AIDS Behav. 2014 Feb;18 Suppl 2(0 2):S212-20. doi: 10.1007/s10461-013-0662-2.
This study explores the feelings, experiences, and coping strategies of people living with HIV (PLHIV) in Liuzhou, China. In a southwestern Chinese city with high HIV prevalence, we conducted semi-structured in-depth interviews with 47 PLHIV selected to represent individuals who had acquired HIV via different acquisition routes. Many participants felt severely stigmatized; they commonly reported having very low self-esteem and feelings of despair. Based on style of coping and whether it occurred at the interpersonal or intrapersonal level, four types of coping that participants used to deal with HIV-associated stigma were identified: (1) Compassion (Passive/Avoidant-Interpersonal); (2) Hiding HIV status (Passive/Avoidant-Intrapersonal); (3) Social support (Active/Problem-focused-Interpersonal; and (4) Self-care (Active/Problem-focused-Intrapersonal). Educational and stigma-reduction interventions targeting potential social support networks for PLHIV (e.g., family, close friends, and peers) could strengthen active interpersonal PLHIV coping strategies. Interventions teaching self-care to PLHIV would encourage active intrapersonal coping, both of which may enhance PLHIV quality of life in Liuzhou, China.
本研究探讨了中国柳州市 HIV 感染者（PLHIV）的感受、经历和应对策略。在中国西南部一个 HIV 感染率较高的城市，我们对 47 名经不同途径感染 HIV 的 PLHIV 进行了半结构式深入访谈。许多参与者感到严重的污名化；他们普遍报告自尊心极低，感到绝望。根据应对方式以及是在人际层面还是在个体层面发生，参与者用于应对与 HIV 相关污名的四种应对方式被确定：（1）同情（被动/回避-人际）；（2）隐瞒 HIV 状况（被动/回避-个体内）；（3）社会支持（主动/问题聚焦-人际）；和（4）自我护理（主动/问题聚焦-个体内）。针对 PLHIV 潜在社会支持网络（如家庭、亲密朋友和同伴）的教育和减少污名的干预措施可以加强积极的人际 PLHIV 应对策略。向 PLHIV 教授自我护理的干预措施将鼓励积极的个体内应对，这两者都可能提高中国柳州市 PLHIV 的生活质量。
