Department of Special Education and Counselling, The Education University of Hong Kong, Tai Po, Hong Kong.
Department of Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong.
Am J Mens Health. 2019 Oct;13(5):1557988319873778. doi: 10.1177/1557988319873778.
Public stigma surrounding HIV is related to heightened emotional distress, poor psychological functioning, and reduced subjective well-being in people living with HIV. For men who have sex with men (MSM) living with HIV, they may also face stigmatizing attitudes within the gay community, which create an additional burden to their health. Grounded in the psychological mediation framework, the present study examined the underlying psychological processes through which HIV stigma from the public and within the gay community influences the mental and social health of MSM living with HIV. Findings from 206 Chinese MSM living with HIV in Hong Kong indicated that negative self-concept, maladaptive coping, and peer isolation mediated the effect of HIV stigma on mental and social health. The study revealed the cognitive, regulatory, and interpersonal processes underlying HIV stigma and health. Feeling intense HIV stigma from the public and within the gay community may render MSM living with HIV more vulnerable to negative self-concept, maladaptive coping, and peer isolation, which contribute to poor mental and social health. To combat prejudice and discrimination against people living HIV, stigma reduction initiatives should be implemented not only in the public, but also in the gay community. Cognitive-behavioral interventions can also be used to restructure negative self-beliefs and build adaptive emotion regulation skills, which can improve stigma-related health outcomes among MSM living with HIV.
公众对艾滋病病毒的污名与艾滋病毒感染者的情绪困扰加剧、心理功能不良和主观幸福感降低有关。对于感染艾滋病毒的男男性行为者（MSM），他们在同性恋群体中也可能面临污名化的态度，这给他们的健康带来了额外的负担。本研究基于心理中介框架，探讨了公众和同性恋社区对艾滋病病毒的污名如何通过潜在的心理过程影响感染艾滋病病毒的 MSM 的心理健康和社会健康。来自香港 206 名感染艾滋病病毒的中国 MSM 的研究结果表明，消极的自我概念、适应不良的应对方式和同伴隔离中介了艾滋病病毒污名对心理健康和社会健康的影响。该研究揭示了艾滋病病毒污名与健康相关的认知、调节和人际过程。来自公众和同性恋社区的强烈艾滋病病毒污名感可能使感染艾滋病病毒的 MSM 更容易产生消极的自我概念、适应不良的应对方式和同伴隔离，从而导致心理健康和社会健康状况不佳。为了打击针对艾滋病病毒感染者的偏见和歧视，减少污名的举措不仅应在公众中实施，也应在同性恋社区中实施。认知行为干预也可用于重构消极的自我信念和建立适应性的情绪调节技能，从而改善感染艾滋病病毒的 MSM 的与污名相关的健康结果。
