Critical delays in HIV testing and care - The potential role of stigma

被引:356
作者
Chesney, MA [1 ]
Smith, AW
机构
[1] Univ Calif San Francisco, Sch Med, Ctr AIDS Prevent Studies, San Francisco, CA 94143 USA
[2] Univ Pittsburgh, Pittsburgh, PA 15260 USA
关键词
D O I
10.1177/00027649921954822
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
When learning of a positive HN test, individuals face a host of psychological and social stresses. HN-related stigma is associated with psychological distress and con interfere with coping, adjustment, and management of HIV disease. Effective management of HIV disease requires timely testing for HN infection so that persons who are infected can learn of their serostatus and gain access to care, therefore benefiting from available treatment options. This article discusses the impact that HIV-related stigma has on HIV testing and care. Specifically, problems associated with delays in testing, disclosure of seropositive status, and implications for health care are presented.
引用
收藏
页码:1162 / 1174
页数:13
相关论文
共 64 条
[1]   STIGMA, HIV AND AIDS - AN EXPLORATION AND ELABORATION OF A STIGMA TRAJECTORY [J].
ALONZO, AA ;
REYNOLDS, NR .
SOCIAL SCIENCE & MEDICINE, 1995, 41 (03) :303-315
[2]   FOR WHOM IS THIS WORLD JUST - SEXUAL ORIENTATION AND AIDS [J].
ANDERSON, VN .
JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, 1992, 22 (03) :248-259
[3]  
[Anonymous], PSYCHOL HLTH, DOI DOI 10.1080/08870449208400441
[4]  
[Anonymous], 1990, PSYCHOL ASPECTS SERI
[5]  
[Anonymous], 1995, Understanding AIDS: A Guide for Mental Health Professionals
[6]   ENROLLMENT OF DRUG-ABUSERS IN HIV CLINICAL-TRIALS - A PUBLIC-HEALTH IMPERATIVE FOR COMMUNITIES OF COLOR [J].
BROWN, LS .
JOURNAL OF PSYCHOACTIVE DRUGS, 1993, 25 (01) :45-52
[7]   AIDS-related stigma and attitudes toward injecting drug users among black and white Americans [J].
Capitanio, JP ;
Herek, GM .
AMERICAN BEHAVIORAL SCIENTIST, 1999, 42 (07) :1148-1161
[8]  
Carr-Gregg M, 1989, Aust Nurses J, V18, P13
[9]  
*CDCP, 1995, HIV AIDS SURV REP
[10]   Coping effectiveness training for men living with HIV: Preliminary findings [J].
Chesney, M ;
Folkman, S ;
Chambers, D .
INTERNATIONAL JOURNAL OF STD & AIDS, 1996, 7 :75-82