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艾滋病病毒知识在大学生的艾滋病病毒检测史与耻辱感之间起中介作用。

HIV knowledge mediates the relationship between HIV testing history and stigma in college students.

作者信息

James Tyler G, Ryan Sadie J

机构信息

a Quantitative Disease Ecology and Conservation Lab, Department of Geography , University of Florida , Gainesville , Florida , USA.

b Emerging Pathogens Institute , University of Florida , Gainesville , Florida , USA.

出版信息

J Am Coll Health. 2018 Oct;66(7):561-569. doi: 10.1080/07448481.2018.1432623. Epub 2018 Mar 26.

DOI:10.1080/07448481.2018.1432623
PMID:29405896
Abstract

OBJECTIVE: HIV-related stigma is one of the strongest barriers to prevention and treatment. HIV prevalence in U.S. college students is estimated around 0.02%, but is thought to be drastically underreported. We examined the influence of HIV knowledge on the relationship between HIV testing history and stigma in college students. PARTICIPANTS: A random sample of 2343 students, over the age of 18, attending a large university in the southeastern United States completed the survey in January 2016. METHODS: A mediation model was constructed in regression framework to explore the relationship between HIV testing history, knowledge, and stigma. RESULTS: HIV testing history was associated with higher knowledge scores (a path: B = 4.08, p < .001) and higher knowledge scores were associated with lower stigma (b path: B = .01, p < .001). These results suggest that HIV knowledge partially mediates the relation between HIV testing history and stigma in college students. CONCLUSIONS: HIV testing history may decrease stigma by increasing knowledge. Results can be used to inform college health promotion practice on developing programs and services.

摘要

目的：与艾滋病病毒相关的污名是预防和治疗的最大障碍之一。据估计，美国大学生中的艾滋病病毒感染率约为0.02%，但据信实际感染率被严重低估。我们研究了艾滋病病毒知识对大学生艾滋病病毒检测史与污名之间关系的影响。 参与者：2016年1月，对美国东南部一所大型大学的2343名18岁以上学生进行随机抽样，这些学生完成了调查。 方法：在回归框架中构建中介模型，以探讨艾滋病病毒检测史、知识和污名之间的关系。 结果：艾滋病病毒检测史与较高的知识得分相关（路径a：B = 4.08，p < .001），较高的知识得分与较低的污名相关（路径b：B = .01，p < .001）。这些结果表明，艾滋病病毒知识在一定程度上介导了大学生艾滋病病毒检测史与污名之间的关系。 结论：艾滋病病毒检测史可能通过增加知识来减少污名。研究结果可用于为大学健康促进实践中制定项目和服务提供参考。

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