艾滋病毒/艾滋病感染者的感知耻辱感、心理健康与不安全性行为
Perceived stigma, mental health and unsafe sexual behaviors of people living with HIV/AIDS.
作者信息
Liu Yan, Gong Huanyu, Yang Guoli, Yan Jin
机构信息
Department of infectious disease, Third Xiangya Hospital, Central South University, Changsha 410013, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Jul;39(7):658-63. doi: 10.11817/j.issn.1672-7347.2014.07.002.
OBJECTIVE
To determine the relationship among perceived stigma, mental health and unsafe sexual behaviors of people living with HIV/AIDS.
METHODS
Cross-sectional research was used to interview people living with HIV/AIDS (PLWHA) from April 2012 to March 2013 in Changsha, China. The questionnaires included General Questionnaire, Sexual Behavior Questionnaire, Patient Health Questionnaire Depression Scale (PHQ-9), General Anxiety Disorder Scale (GAD-7) and Psychometric Assessment of the HIV Stigma Scale. The results were statistically analyzed with SPSS18.0.
RESULTS
The total score of perceived stigma and its 4 dimensions were positively correlated with anxiety and depression. The total score of perceived stigma and its dimensions were associated with disclosure, but no significantly correlated with other sexual behaviors. Hierarchical regression showed perceived stigma had an effect on anxiety.
CONCLUSION
The stigma perceived by PLWHA is above the average level. Perceived stigma has an effect on mental health, especially anxiety, but no effect on unsafe sexual behaviors.
目的
确定艾滋病毒/艾滋病感染者的感知耻辱感、心理健康与不安全性行为之间的关系。
方法
采用横断面研究方法，于2012年4月至2013年3月在中国长沙对艾滋病毒/艾滋病感染者（PLWHA）进行访谈。问卷包括一般问卷、性行为问卷、患者健康问卷抑郁量表（PHQ - 9）、广泛性焦虑障碍量表（GAD - 7）以及艾滋病毒耻辱感量表的心理测量评估。结果采用SPSS18.0进行统计学分析。
结果
感知耻辱感总分及其4个维度与焦虑和抑郁呈正相关。感知耻辱感总分及其维度与信息披露有关，但与其他性行为无显著相关性。分层回归显示感知耻辱感对焦虑有影响。
结论
艾滋病毒/艾滋病感染者的感知耻辱感高于平均水平。感知耻辱感对心理健康有影响，尤其是焦虑，但对不安全性行为没有影响。
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