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Emotional, physical and financial burdens of stigma against people living with HIV/AIDS in China

机译:对中国艾滋病毒/艾滋病感染者的耻辱情绪,身体和经济负担

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Numerous researches have shown pernicious effects of stigma against people living with HIV/AIDS (PLWHA). However, no available studies have reported these negative effects including emotional, physical to financial burdens to PLWHA. In the current study, we aim to explore different types of stigma (e.g., perceived, internalized and enacted) and the relevant consequences among PLWHA in China. A cross-sectional study was conducted from 2012 to 2013 in the Guangxi Autonomous Region in China. The validated Berger HIV Stigma Scale was used to measure various types of stigma. We employed a series of linear, logistic and polytomous regression models to assess the association between stigma and different consequences while accounting for potential confounders for each specific model. Of the total sample, 2987 PLWHA provided valid responses with 63% being male and having an average age of 42.9 years. Perceived, internalized and enacted HIV stigma were prevalent among participants, and resulted in various burdens with different magnitudes in their life contexts. Specially, PLWHA who reported higher perceived and internalized stigma were more likely to be imposed on emotional and physical burdens (p < .05). People who reported higher enacted stigma had heavier financial burden compared to their peers (p < .05). Our findings revealed that devastating consequences of HIV-related stigma in China. The prevalent stigmatizing attitudes have pushed PLWHA to the fringes of society and affected them at multiple aspects in their life context. We call for tailored efforts to overcome stigma and discrimination against PLWHA.
机译:大量研究表明,耻辱感对艾滋病毒/艾滋病感染者(PLWHA)有害。但是,没有可用的研究报告这些负面影响,包括对PLWHA的情感,身体到财务负担。在当前的研究中,我们旨在探讨不同类型的污名(例如,被感知的,内部化的和颁布的)以及在中国PLWHA之间的相关后果。 2012年至2013年在中国广西自治区进行了横断面研究。经过验证的Berger HIV污名量表用于测量各种类型的污名。我们采用了一系列线性,逻辑和多变量回归模型来评估柱头和不同后果之间的关联,同时考虑每种特定模型的潜在混杂因素。在总样本中,有2987名PLWHA提供了有效的回应,其中63%为男性,平均年龄为42.9岁。参与者之间普遍存在被感知,内化和颁布的艾滋病毒耻辱感,并在他们的生活环境中造成了不同程度的各种负担。特别是,报告了较高的知觉和内在污名的PLWHA更有可能承受情绪和身体负担(p <.05)。报告制定的耻辱感较高的人与同龄人相比,财政负担较重(p <.05)。我们的研究结果表明,中国与艾滋病相关的污名带来了毁灭性后果。普遍的侮辱态度将艾滋病病毒/艾滋病感染者推到了社会的边缘,并在他们的生活背景中的多个方面影响了他们。我们呼吁采取有针对性的努力,以克服对艾滋病病毒感染者的污名和歧视。

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