Protective and risk factors associated with stigma in a population of older adults living with HIV in Ontario, Canada
Protective and risk factors associated with stigma in a population of older adults living with HIV in Ontario, Canada
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DOI：
10.1080/09540121.2013.774317
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发表时间：
2013-10-01
影响因子：
1.7
通讯作者：
Rourke, Sean B.
中科院分区：
文献类型：
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作者：
Emlet, Charles A.;Brennan, David J.;Rourke, Sean B.
虽然艾滋病毒污名的有害影响是有据可查的，但人们对各种类型的污名如何影响患有艾滋病毒疾病的老年人以及哪些因素加剧或减轻艾滋病毒污名的影响知之甚少。使用OHTN队列研究(OCS)的横断面数据，我们进行了多元线性回归，以确定总体HIV污名的预测因素，并在50岁及以上的OHTN参与者样本(n=378)中制定、预期和内在化污名子量表。女性、异性恋、适应不良的应对方式和自我评价较差的健康状况与更大的总体污名有关，而年龄较大、掌握能力更强、情感信息社会支持增加、被诊断为艾滋病毒时间较长与较低的污名水平相关。最终的模型解释了总柱头变异的31%。这些发现的不同子量表的差异和对实践的影响进行了讨论。
Although the deleterious effects of HIV stigma are well documented, less is known about how various types of stigma impact older adults living with HIV disease and what factors exacerbate or lessen the effects of HIV stigma. Using cross-sectional data from the OHTN cohort study (OCS), we undertook multiple linear regression to determine the predictors of overall HIV stigma, and enacted, anticipated, and internalized stigma subscales in a sample of OCS participants age 50 and over (n=378). Being female, heterosexual, engaging in maladaptive coping, and having poor self-rated health were associated with greater overall stigma while being older, having greater mastery, increased emotional-informational social support, and a longer time since HIV diagnosis were associated with lower levels of stigma. The final model accounted for 31% of the variance in overall stigma. Differences in these findings by subscale and implications for practice are discussed.