Stigma, social support, and depression among people living with HIV in Thailand.
Stigma, social support, and depression among people living with HIV in Thailand.
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DOI：
10.1080/09540120802614358
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发表时间：
2009-08
期刊：
影响因子：
1.7
通讯作者：
Rotheram-Borus MJ
中科院分区：
文献类型：
--
作者：
Li L;Lee SJ;Thammawijaya P;Jiraphongsa C;Rotheram-Borus MJ
泰国的艾滋病毒/艾滋病感染者面临着巨大的挑战，包括与艾滋病毒相关的耻辱、缺乏社会支持以及抑郁等心理健康问题。这项研究的目的是检查人口统计学、艾滋病毒相关的耻辱和社会支持之间的复杂关系，以及它们对泰国PLWHA中抑郁的影响。这项研究使用了在泰国北部和东北部收集的数据。2007年共招聘和面试了408名妇女解放运动。HIV相关的耻辱通过两个子量表来衡量：“内在化耻辱”和“感知耻辱”。基于相关性分析，分层多元回归模型被用来检验抑郁、社会支持和艾滋病毒相关污名的预测因素，并控制人口统计学特征。相关分析表明，抑郁与耻辱的两个维度显著相关：内化羞耻和感知耻辱。自我报告的情绪社会支持与抑郁呈负相关。我们发现，在控制了性别、年龄、收入和教育程度后，内化羞耻感和情绪社会支持是抑郁的显著预测因素。艾滋病毒相关的污名对泰国PLWHA的心理健康产生了负面影响，情感社会支持仍然是抵御抑郁的保护因素。与PLWHA合作的干预开发人员和临床医生可能会发现，将耻辱和抑郁之间的联系纳入他们的计划和治疗，并将社会支持作为PLWHA的精神健康保护效应，是有用的。
People living with HIV/AIDS (PLWHA) in Thailand face tremendous challenges, including HIV-related stigma, lack of social support, and mental health issues such as depression. This study aims to examine complex relationships among demographics, HIV-related stigma, and social support and their impact on depression among PLWHA in Thailand. This study uses data collected in northern and northeastern Thailand. A total of 408 PLWHA were recruited and interviewed in 2007. HIV-related stigma was measured by two subscales: “Internalized Shame” and “Perceived Stigma.” Based on correlation analyses, hierarchical multiple regression models were used to examine the predictors of depression, social support, and HIV-related stigma, controlling for demographic characteristics. Correlational analysis revealed that depression was significantly associated with both dimensions of stigma: internalized shame and perceived stigma. Self-reported emotional social support was negatively associated with depression. We found that internalized shame and emotional social support were significant predictors of depression after controlling for gender, age, income, and education. HIV-related stigma has a negative impact on psychological wellbeing of PLWHA in Thailand, and emotional social support remains a protective factor against depression. Intervention developers and clinicians working with PLWHA may find it useful to incorporate the association between stigma and depression into their programs and treatments, and to address social support as a protective effect for the mental health of PLWHA.
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DOI：
10.1037//0022-006x.69.6.1056
发表时间：
2001-12-01
影响因子：
5.9
作者：
Johnson, JG;Alloy, LB;Abramson, LY
通讯作者：
Abramson, LY
DOI：
10.1080/09540120701335204
发表时间：
2007-10-01
影响因子：
1.7
作者：
Apinundecha, C.;Laohasiriwong, W.;Lim, S.
通讯作者：
Lim, S.
影响因子：
4.9
作者：
Galvan, Frank H.;Davis, E. Maxwell;Bing, Eric G.
通讯作者：
Bing, Eric G.
DOI：
10.1080/09540120120043982
发表时间：
2001-06-01
影响因子：
1.7
作者：
Serovich, JM;Kimberly, JA;Lewis, TL
通讯作者：
Lewis, TL
DOI：
10.1080/09540120701402830
发表时间：
2007-11-01
影响因子：
1.7
作者：
Mcdowell, T. L.;Serovich, J. M.
通讯作者：
Serovich, J. M.