HIV-related stigma and life goals among people living with HIV (PLWH) in Florida.
HIV-related stigma and life goals among people living with HIV (PLWH) in Florida.
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DOI：
10.1007/s11136-020-02687-z
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Ibañez GE
中科院分区：
文献类型：
--
作者：
Algarin AB;Li Y;Cohen RA;Cook CL;Brumback B;Cook RL;Ibañez GE
目标是生活质量（QoL）的重要组成部分，因为它们提供了完成我们努力实现的任务的动力。污名已被确定为可能对实现个人目标有害的因素。艾滋病毒感染者（PLWH）继续面临与艾滋病毒相关的耻辱。随着美国艾滋病毒流行率的持续增长，关注有助于改善艾滋病患者健康和生活质量的因素是很重要的。本研究旨在调查佛罗里达州艾滋病相关污名与艾滋病目标设定行为之间的关系。我们使用了从大麻和潜在长期效应（MAPLE）观察队列研究中收集的基线数据。我们使用个人项目分析清单的简化版本收集生活目标数据。参与者在5个领域中列出最多3个目标，并询问每个目标的难度和重要性。hiv相关的耻辱感使用Herek hiv相关的耻辱感量表的缩写版本进行测量。使用多元线性回归模型估计相对风险估计值和95%置信区间。总体样本（n=232）主要为男性（52.4%）、黑人（72.4%）和非拉丁裔（84.9%）。与hiv相关的耻耻感与列出的目标总数（β= 0.042[0.003, 0.082]; p=0.037）和感知目标难度（β=0.010[0.003, 0.017];p=0.004）呈正相关，但与感知目标重要性（β=0.001[- 0.002, 0.004];p=0.562）无显著相关。结果表明，艾滋病毒相关的耻辱感可能影响了艾滋病毒携带者对目标的追求。有必要制定和评估针对艾滋病毒相关污名的生活质量干预措施，并将重点放在实现目标上。
Goals are an important component of quality of life (QoL) as they provide motivation to accomplish tasks we strive to achieve. Stigma has been identified as a factor that may be deleterious to achieving personal goals. People living with HIV(PLWH) continue to face HIV-related stigma. As HIV prevalence continues to grow in the U.S., it is important to focus on factors that can help improve the health and QoL of PLWH. This study aims to examine the association between HIV-related stigma and goal setting behaviors among PLWH in Florida. We used baseline data collected from the Marijuana and Potential Long-term Effects (MAPLE) observational cohort study. We collected life goals data using an abbreviated version of the Personal Projects Analysis inventory. Participants listed up to 3 goals in 5 domains and were asked about each goal’s difficulty and importance. HIV-related stigma was measured using an abbreviated version of the Herek HIV-related stigma scale. Relative risk estimates and 95% confidence intervals were estimated using multivariate linear regression models. The overall sample (n=232) was majority male (52.4%), Black (72.4%), and non-Latino (84.9%). HIV-related stigma was positively associated with the total number of listed goals (β= 0.042[0.003, 0.082]; p=0.037) and perceived goal difficulty (β=0.010[0.003, 0.017];p=0.004), but not significantly associated with perceived goal importance (β=0.001[−0.002, 0.004];p=0.562). The results suggest that HIV-related stigma may be affecting the pursuit of goals among PLWH. There is a need to develop and evaluate QoL interventions that are tailored to PLWH and focused on achieving goals in the face of HIV-related stigma.
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