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The role of enacted stigma in parental HIV disclosure among HIV-infected parents in China

机译：在中国感染艾滋病毒的父母中，成名的污名化在父母艾滋病毒披露中的作用

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摘要

Existing studies have delineated that HIV-infected parents face numerous challenges in disclosing their HIV infection to the children (parental HIV disclosure), and practices of parental HIV disclosure vary with individual characteristics, family contexts, and social environment. Using cross-sectional data from 1254 HIV-infected parents who had children aged 5-16 years in southwest China, the current study examined the association of parental HIV disclosure with mental health and medication adherence among parents and explored the possible effect of enacted stigma on such association. Multivariate analysis of variance revealed that parents who had experienced disclosure to children reported higher level enacted stigma, worse mental health conditions, and poorer medication adherence. Enacted stigma partially mediated the associations between disclosure and both mental health and medication adherence after controlling basic background characteristics. Our findings highlight the importance of providing appropriate disclosure-related training and counseling service among HIV-infected parents. In a social setting where HIV-related stigma is still persistent, disclosure intervention should address and reduce stigma and discrimination in the practice of parental HIV disclosure.
机译：现有研究表明，感染艾滋病毒的父母在向儿童披露艾滋病毒感染方面面临许多挑战（父母的艾滋病毒披露），父母的艾滋病毒披露行为因个人特征，家庭环境和社会环境而异。本研究使用来自中国西南地区的1254名5-16岁儿童的受HIV感染父母的横断面数据，研究了父母中HIV披露与父母心理健康和药物依从性之间的关系，并探讨了成见的耻辱对父母的影响。这样的关联。多变量方差分析显示，有向孩子披露信息的父母报告了较高的法定耻辱感，较差的心理健康状况和较差的用药依从性。在控制基本的背景特征后，颁布的污名在一定程度上介导了信息披露与心理健康和药物依从性之间的关联。我们的发现强调了在感染HIV的父母中提供适当的与披露相关的培训和咨询服务的重要性。在仍然存在与艾滋病相关的污名的社会环境中，披露干预措施应解决并减少父母对艾滋病毒披露行为的污名和歧视。

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