艾滋病的健康传播是一种涉及疾病隐喻之下的身份认同以及跨文化传播冲突等多方面社会问题的公共危机，媒体在艾滋病意义生产的历史变迁中逐渐形成的三种报道偏向加深了艾滋病群体被他者化的社会公共交往分裂的危机，当从媒体“他说”视角转向艾滋病患者“我说”的一线叙事时，三种传播偏向得到一定程度的修正，但为了营造更加宽容的社会环境，媒体和公众需要从道德判断进入生命伦理，跳脱“他说/我说”的二元对立，在将两者融合的过程中真正去思考关涉人的自尊、生存等本质性的问题，从而使艾滋病报道在健康传播的过程中更具人本关怀。

Health communication of AIDS is a public risk concerned about many social problems such as self-identity under disease metaphor, the conflicts in the course of intercultural communication and so on. With the historical changes of the AIDS meaning, the social crises of public communication of the marginalized AIDS groups have been deepened by three kinds of biased coverage of AIDS. When the reporting perspectives have been changed from speaking for themselves by mass media to speaking by the AIDS patients themselves, three kinds of biased coverage have been corrected in a way. Seeking for a kind of more tolerant social atmosphere both for the AIDS patients and the healthy persons, mass media and the public need to think about some essential questions related to self-respect and survival of humankind going beyond the binary essentialist and turning the perspective of moral judgment to life ethics in order to making the news coverage concerned about AIDS more humanistic care.