Yang Xue, Mak Winnie W S, Ho Connie Y Y, Chidgey Andrew
a Department of Psychology , The Chinese University of Hong Kong , Hong Kong , People's Republic of China.
b AIDS Concern , Hong Kong , People's Republic of China.
AIDS Care. 2017 Jan;29(1):132-136. doi: 10.1080/09540121.2016.1200714. Epub 2016 Jun 26.
The present study examines the mediating effect of love attitude on the associations between relationship quality with self-stigma and mental health among HIV-positive men having sex with men (MSM). Participants included 211 HIV-positive MSM (M = 41.77 years, SD = 11.10) and they were assessed on their relationship quality, love attitudes, HIV-positive self-stigma, and mental health. Structural equation modeling showed that the model fit the data well, χ(50) = 152.80, p < .05, comparative fit index = .94, non-normed fit index = .92, standardized root mean square residual = .08. The indirect effect of perceived relationship quality on self-stigma was significant through love attitude. The indirect effect of love attitude on mental health was significant through reduced self-stigma. The outcomes differed by the number of partners, partner's knowledge of HIV-positive status, relationship nature, and marital status. Implications for developing a positive self-in-love to diminish self-stigma were discussed.
本研究考察了恋爱态度在男男性行为者（MSM）感染艾滋病毒后，关系质量与自我污名及心理健康之间关联中的中介作用。研究对象包括211名感染艾滋病毒的男男性行为者（平均年龄M = 41.77岁，标准差SD = 11.10），并对他们的关系质量、恋爱态度、艾滋病毒阳性自我污名及心理健康进行了评估。结构方程模型显示该模型与数据拟合良好，卡方值χ(50) = 152.80，p <.05，比较拟合指数 = 0.94，非规范拟合指数 = 0.92，标准化根均方残差 = 0.08。感知到的关系质量通过恋爱态度对自我污名产生的间接效应显著。恋爱态度通过降低自我污名对心理健康产生的间接效应显著。结果因性伴侣数量、伴侣对艾滋病毒阳性状态的知晓情况、关系性质及婚姻状况而有所不同。文中讨论了培养积极自爱的态度以减少自我污名的意义。
