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大学生艾滋病污名研究
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摘要
艾滋病污名(HIV-related Stigma)是指公众对艾滋病患者消极的态度,表现为消极的刻板印象、情绪反应以及歧视行为等。随着艾滋病在全球迅速地蔓延,艾滋病污名已阻碍了艾滋病的防治。
     本研究以大学生群体为被试,设计了几项既互相独立又密切关联的研究,探讨了艾滋病污名的几个最基本的问题。研究一采用内容分析法,分析了《人民日报》从1988年至2008年期间,11月30日、12月1日和12月2日有关艾滋病的126篇报道的数量、版面、类型、内容、消息来源、语气特点与篇幅的变化趋势,研究《人民日报》在公众艾滋病污名发展中的作用。研究二以615名大学生为被试,编制了《大学生艾滋病污名问卷》,对问卷的项目进行了区分度分析、探索性因素分析和验证性因素分析,获得良好的信度和效度指标。研究三以普通大学和医科大学120名大学生为被试,采用《大学生艾滋病污名问卷》、内隐联想测验和刻板解释偏差探讨了艾滋病污名的心理结构。研究四通过编制故事情境,采用实验法探讨影响大学生艾滋病污名的因素。研究五采用实验法,对视频和接触两种干预艾滋病污名的方法的有效性进行了检验。
     本研究得到以下结论:
     1、1988年至2008年《人民日报》对艾滋病报道数量呈上升趋势,报道的版面、内容、类型、来源、语气及篇幅等发生了变化。《人民日报》对艾滋病的报道可分为三个阶段:污名化时期(1988年至1998年)、人性化时期(1999年至2002年)和人文关怀与政治时期(2003年至2008年)。
     2、自编的艾滋病污名问卷(HRSQ:HIV-related Stigma Questionnaire),共15个项目,项目区分度分析、信度分析、探索性因素分析和验证性因素分析表明该问卷具有良好的信度和效度指标。
     3、艾滋病污名的心理结构符合双重态度模型。外显艾滋病污名效应不显著,而内隐艾滋病污名效应却十分显著。IAT和SEB两种内隐测验方法的理论假设不同,测查方法不同,两种测验测到的内隐艾滋病污名现象存在一定的差异。SEB作为测查内隐心理现象的有效性还需进一步提高。
     4、在四个影响艾滋病污名的因素中,知识、感染途径、被试与患者的距离在内隐和外显层面均没有显著差异。患者性别在外显污名上差异不显著,而内隐污名差异显著。大学生对男性艾滋病患者比女性艾滋病患者有更强的内隐污名。感染途径和患者性别在内隐污名上的交互作用显著。
     5、干预条件在艾滋病内隐污名和外显污名上作用不同。无干预和接触干预条件在艾滋病外显污名上差异显著,在艾滋病内隐污名上差异不显著。接触干预条件下大学生对艾滋病的外显污名显著低于无干预条件下。
HIV-related stigma is the negative attitudes for the AIDS patients, which reflects in the negative stereotypes, emotional reactions and discriminated behaviors. HIV-related stigma is becoming the obstacle of prevention of AIDS with the spreading of the AIDS in the world.
     In order to explore some basic questions of the HIV-related stigma, the researcher chooses the college students as the subjects and designs some independent and related studies. Using the content analysis, the first study analyzes the vibration tendency in the number, space, types, contents, source, tone characteristic and the length of AIDS reports of“People’s daily”in Nov. 30, Dec. 1 and Dec. 2 during 1988 to 2008, which explores the effect of“people’s daily”in the development of HIV-related stigma. The second study develops“The HIV-related Stigma Questionnaire”with discrimination analysis, exploratory factor analysis and confirmatory factor analysis to obtain a good reliability and validity, the subjects include 615 college students. The third study explores the mental structure of HIV-related stigma with“The HIV-related Stigma Questionnaire”, implicit association test and stereotype explanation bias, the subjects include 120 college students from medical and general university. The forth study explores the influence factors of HIV-related stigma with the experimentation of story context in college students. The last study uses experimentation to explore the valid methods to prevent AIDS.
     The main findings of the research are as follows:
     1. The number of AIDS-related reports is ascending; there are some differences in the space, types, contents, source, tone characteristic and the length of AIDS reports of“People’s daily”. The reports about AIDS in“People’s daily”are divided into three stages, which are Stigmatization era (from 1988 to 1998), Humanization era (from 1999 to 2002) and Humanistic concern as well as the political era (from 2003 to 2008).
     2. There are 15 items of“HIV-related Stigma Questionnaire”, which has satisfied reliability and validity by item discrimination analysis, exploratory factor analysis and confirmatory factor analysis.
     3. The mental structure of HIV-related stigma answers for the Dual Attitudes Model. There is no significant difference in explicit attitude towards HIV-related stigma, and there is significant difference in implicit attitude. There is difference between two tests of HIV-related stigma, because of the theoretical assumptions and testing methods. The validity of SEB as implicit test for the psychological phenomenon should be improved.
     4. There is no significant difference in explicit and implicit stigma in AIDS Knowledge, the way of AIDS infection, the distance between the patients. There is no significant difference between the gender of AIDS patients in explicit stigma, and the implicit stigma has significant differences, the college students have higher implicit stigma to male than female. Besides, the way of AIDS infection and gender have significant interaction in implicit stigma.
     5. Different Intervention plays the discrepancy roles in the implicit and explicit HIV-related stigma. Non-intervention and Contact intervention has significant differences in explicit stigma, and there is no significant differences in implicit. The group of Contact intervention has lower explicit stigma level than the Non-intervention.
引文
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