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Ways of coping and HIV disclosure among people living with HIV: mediation of decision self-efficacy and moderation by sex

机译：艾滋病毒患者人民的应对和艾滋病毒披露的方式：性别决策自我效能和适度的调解

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Individuals living with HIV/AIDS face several stressors and use varying strategies to cope. Disclosure (or nondisclosure) of HIV serostatus is an important consideration among individuals living with HIV. However, studies examining the association between coping and HIV disclosure are lacking, and more research examining potential mediators and moderators is needed. The transactional model of stress and coping and the theory of planned behavior may help in understanding the mediating relationship between coping, decision self-efficacy, and HIV disclosure. Therefore, the aims of this study were to examine the association between coping and HIV disclosure to sexual partners, assess the mediating role of decision self-efficacy, and examine moderation by sex. Baseline data from 262 individuals living with HIV who participated in a disclosure intervention were used for analysis. Descriptive statistics were used to assess sociodemographic characteristics. Principal component analysis was used to operationalize coping. Path analysis was then used to determine the mediating role of decision self-efficacy in the association between overall, adaptive, distancing, and attack/escape avoidance coping and HIV disclosure to sexual partners. After adjusting for age and time since diagnosis, direct associations between coping and decision self-efficacy, and decision self-efficacy and disclosure behavior varied by sex. Among the overall study population, decision self-efficacy mediated the associations between adaptive coping (beta = 0.064, p = 0.003), attack/escape avoidance coping (beta = -0.052, p = 0.009) and disclosure behavior. Disclosure intervention programs geared towards populations living with HIV should include decision self-efficacy and adaptive coping, and attenuate attack/escape avoidance coping.
机译：艾滋病毒/艾滋病患者的个人面临着几个压力源，并使用不同的策略来应对。 HIV Serostatus的公开内容（或非裂解）是艾滋病毒患有艾滋病毒的个体之间的重要考虑因素。然而，缺乏检查应对和HIV披露之间关联的研究，并且需要更多的研究检查潜在的调解器和主持人。应力和应对的事务模型以及计划行为的理论可能有助于了解应对，决策自效和HIV披露之间的调解关系。因此，本研究的目的是检查应对和HIV披露与性伴侣之间的关联，评估决策自我效能的调解作用，并通过性进行审查。来自艾滋病毒的262人的基线数据用于分析披露干预的艾滋病毒。描述性统计用于评估社会碘目特征。主要成分分析用于运营应对。然后使用路径分析来确定决策自我效能的调解作用，在整体，自适应，疏远和攻击/逃避避免应对和HIV披露到性伴侣之间的关系。调整年龄和时间以来，自诊断以来，应对和决策自我效能的直接协会，以及性别多种多样的自我效能和披露行为。在整体研究人群中，决策自我效能介导适应性应对（β= 0.064，P = 0.003）之间的关联，攻击/逃避避免应对（β= -0.052，P = 0.009）和披露行为。披露涉及艾滋病毒血液群体的干预计划应包括决策自我效力和适应性应对，并衰减攻击/逃避应对。

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