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The mediating role of individual resilience resources in stigma-health relationship among people living with HIV in Guangxi, China

机译:广西个体感染力资源在艾滋病毒感染者耻辱与健康关系中的中介作用

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Despite the vigorous global efforts to reduce stigma, HIV-related stigma continues to undermine the health status of people living with HIV (PLHIV). Internalized HIV stigma may cause stress adversely affecting the health of PLHIV. Resilience is the process of an effective coping and positive adaption in the face of adversities. To date, limited data are available on the mediating role of resilience in the relationship of internalized HIV stigma and health status among PLHIV in China. A cross-sectional survey was conducted among 2987 PLHIV in Guangxi Autonomous Region (Guangxi) in China. A mediation analysis was employed and Sobel test was used to test the mediation effect of individual resilience. Of the 2987 PLHIV, 62.8% were men. The mean age of the sample was 42.5 years (SD=12.8). Over 57.7% of PLHIV reported their overall health status being poor. About 72% of PLHIV reported experiencing internalized HIV stigma. Internalized HIV stigma had a negative direct effect on self-rated health status (p<.001). Individual resilience resources mediated the relationship between internalized HIV stigma and self-rated health status (p<.001). Sobel test confirmed the mediation effect of resilience (z=-8.359, SE=0.003, p<.001). Resilience as a protective factor might buffer the effect of internalized HIV stigma on health status. Multilevel interventions are needed to foster resilience of PLHIV in order to mitigate the negative impact of HIV stigma and to improve the overall health status of PLHIV.
机译:尽管全球为减少污名化做出了巨大努力,但与艾滋病毒有关的污名化仍在破坏艾滋病毒携带者的健康状况。内在的艾滋病毒耻辱感可能引起压力,从而对PLHIV的健康产生不利影响。韧性是面对逆境时有效应对和积极适应的过程。迄今为止,在中国艾滋病毒感染者内部化的污名化与健康状况之间的关系中,关于复原力的中介作用的可用数据有限。在中国广西自治区(广西)对2987名艾滋病病毒感染者进行了横断面调查。使用了调解分析,并使用Sobel检验来测试个体适应力的调解效果。在2987名艾滋病毒携带者中,男性占62.8%。样本的平均年龄为42.5岁(SD = 12.8)。超过57.7%的艾滋病毒携带者报告总体健康状况较差。约有72%的艾滋病毒感染者报告称遭受了内部的艾滋病毒耻辱感。内在的艾滋病毒污名对自我评估的健康状况有负面的直接影响(p <.001)。个体的适应力资源介导了艾滋病毒内部污名化与自我评估的健康状况之间的关系(p <.001)。 Sobel试验证实了弹性的介导作用(z = -8.359,SE = 0.003,p <.001)。复原力作为保护因素可能会缓冲内在的艾滋病毒污名对健康状况的影响。需要采取多级干预措施来增强艾滋病毒感染者的抵御能力,以减轻艾滋病毒耻辱感的负面影响并改善艾滋病毒感染者的整体健康状况。

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