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首页> 外文期刊>AIDS care. >Association between perceived HIV stigma, social support, resilience, self-esteem, and depressive symptoms among HIV-positive men who have sex with men (MSM) in Nanjing, China
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Association between perceived HIV stigma, social support, resilience, self-esteem, and depressive symptoms among HIV-positive men who have sex with men (MSM) in Nanjing, China

机译：在中国南京与男子（MSM）发生性关系的艾滋病病毒耻辱，社会支持，恢复力，自尊和抑郁症状之间的关联

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Among Chinese HIV-positive men who have sex with men (MSM), high levels of depression are common. The association between HIV and depression is attributed to several factors, particularly HIV-related stigma. However, to date, how HIV-related stigma leads to depression among Chinese HIV-positive MSM is still unclear. As such, this study aims to examine the relationships between perceived HIV stigma, social support, resilience, self-esteem, and depressive symptoms among HIV-positive MSM in China. We conducted a cross-sectional survey study among 347 HIV-positive MSM from July to August 2016 in Nanjing, China. Measurements were sociodemographic and psychological constructs including perceived HIV stigma, social support, resilience, self-esteem, and depressive symptoms. Structural equation modeling (SEM) was used to examine the relationships among these constructs. Overall,134 (38.6%) participants had depressive symptoms. Perceived stigma was directly associated with depressive symptoms (beta = .196, p < .001). Perceived stigma also indirectly affected depressive symptoms (beta = .200, p < .001)through social support and self-esteem. Social support (beta = -.124, p = .004) and self-esteem (beta = -.536, p = .001), but not resilience, were direct predictors of depressive symptoms. Resilience was directly associated with self-esteem (beta = .512, p < .001). Perceived HIV stigma could directly and indirectly impact depressive symptoms in HIV-positive MSM. Improving personal self-esteem, resilience and social support might reduce impact of perceived stigma on depressive symptoms among HIV-positive MSM in China.
机译：与男性（MSM）发生性关系的中国艾滋病毒治疗男性，高水平的抑郁症是常见的。艾滋病毒和抑郁症之间的关联归因于几个因素，特别是HIV相关的耻辱。然而，迄今为止，艾滋病毒相关耻辱如何导致中国艾滋病毒阳性MSM之间的抑郁症仍然不清楚。因此，本研究旨在审查中国艾滋病毒疫苗，社会支持，恢复力，自尊和中国艾滋病毒阳性MSM之间的抑郁症状之间的关系。我们在南京于2016年7月至2016年8月至2016年8月进行了横断面调查研究。测量是社会血统和心理构建，包括感知HIV耻辱，社会支持，恢复力，自尊和抑郁症状。结构方程建模（SEM）用于检查这些构建体之间的关系。总体而言，134名（38.6％）参与者抑郁症状。感知耻辱与抑郁症状直接相关（β= .196，p <.001）。感知耻辱也通过社会支持和自尊间接影响抑郁症状（beta = .200，p <.001）。社会支持（beta = -.124，p = .004）和自尊（beta = -.536，p = .001），但不适合，是抑郁症状的直接预测因子。弹性与自我尊重直接相关（Beta = .512，p <.001）。感知HIV STIGMA可以直接和间接地影响艾滋病毒阳性MSM中的抑郁症状。提高个人自尊，恢复力和社会支持可能会降低耻辱对中国艾滋病毒阳性MSM中抑郁症状的影响。

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