Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women
Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women
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DOI：
10.1007/s10461-006-9099-1
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发表时间：
2006-09-01
影响因子：
4.4
通讯作者：
Littlewood, Rae A.
中科院分区：
文献类型：
--
作者：
Vanable, Peter A.;Carey, Michael P.;Littlewood, Rae A.
与艾滋病毒有关的污名化仍然是艾滋病毒抗体阳性者的一个潜在压力源。本研究探讨了221名HIV阳性男性和女性中与耻辱相关的经历与抑郁、药物依从性、血清状态披露和性风险之间的关系。在控制背景特征的双变量分析中，污名与抑郁症状、近期接受精神病治疗和更严重的HIV相关症状相关。耻辱感也与更差的依从性和更频繁的血清状态披露的人以外的性伴侣，但没有表现出相关性风险行为。在控制所有相关因素的多变量分析中，抑郁、依从性差和血清状态披露仍然是与耻辱相关经历的独立相关因素。研究结果证实，耻辱感与心理调整和坚持困难有关，并且在向广泛的社会接触者透露其艾滋病毒状况的人中更常见。应在针对艾滋病毒阳性者的压力管理、健康促进和药物依从性干预措施中解决污名问题。
HIV-related stigmatization remains a potent stressor for HIV-positive people. This study examined the relationships among stigma-related experiences and depression, medication adherence, serostatus disclosure, and sexual risk among 221 HIV-positive men and women. In bivariate analyses that controlled for background characteristics, stigma was associated with depressive symptoms, receiving recent psychiatric care, and greater HIV-related symptoms. Stigma was also associated with poorer adherence and more frequent serostatus disclosure to people other than sexual partners, but showed no association to sexual risk behavior. In a multivariate analysis that controlled for all correlates, depression, poor adherence, and serostatus disclosure remained as independent correlates of stigma-related experiences. Findings confirm that stigma is associated with psychological adjustment and adherence difficulties and is experienced more commonly among people who disclose their HIV status to a broad range of social contacts. Stigma should be addressed in stress management, health promotion, and medication adherence interventions for HIV-positive people.