Mao Yuchen, Li Xiaoming, Qiao Shan, Zhou Yuejiao, Zhao Qun
Department of Health Promotion, Education and Behavior, University of South Carolina, Columbia, USA.
J AIDS Clin Res. 2017;8(1). doi: 10.4172/2155-6113.1000652. Epub 2017 Jan 12.
This study examines the impact of ethnicity and multiple types of HIV-related stigma on adherence to antiretroviral therapy (ART) among 2,146 people living with HIV/AIDS (PLWHA) in Guangxi, China who had initiated ART. The results of multiple binary logistic regressions indicate that those who had experienced enacted stigma tended to report lower adherence, while better adherence was associated with older age, being women and having a job. Ethnicity had a moderator effect on the association between internalized stigma and adherence since better adherence was associated with lower internalized stigma among participants in ethnic minority groups other than Zhuang. Our findings indicate that PLWHA of other ethnic minority groups could benefit from internalized stigma reduction interventions; PLWHA, overall, could benefit most from increased employment opportunities and acquisition of coping skills to mitigate the negative effects of enacted stigma.
本研究调查了种族以及多种与艾滋病相关的耻辱感对中国广西2146名已开始接受抗逆转录病毒治疗（ART）的艾滋病毒/艾滋病感染者（PLWHA）坚持治疗的影响。多项二元逻辑回归结果表明，经历过实际耻辱感的人往往报告较低的治疗依从性，而较高的治疗依从性与年龄较大、女性以及有工作相关。种族对内化耻辱感与治疗依从性之间的关联具有调节作用，因为除壮族外的其他少数民族参与者中，较高的治疗依从性与较低的内化耻辱感相关。我们的研究结果表明，其他少数民族的艾滋病毒/艾滋病感染者可从减少内化耻辱感的干预措施中受益；总体而言，艾滋病毒/艾滋病感染者可从增加就业机会以及获得应对技能以减轻实际耻辱感的负面影响中最大程度地受益。
