men-who-have-sex-with-men in the Netherlands. We compared mean scores between infections using repeated measures analysis of variance and conducted hierarchical regression analyses to identify determinants of both mpox perceived responsibility endpoints. Results showed that participants expected that mpox would be seen as a "gay disease" and will be used to blame gay men. Compared to other infections, mpox was considered less severe than HIV, but more severe than syphilis, gonorrhoea, and chlamydia. Perceived responsibility was comparable across infections, but, for each infection, participants perceived attributed responsibility to be higher in society than individual responsibility. Both perceived responsibility endpoints were highly correlated with each other and with other stigma beliefs. These results provide insight on the underlying determinants of mpox stigma and demonstrate that anticipated mpox stigma is present in the Netherlands.
患有或有感染猴痘风险的人可能会因与其他性传播感染的类比而受到歧视。污名化是由人们对疾病的严重程度和对感染的责任的看法所驱动的,这些看法存在于更广泛的社会和个人责任之中。我们在 2022 年 7 月通过一项在线调查,在荷兰对 394 名男男性行为者进行了研究,探讨了这些信念,并将其与猴痘、人类免疫缺陷病毒(HIV)、梅毒、淋病和衣原体进行了比较。我们使用重复测量方差分析比较了不同感染之间的平均得分,并进行了层次回归分析,以确定猴痘感知责任终点的决定因素。结果表明,参与者预计猴痘将被视为“同性恋疾病”,并将被用来指责男同性恋者。与其他感染相比,人们认为猴痘的严重程度不如 HIV,但比梅毒、淋病和衣原体严重。感知责任在不同感染之间是可比的,但对于每种感染,参与者认为社会归因的责任高于个人责任。两个感知责任终点与其他污名化信念高度相关。这些结果提供了对猴痘污名化潜在决定因素的洞察,并表明在荷兰存在预期的猴痘污名化。
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