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首页> 外文期刊>AIDS care. >HIV-related stigma and optimism as predictors of anxiety and depression among HIV-positive men who have sex with men in the United Kingdom and Ireland
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HIV-related stigma and optimism as predictors of anxiety and depression among HIV-positive men who have sex with men in the United Kingdom and Ireland

机译：与联合王国和爱尔兰人发生性关系的艾滋病毒阳性男性中，艾滋病毒相关的耻辱和乐观情绪

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This study investigated the associations between forms of HIV-related optimism, HIV-related stigma, and anxiety and depression among HIV-positive men who have sex with men (MSM) in the United Kingdom and Ireland. HIV health optimism (HHO) and HIV transmission optimism (HTO) were hypothesised to be protective factors for anxiety and depression, while the components of HIV-related stigma (enacted stigma, disclosure concerns, concern with public attitudes, and internalised stigma) were hypothesised to be risk factors. Data were collected from 278 HIV-positive MSM using an online questionnaire. The prevalence of psychological distress was high, with close to half (48.9%) of all participants reporting symptoms of anxiety, and more than half (57.9%) reporting symptoms of depression. Multiple linear regressions revealed that both anxiety and depression were positively predicted by internalised stigma and enacted stigma, and negatively predicted by HHO. For both anxiety and depression, internalised stigma was the strongest and most significant predictor. The results highlight the continued psychological burden associated with HIV infection among MSM, even as community support services are being defunded across the United Kingdom and Ireland. The results point to the need for clinicians and policy makers to implement stigma reduction interventions among this population.
机译：本研究调查了与英国和爱尔兰发生性关系的艾滋病毒相关乐观，艾滋病毒相关乐观，艾滋病毒相关疟疾和焦虑和抑郁症之间的关联。 HIV健康乐观（HHO）和HHO）和艾滋病毒传播乐观（HTO）被假设是焦虑和抑郁的保护因素，而HIV相关耻辱（颁布的耻辱，披露问题，令人担忧的公共态度和内化耻辱）的组成部分是假设的有风险因素。使用在线问卷从278个HIV阳性MSM收集数据。心理困扰的患病率很高，接近所有参与者的一半（48.9％）报告焦虑症状，超过一半（57.9％）报告抑郁症状。多元线性回归揭示了焦虑和抑郁症既通过内化耻辱和颁布的耻辱，并通过HHO负面预测。对于焦虑和抑郁症来说，内化耻辱是最强，最重要的预测因素。结果突出了MSM中艾滋病病毒感染相关的持续心理负担，即使社区支持服务在联合王国和爱尔兰被拒绝。结果指出，需要临床医生和决策者在这一人口中实施耻辱缩短干预措施。

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