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Статья
2006

HIV/STD Stigmatization Fears as Health-Seeking Barriers in China


Eli LieberEli Lieber, Li LiLi Li, The National Institute of Mental Health (NIMH) Collaborative HIV Prevention Trial GroupThe National Institute of Mental Health (NIMH) Collaborative HIV Prevention Trial Group
AIDS and Behavior
https://doi.org/10.1007/s10461-005-9047-5
Abstract / Full Text

Internationally, stigma prohibits effective HIV/STD identification, prevention, and care. Interviews with 106 persons in an urban center in Eastern China, some known to have engaged in stigmatized risk acts (sex workers, STD clinic patients) and some vulnerable for stigmatization fears to influence health-seeking behaviors (market employees, rural-to-urban migrants). Interviews focused on community norms, values, beliefs, and emotional and behavioral reactions to HIV/STD stigmatization related events. Attributions for infection were found to mark individual's failure to adhere to sexuality norms; define a condition warranting the avoidance of infected persons and dismissal by medical professionals; and promote anticipation of negative emotions (i.e., shame, fear, and embarrassment) and devalued social roles and status. Strategies reported to avoid stigmatization include avoiding HIV/STD knowledge; avoiding health care professionals, particularly in public settings; and conforming to community norms of shunning those suspected of risky behaviors. Results have direct implications for community marketing campaigns in China.

Author information
  • Department of Psychiatry and Biobehavioral Sciences, Neuropsychiatric Institute, Center for Culture and Health, University of California, Los Angeles, California, USAEli Lieber
  • Department of Psychiatry and Biobehavioral Sciences, Neuropsychiatric Institute, Center for Community Health, University of California, Los Angeles, California, USALi Li & Mary Jane Rotheram-Borus
  • National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaZunyou Wu
  • Fujian Institute of Health Education, Fuzhou, ChinaJihui Guan
  • UCLA/NPI, Center for Culture and Health, 760 Westwood Plaza, P.O. Box 62, Los Angeles, California, 90024-1759, USAEli Lieber
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