The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer

被引:687
作者
Fife, BL
Wright, ER
机构
[1] Indiana Univ, Res Ctr, Sch Nursing 340, Indianapolis, IN 46202 USA
[2] Indiana Univ, Ctr Canc, Indianapolis, IN 46202 USA
[3] Indiana Univ Purdue Univ, Indianapolis, IN 46202 USA
关键词
D O I
10.2307/2676360
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Does the impact of stigma on the self differ by illness type? This study focuses on a comparison of the effects of the stigma associated with HIV/AIDS and cancer on self-esteem, body image, and personal control. We test the hypothesis that individuals' perceptions of stigma account for significant differences in the impact of an illness on the self: We examine four dimensions of perceived stigma: social rejection, internalized shame, social isolation, and financial insecurity. In turn,we consider how these dimensions medicate the effects of HIV/AIDS and cancer. Our sample includes 130 persons with HIV/AIDS arm 76 persons with cancer. We control for illness severity by including a measure of functional health status that is based on participants' subjective perspectives of the severity of their symptomatology. Our findings provide additional support for modified labeling theory; however; our findings also point to the dimensionality of stigma and its differential negative impact on particular elements of the self; regardless of illness type.
引用
收藏
页码:50 / 67
页数:18
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