Understanding interrelationships among HIV-related stigma, concern about HIV infection, and intent to disclose HIV serostatus: A pretest-posttest study in a rural area of eastern China
Understanding interrelationships among HIV-related stigma, concern about HIV infection, and intent to disclose HIV serostatus: A pretest-posttest study in a rural area of eastern China
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DOI：
10.1089/apc.2006.20.133
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发表时间：
2006-02-01
影响因子：
4.9
通讯作者：
Yang, HM
中科院分区：
文献类型：
--
作者：
Liu, HJ;Hu, Z;Yang, HM
本研究的目的是探讨中国农村地区艾滋病相关公众与艾滋病污名感、对艾滋病感染的担忧、艾滋病知识和艾滋病检测结果披露意愿之间的关系。本研究以605名婚姻登记申请人为被试，进行单组前后测研究。以下关系在路径分析中具有统计学意义：（1）艾滋病毒/艾滋病知识->担忧[β（标准化系数）= -0.39];（2）担忧->公众耻辱（β = 0.27）;（3）公众耻辱->感受到的耻辱（β = 0.22）;和（4）感受到的耻辱->披露意图（β = -0.20）。男性和女性的单独路径分析产生了类似的关联模式。艾滋病咨询降低了艾滋病患者的焦虑感，但对艾滋病相关污名和艾滋病相关意向的影响不大。从缺乏艾滋病毒/艾滋病知识的途径，增加耻辱和减少披露自己的血清状态的意图是特别相关的政策，因为减少披露的意图可能与艾滋病毒风险行为的持续实践有关。研究结果表明，旨在减少耻辱感的干预措施应针对个人和社区两个层面。
The objective of the study was to examine the interrelationships among HIV-related public and felt stigma, worry of HIV infection, HIV/AIDS knowledge and intention to disclose HIV testing results in a rural area of China, where HIV spread among former commercial blood donors. A one-group pretest-posttest study was conducted among 605 marriage license applicants. The following relationships showed statistical significance in path analysis: (1) HIV/AIDS knowledge -> worry [beta (Standardized coefficient) = -0.39]; (2) worry -> public stigma (beta = 0.27); (3) public stigma -> felt stigma (beta = 0.22); and (4) felt stigma -> intention to disclosure (beta = -0.20). Separate path analyses for males and females generated similar association patterns. HIV counseling reduced perceived worry but exerted little impact on HIV-related stigma and the intention. The pathway from a lack of HIV/AIDS knowledge to increased stigma and to decreased intention to disclose one's serostatus is particularly policy relevant as decreased intention to disclosure may be related to continuing practice of HIV risk behaviors. The findings demonstrate interventions aiming at the reduction of stigma should be targeted at both the individual and community levels.