The dyadic effects of HIV stigma on the mental health of children and their parents in South Africa.
The dyadic effects of HIV stigma on the mental health of children and their parents in South Africa.
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DOI：
10.1080/15381501.2017.1320619
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Cluver LD
中科院分区：
文献类型：
--
作者：
Gamarel KE;Kuo C;Boyes ME;Cluver LD
艾滋病毒的污名--对阳性个体的“自我污名”和对其家人的“交往污名”--与不利的心理健康有关。这项研究调查了耻辱与南非父母和孩子的心理健康之间的关系。南非的亲子二人组(n=2477对)参加了一项横断面调查。对于父母和孩子来说，更大的耻辱与他们自己报告的更严重的焦虑和抑郁症状有关。父母报告的耻辱与孩子更严重的焦虑和抑郁症状有关。儿童报告的耻辱与父母更焦虑和抑郁的症状有关。这是一种显著的交互作用，当孩子也报告高水平的耻辱时，父母的耻辱和抑郁之间的联系更强。调查结果支持了艾滋病毒污名对家庭心理健康的影响，并说明了采取以家庭为基础的方法减少污名干预以缓解心理健康问题的重要性。
HIV stigma – both ‘self-stigma’ towards positive individuals and ‘stigma by association’ towards their families – is linked with adverse mental health. This study examined how stigma was associated with the mental health of parents and children in South Africa. Parent-child dyads (n=2477 dyads) in South Africa participated in a cross-sectional survey. For both parents and children, greater stigma was associated with their own reports of greater anxious and depressive symptoms. Parents reports of stigma was associated with children’s greater anxious and depressive symptoms. Children’s reports of stigma was related to parents greater anxious and depressive symptoms. There was a significant interaction, such that the association between parent stigma and depression was stronger when children also reported high levels of stigma. Findings provide support the effect of HIV stigma on the mental health of families and illustrate the importance of taking a family-based approach to stigma-reduction interventions to alleviate mental health problems.