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首页> 外文期刊>AIDS care. >Stigma, social support, and depression among people living with HIV in Thailand.
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Stigma, social support, and depression among people living with HIV in Thailand.

机译：泰国艾滋病毒感染者的污名，社会支持和沮丧。

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BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
机译：背景：泰国的艾滋病毒/艾滋病感染者（PLWHA）面临着巨大的挑战，包括与艾滋病毒有关的污名，缺乏社会支持以及精神健康问题，例如抑郁症。这项研究的目的是检验人口统计资料，与艾滋病相关的污名和社会支持之间的复杂关系，以及它们对泰国PLWHA抑郁症的影响。方法：本研究使用在泰国北部和东北部收集的数据。 2007年，共招募了408名艾滋病病毒感染者并接受了采访。艾滋病相关的污名由两个分量表来衡量：“内在的羞耻感”和“知觉的污名”。基于相关性分析，使用分层多元回归模型检查抑郁症，社会支持和与HIV相关的污名的预测因素，以控制人口统计学特征。结果：相关分析表明，抑郁与柱头的两个维度都显着相关：内在的羞耻感和感觉到的柱头。自我报告的情感社会支持与抑郁症呈负相关。我们发现，控制性别，年龄，收入和教育后，内在的羞耻感和情感上的社会支持是抑郁症的重要预测指标。结论：与艾滋病相关的污名对泰国的艾滋病病毒感染者的心理健康有负面影响，情感上的社会支持仍然是预防抑郁的保护因素。与PLWHA一起工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中并解决社会支持问题对PLWHA的心理健康很有帮助。

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