간호사의 강박신념, 경험회피, 에이즈에 대한 지식 및 태도와 에이즈 공포 간의 관계

서경현,양승애 한국건강심리학회 2012 한국심리학회지 건강 Vol.17 No.3

This study examined how obsessive beliefs, such as threat overestimation and intolerance of uncertainty, experiential avoidance, and AIDS-related knowledge/attitude are related to AIDS phobia among nurses. Participants were 326 nurses at general hospitals, whose ages ranged from 21 to 54. The psychological tests used in this research included the following: Multicomponent AIDS Phobia Scale, Obsessive Beliefs Questionnaire-87, Acceptance and Action Questionnaires-16, and Questionnaire for AIDS-related knowledge and attitude. The results indicated that attitude toward AIDS was closely correlated to the nurses’ AIDS phobia, whereas knowledge of AIDS was not significantly correlated. Both threat overestimation and intolerance of uncertainty among obsessive beliefs were positively correlated to the nurses’ AIDS phobia. Emotional avoidance and emotion-focused inaction factors of experiential avoidance were positively correlated to the nurses’ AIDS phobia; yet, those variables were not significantly correlated to the fear of AIDS infection among those with AIDS phobia. A stepwise regression analysis revealed that attitude toward AIDS was a determinant variable of the nurses’ AIDS phobia, and accounted for around 20% of the variance. Additionally, threat overestimation accounted for more than 5% of the variance in the nurses’ AIDS phobia. Moreover, intolerance of uncertainty and emotional avoidance had partial covariance with the nurses’ AIDS phobia independently. Moreover, attitude toward AIDS partly mediated the relation of the threat overestimation as well as emotional avoidance and the nurses’ AIDS phobia. These results was discussed with previous studies as well as with the theory of reasoned action and the theory of planned behavior. 본 연구에서는 위협에 대한 과대평가와 불확실에 대한 인내력 부족과 같은 강박신념과 경험회피, 에이즈에 대한 지식 및 태도가 간호사의 에이즈 공포증과 어떤 관계가 있는지를 검증하였다. 본 연구의 참여자는 종합병원에 근무하는 간호사 326명이었으며, 연령 분포는 만 21세에서 54세 사이였다. 본 연구에서 사용된 심리검사는 중다성분 에이즈 공포증 척도, 강박신념 질문지, 수용-행위 질문지, 에이즈 지식 질문지, 에이즈 태도 질문지이다. 분석 결과, 에이즈에 대한 태도는 간호사의 에이즈 공포와 밀접한 관계가 있었으나 에이즈에 관한 지식은 유의한 관계가 없었다. 강박신념 중에 위협에 대한 과대평가와 불확실에 대한 인내력 부족 모두 간호사의 에이즈 공포와 정적 상관을 보였다. 경험회피의 요인인 정서 회피와 정서중심 반응도 간호사의 에이즈 공포와 정적 상관이 있었으나 에이즈 공포의 요인 중에 에이즈 감염에 대한 두려움과는 유의한 상관을 보이지 않았다. 단계적 회귀분석에서는 에이즈에 대한 태도가 간호사의 에이즈 공포에 대한 가장 강력한 변인이었으며, 변량을 약 20% 가량 설명하는 것으로 나타났다. 위협에 대한 과대평가도 그것에 더해 간호사의 에이즈 공포의 변량을 5%이상 설명하고 있었다. 불확실에 대한 인내력 부족과 정서 회피에도 간호사의 에이즈 공포를 독립적으로 설명하는 부분이 있는 것으로 나타났다. 또한 에이즈에 대한 태도는 위협에 대한 과대평가나 정서 회피와 간호사의 에이즈 공포 간의 관계를 부분적으로 매개하고 있었다. 본 연구의 결과를 선행연구들과 합리적 행위이론과 계획된 행동이론을 바탕으로 논의하였다.

