The Mediating Role of Social Support and Resilience Between HIV-Related Stigmas and Patient Activation Among Young Black Women Living With HIV in the Southern United States: A Cross-sectional Study.
The Mediating Role of Social Support and Resilience Between HIV-Related Stigmas and Patient Activation Among Young Black Women Living With HIV in the Southern United States: A Cross-sectional Study.
复制标题
美国南部感染艾滋病毒的年轻黑人女性中，社会支持和复原力在艾滋病毒相关耻辱与患者激活之间的中介作用：一项横断面研究。
DOI：
10.1097/jnc.0000000000000312
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Mugavero,MichaelJ
中科院分区：
文献类型：
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作者：
ChapmanLambert,Crystal;Fazeli,PariyaL;Yigit,Ibrahim;Elopre,Latesha;King,Kiko;Kempf,Mirjam-Colette;Guthrie,Barbara;Mugavero,MichaelJ
很少有人知道的结构，病人激活从事有利的自我管理行为的人与艾滋病毒。我们进行了一项横断面研究，年轻的黑人妇女与艾滋病毒（n = 84），以检查耻辱和患者激活和社会支持和韧性的中介作用之间的关联。社会支持介导了以下污名维度与患者激活之间的关系：内化（β =-0.20，SE = 0.08，CI [-0.369 to-0.071]）和在医疗机构中的预期（β =-0.06，SE = 0.04，CI [-0.177 to-0.001]）。复原力介导了以下方面的耻辱和患者激活之间的关系：预计在医疗保健（β = − 0.20，SE = 0.08，CI [− 0.387至− 0.057]）和社区环境（β =-0.15，SE = 0.08，CI [-0.318 to-0.017]），并在社区环境中颁布（β =-0.14，SE = 0.09，CI [-0.332 to-0.001]）。我们的研究结果表明，个人内部和人际关系的机制，不同层面的耻辱有助于患者激活，从而确定社会支持，弹性，和患者激活作为潜在的干预目标。
Little is known about the construct of patient activation for engaging in favorable self-management behaviors in people with HIV. We conducted a cross-sectional study among young Black women with HIV (n= 84) to examine the association between stigma and patient activation and the mediating role of social support and resilience. Social support mediated the relationship between the following dimensions of stigma and patient activation: internalized (β=− 0.20, SE= 0.08, CI [− 0.369 to− 0.071]) and anticipated in health care settings (β=− 0.06, SE= 0.04, CI [− 0.177 to− 0.001]). Resilience mediated the relationship between the following dimensions of stigma and patient activation: anticipated in health care (β=− 0.20, SE= 0.08, CI [− 0.387 to− 0.057]) and community settings (β=− 0.15, SE= 0.08, CI [− 0.318 to− 0.017]), and enacted in community settings (β=− 0.14, SE= 0.09, CI [− 0.332 to− 0.001]). Our findings suggest intrapersonal and interpersonal mechanisms by which various dimensions of stigma contribute to patient activation, thus identifying social support, resilience, and patient activation as potential intervention targets.