Zhao Qun, Li Xiaoming, Zhao Guoxiang, Zhao Junfeng, Fang Xiaoyi, Lin Xiuyun, Stanton Bonita
School of Public Administration, Nanjing University of Information Science and Technology, Nanjing, China.
AIDS Educ Prev. 2011 Aug;23(4):341-50. doi: 10.1521/aeap.2011.23.4.341.
The current study was designed to assess the level of AIDS knowledge and its relationship with personal stigma toward people living with HIV/AIDS (PLWHA) among children living in communities of high HIV prevalence in rural China. The data were collected in 2009 from 118 orphanage orphans (children who had lost both of their parents to HIV and living in AIDS orphanages), 299 family-cared orphans (children who had lost one or both of their parents to HIV and living with surviving parents or extended families), 326 vulnerable children (children who were living with HIV-infected alive parents), and 276 comparison children (children from the same community who did not experience HIV-related illness and death in their family). Children were asked to answer 20 questions of AIDS knowledge. A 10-item stigma scale was employed to assess children's own attitude toward PLWHA. Both bivariate and multivariate tests were performed to answer our research questions. The data in the current study demonstrate a relatively low percent of correct AIDS knowledge (60%) among samples. The comparison children reported the best score of AIDS knowledge and orphanage orphans scored the lowest. The children with better AIDS knowledge have less personal stigma toward PLWHA. The findings in the current study suggest the need of appropriate education strategies to provide AIDS knowledge to children, particularly for HIV-affected children living in communities of high HIV prevalence in rural China.
本研究旨在评估中国农村艾滋病高流行社区儿童的艾滋病知识水平及其与对艾滋病毒/艾滋病感染者（PLWHA）个人污名化的关系。2009年收集了118名孤儿院孤儿（因艾滋病失去双亲且生活在艾滋病孤儿院的儿童）、299名家庭照料孤儿（因艾滋病失去一方或双方双亲且与在世父母或大家庭生活在一起的儿童）、326名易感染儿童（父母感染艾滋病毒仍在世的儿童）以及276名对照儿童（来自同一社区且家庭中未经历与艾滋病相关疾病和死亡的儿童）的数据。儿童被要求回答20个艾滋病知识问题。采用一个包含10个条目的污名量表来评估儿童对艾滋病毒/艾滋病感染者的个人态度。进行了双变量和多变量测试以回答我们的研究问题。本研究中的数据表明样本中艾滋病知识正确比例相对较低（60%）。对照儿童的艾滋病知识得分最高，孤儿院孤儿得分最低。艾滋病知识掌握较好的儿童对艾滋病毒/艾滋病感染者的个人污名化程度较低。本研究结果表明需要采取适当的教育策略，向儿童，特别是中国农村艾滋病高流行社区受艾滋病影响的儿童提供艾滋病知识。
