管理附带污名化,同时为达累斯萨拉姆的酷尔人提供生物医学艾滋病毒预防
Inga Haaland1, Hans Wiggo Kristiansen2
1University of Oslo, Institute for Health and Society, Department of Community Medicine and Global Health, Oslo, Norway.
Global public health
|December 30, 2025
概括
与艾滋病毒预防药物预暴露预防 (PrEP) 相关的附带污名的恐惧,阻碍了达累斯萨拉姆的奇异个体的吸收,矛盾地增加了艾滋病毒的脆弱性.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医学人类学 医学人类学
背景情况:
- 暴露前预防 (PrEP) 是一种关键的艾滋病毒预防工具.
- 同性恋者在获得医疗保健方面面临着独特的耻辱挑战.
- 附带的耻辱是预防艾滋病毒的不足研究的障碍.
研究的目的:
- 介绍和分析附带污名的概念.
- 了解达累斯萨拉姆的奇异个体如何使用PrEP和相关的耻辱感.
- 检查附带耻辱对艾滋病毒预防策略的影响.
主要方法:
- 在达累斯萨拉姆进行11个月的民族学实地研究 (2021-2022).
- 分析详细介绍经历的病例研究与耻辱的分析.
- 根据戈夫曼的隐藏性耻辱理论.
主要成果:
- 使用PrEP可能会导致意外的污名化 (被认为是艾滋病毒阳性状态,奇怪,性工作).
- 耻辱感通过药物,空间和制度实践表现出来.
- 对附带耻辱的恐惧会阻止PrEP的使用或导致不安全的做法,增加艾滋病毒风险.
结论:
- 附带的耻辱使全球卫生干预复杂化,并造成护理障碍.
- 对污名敏感的编程 (谨慎的包装,灵活的服务) 是至关重要的.
- 解决附带的耻辱感对于包容性和有效的艾滋病毒预防至关重要.
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