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Internalized stigma and HIV status disclosure among HIV-positive black men who have sex with men

机译：与男性发生性关系的艾滋病毒阳性黑人中的内在污名和艾滋病毒状况披露

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Black men who have sex with men (BMSM) are severely affected by the HIV epidemic, yet research on the relationship between HIV stigma and status disclosure is relatively limited among this population. Within this epidemic, internalized HIV stigma, the extent to which people living with HIV/AIDS endorse the negative beliefs associated with HIV as true of themselves, can negatively shape interpersonal outcomes and have important implications for psychological and physical health. In a sample of HIV-positive BMSM (N=156), the current study examined the effect of internalized stigma on HIV status disclosure to sexual partners, which can inform sexual decision-making in serodiscordant couples, and HIV status disclosure to family members, which can be beneficial in minimizing the psychological distress associated with HIV. Results revealed that greater internalized stigma was associated with less HIV status disclosure to participants last sexual partner and to family members. Findings from this study provide evidence that internalized negative beliefs about one's HIV status are linked to adverse interpersonal consequences. Implications of these findings are discussed with regard to prevention and intervention efforts to reduce HIV stigmatization. ? 2013
机译：与黑人发生性关系的黑人受到艾滋病毒流行的严重影响，但是，在这一人群中，关于艾滋病毒的耻辱感和状态披露之间关系的研究相对有限。在这种流行的，内部化的艾滋病毒耻辱感中，艾滋病毒/艾滋病感染者在多大程度上认可与艾滋病毒有关的消极信念对自己的真实看法，可能对人际交往产生负面影响，并对心理和身体健康产生重要影响。在一项HIV阳性BMSM（N = 156）样本中，当前研究检查了内在污名对性伴侣的HIV状况披露的影响，这可以帮助血清异常夫妇进行性决策，并向家庭成员披露HIV状况，这有助于减少与艾滋病毒有关的心理困扰。结果显示，更大的内部污名化与更少的艾滋病毒状况向参与者的最后性伴侣和家庭成员的暴露有关。这项研究的结果提供了证据，表明对人的艾滋病毒状况的内在负面信念与不良的人际关系有关。讨论了这些发现对预防和干预措施减少HIV污名化的意义。 ？ 2013年

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