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HIV+ 少数族裔女性的族群认同与感知压力:应对自我效能感和社会支持的作用。

Ethnic identity and perceived stress in HIV+ minority women: the role of coping self-efficacy and social support.

机构信息

University of Miami, Miami, FL 33136, USA.

出版信息

Int J Behav Med. 2012 Mar;19(1):23-8. doi: 10.1007/s12529-010-9121-x.

DOI:10.1007/s12529-010-9121-x
PMID:20890774
Abstract

BACKGROUND

Ethnic minority women living with HIV (WLWH) face multiple stigmas that can contribute to overwhelming levels of stress, which could hamper their ability to manage their chronic disease. Little is known about whether having a greater sense of ethnic identity might insulate WLWH from stress. It is also possible that certain cognitive and interpersonal factors (i.e., coping self-efficacy and perceived social support) may act as mediators of this relationship. We hypothesized that WLWH with a greater sense of ethnic identity would report less stress because they access these cognitive and interpersonal resources to better manage stressors.

PURPOSE

The present study (1) related ethnic identity to perceived stress and (2) examined coping self-efficacy and social support as co-mediators of this relationship in a sample of low-income minority WLWH.

METHOD

Ninety-two minority women (89% African American) completed self-report psychosocial measures including the Multigroup Ethnic Identity Measure (MEIM), Perceived Stress Scale (PSS), Cognitive Coping Self-efficacy Scale (CCSE), and Social Provision Scale (SPS).

RESULTS

Greater ethnic identity was associated with less perceived stress, and this relationship was mediated by greater levels of both coping self-efficacy and social support.

CONCLUSIONS

WLWH who identify more with their ethnic group may experience less stress via their access to more cognitive and interpersonal resources.

摘要

背景

少数民族 HIV 感染者(WLWH)面临着多种污名化,这可能导致他们承受巨大的压力,从而影响他们管理慢性疾病的能力。目前尚不清楚,较强的族群认同感是否能使 WLWH 免受压力的影响。也有可能是某些认知和人际因素(即应对自我效能感和感知到的社会支持)在其中发挥了中介作用。我们假设,族群认同感较强的 WLWH 报告的压力较小,因为他们可以利用这些认知和人际资源来更好地应对压力源。

目的

本研究(1)探讨族群认同感与感知压力之间的关系,(2)在低收入少数民族 WLWH 样本中,检验应对自我效能感和社会支持作为这种关系的共同中介因素。

方法

92 名少数民族妇女(89%为非裔美国人)完成了自我报告的心理社会测量,包括多群体族群认同感量表(MEIM)、感知压力量表(PSS)、认知应对自我效能感量表(CCSE)和社会支持量表(SPS)。

结果

较强的族群认同感与较低的感知压力相关,这种关系是通过更高水平的应对自我效能感和社会支持来介导的。

结论

与族群认同感较强的 WLWH 可能通过获得更多的认知和人际资源来减轻压力。

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