에이즈 인식 형성 과정 연구 : 에이즈에 대한 수용자 인식과 지식 수준, 미디어 시각에 대한 토픽모델링분석을 중심으로

김대욱(Daewook Kim) 한국광고홍보학회 2021 광고연구 Vol.- No.130

이 연구는 한국 사람들의 에이즈에 대한 인식이 어떠한지를 살펴보고, 이러한 에이즈에 대한 인식이 에이즈 지식 수준에 따라서 어떻게 달라지는지, 에이즈 관련 미디어 보도와 어떻게 다른지를 비교, 분석하였다. 이를 위해서 질병관리청에서 2010년부터 2년마다 정기적으로 시행하고 있는 “에이즈에 대한 지식, 태도, 신념 및 행태 조사”에서 수집된 자료를 토픽 모델링을 통해서 분석하였다. 연구 결과에서 한국 사람들은 에이즈에 대해서 성병(동성애)로 인한 불치병으로서 에이즈, 성매매로 인한 성병으로 면역 결핍을 유발하는 에이즈, 문란한 성생활로 감염되어 죽게되는 에이즈 등과 같은 3가지 토픽으로 생각하고 있었고, 이러한 3가지 토픽들은 시기별로 통계적으로 유의미한 차이가 없이 지속적으로 등장하는 것으로 나타났다. 또한, 이러한 토픽들의 비중은 지식 수준이 높은 집단과 지식 수준이 낮은 집단 간에 통계적으로 유의미한 차이가 없는 것으로 나타났다. 마지막으로 에이즈 관련 미디어 보도 분석에서 에이즈 치료 & 예방, 에이즈 퇴치 지원, 세계 에이즈의 날, 유명인 에이즈 감염, 에이즈 감염인을 통한 확산 등과 같은 5가지 토픽으로 에이즈를 바라보고 있었고, 에이즈 치료 & 예방 토픽은 시간이 지날수록 그 비중이 줄어들었고, 나머지 4개의 토픽은 시기적으로 유의미한 차이가 없는 것으로 나타났다. 이러한 결과들을 통해서 에이즈에 대한 부정적인 인식에 대한 개선 노력이 필요하며, 이를 위해서 미디어 보도의 개선, 에이즈 관련 용어의 개선, 지식전달 관련 개선 방안들이 고려될 필요성을 제안하였다. This study attempted to explore how the audiences in Korea perceived of AIDS, analyze the perceptions of audiences by AIDS knowledge, and compare it with media reports about AIDS. To do so, this study conducted a series of topic-modeling analysis for the AIDS reports of the Korea Center for Disease Control from 2010 to 2017. In the results, perceptions of audiences on AIDS included three topics, such as incurable disease, sexually transmitted disease, and messy sex life. These three topics have been continually appeared. There are no differences in accordance with AIDS knowledge. Media reports had five topics about AIDS such as AIDS treat & prevention, support for AIDS eradication, world AIDS day, AIDS infection of celebrities, and AIDS infection from people with AIDS. In the periodial comparison, value of AIDS treat & prevention has been gradually lowered; however, rest of the five topics has not been changed. Those results have suggested improvement of media reports, and change of AIDS-related words and AIDS-related knowledge in order to change negative perceptions on AIDS in Korea.

의학계열 대학생의 에이즈에 대한 지식, 태도 및 취약성 인지정도

성미혜(Sung Mi Hae) 기본간호학회 2008 기본간호학회지 Vol.15 No.2

Purpose: The purpose of this study is to identify the knowledge, attitudes and perceived vulnerability to AIDS of medical and nursing students. Method: The subject of this study were 324 medical and nursing students in Busan area. Data was analyzed by using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and Scheffe's test. Result: Total knowledge of AIDS was average. Total attitudes of AIDS was above average. And perceived vulnerability of AIDS was above average. According to the results of analyzing the difference between general characteristics of the subject and AIDS related knowledge, attitudes and perceived vulnerability, a significant difference was present with grade in knowledge score; with sex, grade, department, and health status in attitudes score; with sex, religion, grade, department, education experience to AIDS, and health status in perceived vulnerability to AIDS. There was a significant relationship between attitudes and perceived vulnerability to AIDS. Conclusion: The research findings show that the educational program for preventing AIDS must take into consideration knowledge and epidemic and non-epidemic aspects of AIDS and preventive attitudes toward AIDS, And, it also proves that it is necessary to devise an AIDS educational program for college students.

