Stigma mastery in people living with HIV: gender similarities and theory.
Stigma mastery in people living with HIV: gender similarities and theory.
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DOI：
10.1007/s10389-021-01480-7
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发表时间：
2022-12
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影响因子：
--
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中科院分区：
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本研究的目的是确定艾滋病相关污名掌握（IHSM）的患病率，相关因素，并建立一个理论框架，了解内化的艾滋病相关污名掌握（IHSM）。使用了一项嵌套在2014年乌干达减少污名队列中的横断面研究。2008年版艾滋病毒感染者耻辱指数用于收集按性别和年龄分层的666名艾滋病毒感染者的随机样本数据。采用SPSS24和Amos27软件包构建序贯中介模型。大多数参与者为女性（65%），年龄≥ 40岁（57%）。总体而言，IHSM在PLHIV中占45.5%，随着年龄的增长而增加。具体而言，较高的IHSM与男性和老年女性的“男性身份”自我披露的艾滋病毒诊断的家庭，与同龄人分享经验。然而，较低的IHSM与女性性别、社会排斥压力的经历、对未来拒绝的恐惧和对社交亲密的恐惧相关。因此，IHSM的社会排斥及其负面影响和年龄相关的认知被整合到一个多维的IHSM理论框架，具有良好的模型到数据的拟合。内化的艾滋病毒相关污名掌握在男子和老年妇女中很常见。具体而言，“男性身份”向家人透露自己的艾滋病毒阳性诊断，与同龄人分享经验，以建立良好的关系，实现或增强控制耻辱感的能力。然而，社会排斥加剧了一系列负面影响，最终破坏了年轻女性身份的污名控制。因此，污名掌握是最好的解释了一个综合赋权框架，这对未来的实践，政策和污名相关的研究，我们讨论的影响。
This study aimed to determine the prevalence of, factors associated with, and to build a theoretical framework for understanding Internalsed HIV-related Stigma Mastery (IHSM). A cross-sectional study nested within a 2014 Stigma Reduction Cohort in Uganda was used. The PLHIV Stigma Index version 2008, was used to collect data from a random sample of 666 people living with HIV (PLHIV) stratified by gender and age. SPSS24 with Amos27 softwares were used to build a sequential-mediation model. The majority of participants were women (65%), aged ≥ 40 years (57%). Overall, IHSM was 45.5% among PLHIV, that increased with age. Specifically, higher IHSM correlated with men and older women “masculine identities” self-disclosure of HIV-diagnosis to family, sharing experiences with peers. However, lower IHSM correlated with feminine gender, the experience of social exclusion stress, fear of future rejection, and fear of social intimacy. Thus, IHSM social exclusion with its negative effects and age-related cognition are integrated into a multidimensional IHSM theoretical framework with a good model-to-data fit. Internalised HIV-related Stigma Mastery is common among men and older women. Specificially, “masculine identities” self-disclose their own HIV-positive diagnosis to their family, share experiences with peers to create good relationships for actualising or empowerment in stigma mastery. However, social exclusion exacerbates series of negative effects that finally undermine stigma mastery by young feminine identities. Thus, stigma mastery is best explained by an integrated empowerment framework, that has implications for future practice, policy, and stigma-related research that we discuss.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
在加拿大安大略省艾滋病毒的人经历的艾滋病毒相关污名上的性别和种族差异。
影响因子：
3.7
作者：
Loutfy MR;Logie CH;Zhang Y;Blitz SL;Margolese SL;Tharao WE;Rourke SB;Rueda S;Raboud JM
通讯作者：
Raboud JM
影响因子：
9.3
作者：
Brakel, Wim H. van;Cataldo, Janine;Yang, Lawrence H.
通讯作者：
Yang, Lawrence H.
影响因子：
16.4
作者：
Hyde, JS
通讯作者：
Hyde, JS
影响因子：
7.6
作者：
Crum, Alia J.;Salovey, Peter;Achor, Shawn
通讯作者：
Achor, Shawn