HIV stigma and social support among African Americans

HIV stigma and social support among African Americans
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DOI:
10.1089/apc.2007.0169
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发表时间:
2008-05-01
影响因子:
4.9
通讯作者:
Bing, Eric G.
Bing, Eric G.
中科院分区:
医学2区
文献类型:
--
作者:
Galvan, Frank H.;Davis, E. Maxwell;Bing, Eric G.

文献摘要

被引文献

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与艾滋病毒有关的耻辱和歧视对感染艾滋病毒的非裔美国人产生了负面影响。社会支持理论假设,社会支持可以保护个人免受压力源的负面影响,如歧视,通过引导他们不那么消极地解释压力场合。本研究旨在探讨艾滋病毒阳性的非裔美国人之间的关系,感知社会支持和感知艾滋病毒的耻辱。从三个社会服务机构招募了283名HIV阳性的非裔美国人的横断面便利样本。双变量和多变量回归被用来确定预测艾滋病污名的变量。研究参与者被发现有各种各样的意见,关于艾滋病毒的耻辱感。在三个不同的来源的感知社会支持的研究(从家庭,朋友和一个“特殊的人”),只有感知社会支持的朋友被发现与感知艾滋病毒的耻辱感时,控制其他相关因素的存在。来自朋友的高感知社会支持与较少感知艾滋病毒污名相关。其他与艾滋病毒污名化程度低相关的因素包括缺乏目前的严重抑郁症症状,艾滋病毒诊断和高等教育的时间较长。有关来自朋友和其他因素的感知社会支持的有益影响的信息可以帮助为那些致力于减少艾滋病毒阳性的非裔美国人中艾滋病毒污名的负面影响的人提供指导。
HIV-related stigma and discrimination negatively impact African Americans living with HIV. Social support theory hypothesizes that social support can serve to protect individuals against the negative effects of stressors, such as discrimination, by leading them to interpret stressful occasions less negatively. This study sought to examine the relationship between perceived social support and perceived HIV stigma among HIV-positive African Americans. A cross-sectional convenience sample of 283 HIV-positive African Americans was recruited from three social service agencies. Bivariate and multivariate regressions were used to determine the variables predicting perceived HIV stigma. The study participants were found to have a wide variety of opinions concerning perceived HIV stigma. Of the three different sources of perceived social support examined ( from family, friends and a "special person"), only perceived social support from friends was found to be related to perceived HIV stigma when controlling for the presence of other relevant factors. High perceived social support from friends was associated with less perceived HIV stigma. Other factors associated with low perceived HIV stigma included a lack of current symptoms of major depression, a longer time since HIV diagnosis and higher education. Information about the beneficial effects of perceived social support from friends and other factors can help to provide guidance to those working to decrease the negative impact of HIV stigma among HIV-positive African Americans.