AIDS관련 교육에 대한 국내 연구동향과 문헌고찰

박형원(Park, Hyung Won) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.24

본 연구는 국내에서 발표된 AIDS교육 관련 연구 43편을 분석하여 국내 연구 동향을 통시적으로 파악하며 후속 연구를 위한 기초자료를 제시하고자 수행되었다. 1992년부터 2019년까지 국내 학술지와 학위논문으로 발표된 논문 113편 중에서 연구목적에 부합되는 43편을 선정하여 연구시기, 연구대상, 연구방법, 연구내용을 중심으로 분석하였다. 연구결과, AIDS교육에 대한 연구는 과거에 비해 약간 감소한 수준으로 이루어지고 있으며, 건강관련전문직, 일반대중, 감염인을 대상으로 AIDS에 대한 지식과 태도의 변화에 초점을 둔 AIDS교육이 수행되었다. 교육효과검증과 교육프로그램개발 연구가 다수였으며, 문학작품, 만화, 영화, 퀼트, 마인드맵 등 다양한 교육자료를 활용하여 초중고생, 대학생, 여성과 대중에 대한 교육연구가 수행되었다. AIDS예방과 동시에 감염인들의 인권보호를 위하여 AIDS교육은 반드시 필요하며, 추후 사회의 변화흐름에 맞는 보다 적극적인 교육과 그에 대한 다양한 방식의 연구가 진행되기를 제언하였다. This study was conducted to analyze the 43 AIDS education-related studies published in Korea, to grasp the domestic research trends and to present basic data for subsequent studies. Among 113 papers published in domestic journals and degree thesis from 1992 to 2019, 43 papers that fit the research purpose were selected and analyzed based on the research period, research subject, research method, and research content. As a result of the study, research on AIDS education was being conducted at a slightly reduced level compared to the past, and AIDS education was conducted focusing on changes in knowledge and attitudes about AIDS for health-related professionals, the general public, and the PLWA. There were a number of studies on educational effectiveness verification and educational program development, and educational research was conducted on elementary, middle and high school students, college students, women, and the public by using various educational materials such as literature works, cartoons, films, quilts, and mind maps. It was suggested that AIDS education is essential for the prevention of AIDS and the protection of human rights of PLWA, and that more active education and research in various ways to meet the changing trend of society in the future.

미국 도심과 농촌지역의 AIDS 위험성과 AIDS 관련정보 접근용이성 비교

김예랑 ( Ye Rang Kim ) 서울여자대학교 사회복지연구센터 2008 사회복지실천 Vol.7 No.-

본 연구에서는 대도시통계지역(MSA)의 분류에 따라 미국의 도심지역과 농촌지역을 구분하여 비교하였으며, 지역에 따라 AIDS 위험성과 AIDS 관련정보 접근용이성(accessibility)이 어떻게 변화되는지 살펴 보았다. 연구를 위해 미국 전국 보건인터뷰 설문자료(1995)의 16,848 사례를 판별분석(discriminant analysis) 하였다. 연구결과를 통해 농촌지역이 도심지역보다 AIDS 관련 정보를 접근하는데 매우 큰 어려움이 있다는 사실을 알 수 있었으며, 그 결과 농촌지역은 AIDS 감염 위험성에 크게 노출되어 있었다. 연구결과를 바탕으로, 도심지역뿐만 아니라 농촌 지역도 AIDS 예방과 개입을 위한 혜택을 받을 수 있도록 하기 위한 AIDS 정책 방향의 필요성에 대해 논하였다. The purpose of this paper is to compare the urban and rural areas in the United States to examine the geographical differences in terms of the AIDS risk and the accessibility to AIDS-related information. This study was a second-data analysis study analyzing the 1995 National Health Interview Survey (AIDS Knowledge and Attitudes Supplement) with 16,848 cases. Results from discriminant analysis showed that AIDS risks differed according to MSA size. Rural areas had higher potential AIDS risk compared to urban areas due to the inaccessibility to AIDS-related information. Finally, this study has made a suggestion for a particular AIDS policy, the Ryan White Act, to adjust its funding distribution from benefiting mainly the urban to benefit both the urban and rural areas.

