Yang H, Li X, Stanton B, Fang X, Lin D, Naar-King S
Carman and Ann Adams Department of Pediatrics, Wayne State University Prevention Research Center, Wayne State University School of Medicine, Detroit, MI 48201, USA.
AIDS Care. 2006 Oct;18(7):717-24. doi: 10.1080/09540120500303403.
Increasing HIV knowledge is a focus of many HIV education and prevention efforts. While the bivariate relationship of HIV serostatus disclosure with HIV-related knowledge and stigma has been reported in the literature, little is known about the mediation effect of stigma on the relationship of HIV knowledge with HIV serostatus disclosure. Data from 4,208 rural-to-urban migrants in China were analyzed to explore this issue. Overall, 70% of respondents reported willingness to disclose their HIV status if they were HIV-positive. Willingness to disclose was negatively associated with misconceptions about HIV transmission and stigma. Stigma mediated the relationship between misconceptions and willingness to disclose among women but not men. The mediation effect of stigma suggests that stigmatization reduction would be an important component of HIV prevention approaches. Gender inequality needs to be addressed in stigmatization reduction efforts.
增加对艾滋病病毒的了解是许多艾滋病病毒教育和预防工作的重点。虽然文献中已报道了艾滋病病毒血清状况披露与艾滋病病毒相关知识及耻辱感之间的二元关系，但对于耻辱感在艾滋病病毒知识与艾滋病病毒血清状况披露关系中的中介作用知之甚少。本研究分析了来自中国4208名农村到城市的流动人口的数据，以探讨这一问题。总体而言，70%的受访者表示，如果他们是艾滋病病毒阳性，愿意披露自己的艾滋病病毒感染状况。披露意愿与对艾滋病病毒传播的误解及耻辱感呈负相关。耻辱感在女性而非男性中中介了误解与披露意愿之间的关系。耻辱感的中介作用表明，减少耻辱感将是艾滋病病毒预防方法的一个重要组成部分。在减少耻辱感的努力中需要解决性别不平等问题。
