Hao Chun, Liu Hongjie
Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland College Park, USA.
Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland College Park, USA
Glob Health Promot. 2015 Jun;22(2):40-52. doi: 10.1177/1757975914537321. Epub 2014 Aug 1.
Few studies have investigated the relationship between HIV stigma and social network components at the dyadic level. The objective of this study was to examine the actor and partner effects of perceived HIV stigma by people living with HIV/AIDS (PLWHAs) and their caregivers on social network variables at the dyadic level.
An egocentric social network study was conducted among 147 dyads consisting of one PLWHA and one caregiver (294 participants) in Nanning, China. The actor-partner interdependence model (APIM) was used to analyze the relationships between perceived HIV stigma and social network components (network relations, network structures, and network functions) at the dyadic level.
We found in this dyadic analysis that: (1) social network components were similar between PLWHAs and their caregivers; (2) HIV stigma perceived by PLWHAs influenced their own social network components, whereas this influence did not exist between caregivers' perceived HIV stigma and their own social network components; (3) a few significant partner effects were observed between HIV stigma and social network components among both PLWHAs and caregivers.
The interrelationships between HIV stigma and social network components were complex at the dyadic level. Future interventions programs targeting HIV stigma should focus on the interpersonal relationship at the dyadic level, beyond the intrapersonal factors.
很少有研究在二元层面上调查艾滋病毒污名与社会网络组成部分之间的关系。本研究的目的是在二元层面上检验艾滋病毒/艾滋病感染者(PLWHA)及其照顾者所感知的艾滋病毒污名对社会网络变量的行为者效应和伴侣效应。
在中国南宁对由一名艾滋病毒/艾滋病感染者和一名照顾者组成的147对二元组(294名参与者)进行了自我中心社会网络研究。采用行为者-伴侣相互依赖模型(APIM)分析二元层面上所感知的艾滋病毒污名与社会网络组成部分(网络关系、网络结构和网络功能)之间的关系。
在本次二元分析中我们发现:(1)艾滋病毒/艾滋病感染者与其照顾者的社会网络组成部分相似;(2)艾滋病毒/艾滋病感染者所感知的艾滋病毒污名影响其自身的社会网络组成部分,而照顾者所感知的艾滋病毒污名与其自身的社会网络组成部分之间不存在这种影响;(3)在艾滋病毒/艾滋病感染者和照顾者中,艾滋病毒污名与社会网络组成部分之间均观察到一些显著的伴侣效应。
在二元层面上,艾滋病毒污名与社会网络组成部分之间的相互关系很复杂。未来针对艾滋病毒污名的干预项目应关注二元层面的人际关系,而不仅仅是个体层面的因素。