건강할 권리와 치료의 정치: 태국 에이즈 감염인의 의약품 접근권 운동

서보경 ( Bo Kyeong Seo ) 한국문화인류학회 2008 韓國文化人類學 Vol.41 No.2

이 연구는 태국에서 에이즈 감염인들을 주축으로 형성된 의약품 접근권 운동의 전개 과정을 분석한다. 태국에서 에이즈는 심각한 수준으로 확산되어 있지만, 오랜 기간 동안 적절한 치료가 이루어지지 않았다. 에이즈 감염인들은 치료제의 지속적인 복용을 통해 건강을 유지할 수 있지만, 특허권에 따른 치료제의 높은 가격은 낮은 사회·경제적 위치의 감염인들이 치료제에 접근할 수 없게 만들었다. 1990년대 후반부터 저가의 복제약 생산을 요구하고, 정부의 치료 지원을 촉구하는 의약품 접근권 운동이 조직되기 시작한다. 이 연구는 에이즈 치료제라는 재화의 흐름을 통해 태국에서 에이즈 치료가 보급되기까지의 제도적 전환 과정을 탐색하고, 치료 접근권상의 불평등을 해소한 정치적 동력을 규명하고자 하였다. 에이즈 감염과 치료 부재의 집합적 경험은 건강을 매개로 하는 새로운 형태의 정치적 주체성을 형성하였으며, 최종적으로 특허권 강제실시라는 국가의 적극적인 가격통제정책을 이끌어냈다. 건강을 매개로 한 새로운 형태의 시민권은 에이즈 치료제라는 상품에 공공성을 부여하였으며, 에이즈 치료를 둘러싼 정치적 장에서 한시적이나마 건강할 권리가 사적 소유권보다 우선시되는 권리로 자리매김하게 하였다. This article presents an analysis of AIDS treatment activism formed by people living with HIV/AIDS (PLWHA); their demand is universal access to antiretroviral therapies (ARVS). When used successfully, ARVS prevent disease progression and improve the health of PLWHA. In Thailand, AIDS treatment activism mounted in the late 1990s to promote generic drug production and demand government support for AIDS treatment. This analysis draws from participant observations of AIDS-related NGO activities, especially focusing on the Thai Network for People Living with HIV/AIDS (TNP+). To secure PLWHA`s right to receive proper treatment in Thailand, the activists are pursuing a successive process to generate the institutional transformation of ARVS distribution. In the first stage, the breaking of multinational pharmaceutical company monopolies allows more extensive access to ARV. Thai AIDS activists brought lawsuits against the multinational drug company Bristol Myers-Squibb in 2001 to revoke a patent on didanosine, and the activists finally won the case in 2002. In the second stage of the process, the public healthcare system becomes a crucial channel for ARVS distribution. To make the implementation of AIDS treatment possible, two major factors are mainly considered by the activists and the state. One factor is the decrease in cost which occurred after the Government Pharmaceutical Organization started launching low-priced generic drugs. The other factor is the demonstration of cost-effectiveness of AIDS treatment. In addition, the representation of PLWHA as productive population is also accompanied. Since 2005, AIDS treatment has been freely dispensed via the universal health care scheme. In the third phase, to ensure the continuity of AIDS treatment, the state directly intervenes to adjust drug prices, and market intervention is aggressively supported by AIDS treatment activism. In 2007, the Thai government announced compulsory licensing for three drugs including 2nd line ARVS. Finally, AIDS treatment activism in Thailand transforms ARVS from a rare good into a public good. It illustrates that ARVS as a commodity should be governed not by ability to pay but by public interest. Corresponding to a processual resolution of the antagonism between private ownership and human rights, the transformative processes rearrange symbolic and legal hierarchy among rights. Furthermore, AIDS treatment activism in Thailand reveals how rights-based activist groups respond to demand distributional justice and provoke the state`s intervention over the market. It is a new form of social mobilization, which opens up a new line of inquiry into the study of struggles for public good in the globalizing world.

