Li Haochu, Chen Xinguang, Yu Bin
a School of Public Health , Shandong University , Jinan , People's Republic of China.
b UNC Project-China, Institute for Global Health & Infectious Diseases, University of North Carolina at Chapel Hill , NC , USA.
AIDS Care. 2016;28(6):722-5. doi: 10.1080/09540121.2016.1140884. Epub 2016 Mar 24.
HIV stigma is widely believed to be related to HIV disclosure. However, there is a dearth of studies examining the mechanisms that link stigma to disclosure. This is a specific study to assess the relationship between perceived stigma and HIV disclosure to casual sex partners based on a social cognitive theory. HIV+ men who have sex with men (MSM) from two US cities (N = 297) completed questionnaires administered using audio computer-assisted self-interviewing. Path modeling analysis was used to assess the theory-based structural relationships. Perceived stigma was negatively associated with attitudes, intention and behavior of HIV disclosure to casual sex partners. The association was fully mediated by disclosure appraisal, including disclosure outcome expectations, costs and self-efficacy. Findings of this study add new knowledge regarding HIV stigma and disclosure, and provide timely data supporting more effective behavioral interventions to encourage HIV disclosure among MSM.
人们普遍认为，艾滋病污名与艾滋病信息披露有关。然而，研究艾滋病污名与信息披露之间联系机制的研究却很匮乏。这是一项基于社会认知理论，评估感知到的污名与向临时性伴侣披露艾滋病感染状况之间关系的专项研究。来自美国两个城市的297名男男性行为者（MSM）完成了通过音频计算机辅助自我访谈进行的问卷调查。路径模型分析用于评估基于理论的结构关系。感知到的污名与向临时性伴侣披露艾滋病感染状况的态度、意图和行为呈负相关。这种关联完全由披露评估所介导，包括披露结果预期、成本和自我效能感在内。本研究结果增加了有关艾滋病污名与信息披露的新知识，并提供了及时的数据，支持采取更有效的行为干预措施，以鼓励男男性行为者披露艾滋病感染状况。
