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Exploring HIV-related stigma among HIV-infected Men who have Sex with Men in Beijing China: A correlation study

机译：在中国北京与男男性行为感染艾滋病毒的男性中探讨艾滋病毒相关的污名：一项相关性研究

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HIV-related stigma among HIV-infected men who have sex with men (MSM) has been associated with adverse health outcomes, including poor adherence to antiretroviral therapy (ART) and care, and increased participation in behaviours linked to higher rates of HIV transmission. In China, the incidence of HIV is growing more rapidly among MSM than among other subgroups. This study characterizes and quantifies HIV stigma among HIV-infected (MSM) in Beijing, China, which arguably may be driving this epidemic. A cross-sectional survey study was performed among 266 HIV-positive MSM in Beijing, China in 2014. The Berger HIV Stigma Scale was used to measure levels of HIV-related stigma. Participants additionally answered questions regarding socio-demographic characteristics and HIV-associated risk factors; previously validated Mandarin-language scales assessed depression, coping style, and social support networks. Multivariable linear regression models were used to identify variables significantly associated with HIV stigma. The mean overall HIV stigma score among the study population was 112.78±18.11 (score range: 40–160). Higher HIV stigma scores were positively associated with depression (β=7.99, 95% CI:3.69, 12.29,p<0.001) and negative coping skills (β=0.64, 95% CI:0.21,1.08,p<0.01), and was negatively associated with disclosed HIV status (β=−6.45, 95%CI:−11.80,−1.11,p<0.05), and availability of social support networks (β=−0.12, 95%CI:−0.22,−0.02,p<0.05). Other variables such as poor self-rated health status and presence of opportunistic infections were positively associated with individual dimensions of HIV-related stigma. The results of this study can inform the development of culturally sensitive interventions to reduce HIV-related stigma among MSM with HIV in China, with the overarching goal of reducing HIV transmission in this vulnerable population.
机译：与男性发生性行为（MSM）的受HIV感染的男性中与HIV有关的污名与不良健康后果相关，包括对抗逆转录病毒疗法（ART）和护理的依从性较差，以及参与行为增加与HIV传播率较高相关。在中国，男男性接触者中的艾滋病毒感染率比其他亚组增长更快。这项研究的特征是量化和量化了在中国北京的HIV感染者（MSM）中的艾滋病毒耻辱感。 2014年，在中国北京对266个HIV阳性MSM进行了横断面调查研究。使用了Berger HIV Stigma量表来测量与HIV相关的耻辱水平。与会者还回答了有关社会人口统计学特征和与艾滋病毒有关的危险因素的问题；先前经过验证的普通话语言量表评估了抑郁症，应对方式和社会支持网络。多变量线性回归模型用于识别与艾滋病毒耻辱显着相关的变量。在研究人群中，艾滋病毒的总体耻辱评分平均为112.78±18.11（得分范围：40–160）。较高的HIV污名评分与抑郁症（β= 7.99，95％CI：3.69，12.29，p <0.001）和消极应对技能（β= 0.64，95％CI：0.21,1.08，p <0.01）呈正相关，并且与公开的HIV状况呈负相关（β= −6.45，95％CI：−11.80，−1.11，p <0.05）和社会支持网络的可用性（β= −0.12，95％CI：−0.22，-0.02，p <0.05）。其他变量，例如不良的自我评估健康状况和机会性感染的存在，与与艾滋病相关的污名的各个方面呈正相关。这项研究的结果可以为减少中国MSM感染者与艾滋病相关的污名化的文化敏感干预措施的发展提供信息，其首要目标是减少这一弱势人群的HIV传播。

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