Knowledge, Attitudes, and Perceptions of HIV/AIDS in Comparison with Chronic Hepatitis B among Female Nursing and Non-Nursing College Students

김영미 ( Kim, YoungMee ),한종숙 ( Han, Jong Sook ),이옥철 ( Lee, OgCheol ) 대한보건협회 2014 대한보건연구 Vol.40 No.2

연구목적 : 본 연구는 간호학전공(간호계) 여자 대학생의 에이즈와 만성 B형 간염에 대한 지식, 태도 및 인식이 비간호학전공(비간호계) 여자 대학생과 차이를 보이는지를 비교, 분석하기 위해 실시되었다. 연구방법 : 서울과 경기지역에 위치한 간호계 여대생(n=115)과 비간호계 여대생(n=112)을 대상으로 에이즈(AIDS/HIV)와 만성 B형 간염에 대한 지식과 태도를 평가하였다. 또한 에이즈와 만성 B형 간염과 관련한 연상어를 통해 인식을 비교하였다. 연구결과 : 두 그룹 모두에서 에이즈의 지식수준이 만성 B형 간염의 지식수준보다 높은 것으로 나타났으며, 에이즈에 대한 부정적 태도는 간호계 여대생이 비간호계 여대생에 비해 더 높은 것으로 나타났다. 만성 B형간염의 경우 지식수준이 높을수록 긍정적인 태도를 보였으나(p <.05), 에이즈의 경우, 지식수준과 태도간의 연관성을 보이지 않았다. 학생들의 그룹 내 태도를 볼 때 HIV/AIDS에 대해 CHB보다 더 부정적인 태도를 보였다. 간호계 여대생들은 에이즈 관련 연상 단어로 혈액(27.8%), 비간호계 여대생들은 성적인 문란함(31.3%)을 선택하였다. 에이즈의 지식수준과 태도와는 상관관계가 없는 것으로 나타났다. 그러므로 에이즈에 대한 편견을 낮추기 위해서는 단순한 지식강화를 위한 교육프로그램 이상의 전략이 요구된다. Objectives : The purpose of the study was to examine whether there was any relationship between diseasespecific knowledge level and negative attitudes towards people who live with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and chronic hepatitis B (CHB) among female college students. Methods : A total of 115 female nursing students (NS) and 112 non-nursing students (NNS) from several universities in Seoul and Gyeonggi Province were recruited to examine their knowledge and attitudes towards HIV/AIDS and CHB. Students were also asked to choose a word from a word list that best represented their perceptions of HIV/AIDS and CHB. Results : Both groups had higher levels of knowledge related to HIV/AIDS than to CHB. Nursing students, but not NNS, reported more negative attitudes towards HIV/AIDS than CHB. A greater understanding of CHB was correlated with more favorable attitudes towards people with CHB (p < .05); however, a greater understanding of HIV/AIDS was not associated with more favorable attitudes towards persons with HIV/AIDS. The most common words selected by NS and NNS to represent their perceptions related to HIV/AIDS were “blood” (27.8%) and “promiscuity” (31.3%), respectively. Conclusion : The levels of knowledge of and attitude towards HIV/AIDS were not associated. Thus, strategies to improve students’ attitudes towards HIV/AIDS that go beyond merely enhancing knowledge are needed in order to minimize the stigma associated with this disease condition.

