Social support, stigma, and HIV disclosure among parents living with HIV in Guangxi, China.
Social support, stigma, and HIV disclosure among parents living with HIV in Guangxi, China.
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中国广西艾滋病病毒感染者父母的社会支持、耻辱和艾滋病信息披露
DOI：
10.1080/09540121.2017.1387639
复制
发表时间：
2018-03
期刊：
影响因子：
1.7
通讯作者：
Shen Z
中科院分区：
文献类型：
--
作者：
Mao Y;Li X;Qiao S;Zhao Q;Zhou Y;Shen Z
摘要污名化和社会支持都被认为与艾滋病病毒感染者的艾滋病状况披露有关。本研究旨在探讨广西艾滋病病毒感染者（PLHIV）父母感知社会支持和多种类型的污名与向不同目标群体披露和披露时间的横截面关联。对广西1254例HIV感染者的横断面资料进行分析。措施包括人口统计，披露特定群体（稳定的合作伙伴/配偶，子女，家人和其他人）和披露的时间，感知的社会支持，和三种类型的艾滋病毒相关的耻辱（感知，内化，和制定的耻辱）。进行逻辑回归分析，以确定相关的利益。报告较高水平的感知社会支持的参与者更有可能向稳定的伴侣/配偶，家人或其他人透露。那些经历过制定耻辱的人更有可能向孩子或家人透露。已婚/同居的人更有可能向稳定的伴侣/配偶透露，而不太可能向孩子，家人或其他人透露。年龄较大的艾滋病毒感染者不太可能向稳定的伴侣/配偶或家人透露。那些有工作的人更有可能向稳定的伴侣/配偶透露。知觉的社会支持似乎与披露的时间无关。那些在诊断后较短时间内披露的人更有可能是女性或向稳定的伴侣/配偶披露，并且不太可能有更高的感知耻辱或向家人披露。需要采取干预措施，以帮助减少在家庭和社区层面上的负面影响，并帮助提高艾滋病毒感染者，特别是男性和老年人的社会支持和情感支持。
ABSTRACT Both stigma and social support have been identified to be associated with HIV status disclosure among people living with HIV. This study aimed to examine cross-sectional associations of perceived social support and multiple types of stigma with both disclosure to various target groups and timing of disclosure among parents living with HIV (PLHIV) in Guangxi, China. Cross-sectional data from 1254 PLHIV in Guangxi, China were analyzed. Measures included demographics, disclosure to specific groups (steady partner/spouse, children, family and others) and timing of disclosure, perceived social support, and three types of HIV-related stigma (perceived, internalized, and enacted stigma). Logistic regression analyses were performed to identify the associations of interest. The participants who reported higher levels of perceived social support were more likely to have disclosed to steady partner/spouse, family or others. Those who experienced enacted stigma were more likely to have disclosed to children or family. Those who were married/cohabitating were more likely to have disclosed to steady partner/spouse, and less likely to have disclosed to children, family or others. Older PLHIV were less likely to have disclosed to steady partner/spouse, or family. Those who had a job were more likely to have disclosed to steady partner/spouse. Perceived social support appeared not to be associated with timing of disclosure. Those who disclosed within a shorter time after diagnosis were more likely to be women or have disclosed to steady partner/spouse, and less likely to have higher perceived stigma or have disclosed to family. Interventions are needed to help reduce the negative effect of perceived stigma at both family and community levels and to help enhance perceived social support in general and emotional support in particular among PLHIV, especially males and older adults.
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DOI：
10.1080/13691058.2014.905706
发表时间：
2014-06
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Arnold EA;Rebchook GM;Kegeles SM
通讯作者：
Kegeles SM
影响因子：
1.7
作者：
Przybyla SM;Golin CE;Widman L;Grodensky CA;Earp JA;Suchindran C
通讯作者：
Suchindran C
影响因子：
1.7
作者：
Maman S;van Rooyen H;Groves AK
通讯作者：
Groves AK
影响因子：
3.4
作者：
ZIMET, GD;POWELL, SS;BERKOFF, KA
通讯作者：
BERKOFF, KA
影响因子：
1.7
作者：
Overstreet NM;Earnshaw VA;Kalichman SC;Quinn DM
通讯作者：
Quinn DM