AIDS와 관련된 지식·태도·행위·관심도 및 환자 간호 의도에 관한 연구

장영미 서울大學校保健大學院 1997 國民保健硏究所硏究論叢 Vol.7 No.1

A study of 235 junior college nursing students was conducted to explore their knowledge, attitudes, practice, interests, and patient care intentions concerning AIDS and HIV infection in order to develop effective teaching strategies across the curriculum and to prepare nursing students to cope with the challenges inherent in care of a patient with AIDS. 1. 47.7% nursing students reported that they learned AIDS and HIV. 2. Nursing students had an interest in AIDS treatment 88.5%, symptom 87.7%, transmission 86.4%, safer sex 83.0%, AIDS risk group 71.9%, and AIDS antibody test 63.3%. 3. Statistically significant differences were found in nursing students' attitudes, practice and interests related to AIDS among grades (Oneway ANOVA through Factor Analysis). 4. Significant correlations were found between knowledge and negative attitudes related to AIDS. Nursing students who had relatively more knowledge and had more negative attitudes related to AIDS, expressed stronger intentions to avoid caring for AIDS patients than other students did (Correlation through Factor Analysis).

에이즈(AIDS), 그 재현의 전쟁: 미국의 대중매체와 예술사진 그리고 행동주의 미술

김진아 서양미술사학회 2008 서양미술사학회논문집 Vol.28 No.-

This paper is the first part of the project titled, The Relation between Mass Media and Art: Projecting Political Crisis at the End of the 20th Century. Since the end of the 1980s, the United States has experienced a number of significant political and social events such as the AIDS crisis, the Culture Wars, the Rodney King case and the Los Angeles Riots, 9/11, and the Iraq War. These events involve core issues such as illness, violence, national identity, the world order, power, and ethics. Art and media representation of such crisis situations, and its role in reconstructing historical and social effects, is much more powerful in this era than in any other previous time, since the mass media has become more and more important in producing views of reality and making an impact on our lives. In the realm of art, too, there has been an increasing tendency to use or to appropriate images from the mass media. This paper examines: 1) how mass media, particularly magazines, presses, and TV, responded to AIDS in the first 7~8 years after AIDS was firstly diagnosed in 1981; 2) in 1987, why photographs of Nicholas Nixon and Rosalind Solomon were attacked by PWAs and 3) how AIDS activists, particularly ACT UP and Gran Fury, produced and used effective visual graphics against mainstream media images, often appropriating mass media’s graphic strategies. In the earliest stage of the discovery of AIDS, the media rarely responded to the issue. Then, AIDS suddenly became a much bigger story, when the major networks found the AIDS baby, a so-called “innocent victim” in journalism’s terms. “Innocent victims” were to be differentiated from the “victims” who were portrayed as deserving to get AIDS because of their homosexuality or IV addiction. Also, early broadcast/photojournalistic representation of AIDS victims often followed conventions that were commonly used with felons. Remarkable shifts in depictions of AIDS then took place when Rock Hudson admitted his diagnosis of AIDS in July 1985 and died that October. This event shocked American people. On the one hand, it alarmed the public about the need to take action to find a cure for AIDS. On the other hand, it horrified people by leading them to wonder, How can we know who are the people with AIDS? and to conclude, No one is safe from AIDS. The pictures undercutting such dominant images in the mass media came mostly from the AIDS or gay community. However, these alternative representations often circulated only among individuals or within their own community. The first response to AIDS in art came from photography. Particularly, the photographs of AIDS sufferers by Nicholas Nixon and Rosalind Solomon attracted great attention from the art world and the AIDS community. These photographers approached PWAs with great sympathy and in a communicative mode, in contrast to the approach used by the mainstream media. AIDS activists, however, criticized Nixon’s portrayals of visibly ill people because AIDS victims were already depicted primarily as the “canonical AIDS victim” in media images. As Douglas Crimp cried, “Stop looking at us; Start listening to us,” PWAs did not want to be viewed as patients or objects. Then at stake was the question of “representation,” “rules,” and “conventions” that give images status as dominant and true representations in society. To confront conventional images of PWAs and to attack government’s ignorance, ACT UP was created in 1987. ACT UP and its art collective Gran Fury made use of sophisticated graphics to create a public role for art, seeking to inform a broad public and provoke direct action to end the AIDS epidemic. After the early 1990s, AIDS activism decreased, partly because the protease inhibitor was produced, and partly because many leading first-generation AIDS activists died. Gran Fury was also dismantled. This dissolution was significant because they had begun primarily not for the purpose of art, but in ...

HIV/AIDS 감염인과 일하는 사회복지사의 딜레마

박형원(Hyung Won Park) 한국사회복지실천연구학회 2020 미래사회복지연구 Vol.11 No.1

본 연구는 “HIV/AIDS 관련기관에서 일하는 사회복지사가 경험하는 딜레마는 무엇인가?”라는 연구질문으로 질적연구를 하였다. HIV/AIDS영역에서 1년 이상 근무한 사회복지사 7명을 심층인터뷰하여 수집한 자료를 분석하였다. 연구 참여자들은 HIV감염인을 만나면서 클라이언트와의 관계에서 존엄한 삶과 생명에 대한 가치의 흔들림, 클라이언트의 경험과 가치 차이에서 오는 갈등, 비밀보장의 딜레마를 경험하였다. 사회복지조직에서 일하는 사회복지사로서 한정된 자원사용 시 형평성의 딜레마, 자원확보와 클라이언트 보호에서의 딜레마, 조직의 규칙과 클라이언트 이익간의 갈등 속에서 균형을 이루고자 노력하고 있었다. 연구참여자들은 AIDS를 둘러싸고 있는 사회의 무관심 속에서 무뎌지지 않으려 노력하고, AIDS사업의 전달체계 안에서 실적중심의 성과요구, 한계가 있는 법과 제도를 따를 수 밖에 없지만 한편으로는 클라이언트를 위해 부단히 정부의 문을 두드리고 있다. 이러한 연구참여자의 경험들은 ‘무한반복하는 딜레마의 악순환 속에서 감염인을 중심에 놓고 일함’으로 범주화하였다. 이러한 딜레마 요인을 파악함으로써 미시적으로는 조직에서의 수퍼비젼 및 딜레마 논의체계구축, 사회복지사 교육과정에 윤리적 이슈에 대한 부분의 강화, 거시적으로는 AIDS에 대한 사회적 낙인 감소, 정부의 적극적인 대응을 제언하였다. The purpose of this study was to gain better understanding of social workers dilemma who work at HIV/AIDS organizations. In-depth interviews were conducted with seven social workers who had worked in HIV/AIDS agencies, and qualitative research method was used for analysis. The findings revealed that the workers experienced their value of life and human dignity being challenged, conflicts arising from differences in client s experience and values, and the dilemma of confidentiality. Within organizations, they were trying to balance the dilemma of equity in using limited resources, and of securing resources and protecting clients, and the conflict between organizational rules and clients’ interests. The participants tried not to be dull to society’s indifference to AIDS, they were also forced to follow performance-oriented demands, limited laws and systems of the AIDS project. Despite the difficulties, they continue to knock on the door of the government on their clients’ behalf. Their work experiences were categorized as ‘working with the clients in a vicious cycle of recurrent dilemmas’. Based on the findings, the following were suggested: the use of supervision system within organizations along with peer support group, promotion of HIV/AIDS in social work education, the government s active policy for and the reduction of social stigma against HIV/AIDS.