Semel Institute for Neuroscience and Human Behavior - Center for Community Health, University of California, Los Angeles, CA, USA.
National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
AIDS Behav. 2020 Aug;24(8):2347-2354. doi: 10.1007/s10461-020-02794-5.
Stigma poses considerable challenges to the mental health of people living with HIV who use drugs (PLHWUD). In this study, we explored factors related to different types of stigma (perceived and internalized) attached to layered stigmatizing characters (HIV and drug use) and their mental health influences on PLHWUD. The study used baseline data of an ongoing randomized controlled trial among 241 PLHWUD recruited between March and December 2018 in Vietnam. A structural equation model was used to assess the relationships among different types and layers of stigma and mental health status. Both perceived and internalized drug-related stigma measures were significantly higher than their corresponding HIV-related stigma. HIV-related stigma was negatively associated with mental health status; however, we did not find a significant relationship between drug-related stigma and mental health. Tailored intervention strategies in consideration of types and layers of stigma are needed to address stigma-related challenges faced by PLHWUD.
污名化对感染艾滋病病毒并同时使用毒品的人群（HIV 阳性吸毒者）的心理健康造成了相当大的挑战。在本研究中，我们探讨了与附加在分层污名化特征（艾滋病病毒和吸毒）上的不同类型污名（感知污名和内化污名）相关的因素，以及这些污名对 HIV 阳性吸毒者心理健康的影响。该研究使用了 2018 年 3 月至 12 月期间在越南招募的 241 名 HIV 阳性吸毒者正在进行的随机对照试验的基线数据。结构方程模型用于评估不同类型和层次的污名与心理健康状况之间的关系。感知到的和内化的与毒品相关的污名测量值均明显高于相应的与艾滋病病毒相关的污名。与艾滋病病毒相关的污名与心理健康状况呈负相关；然而，我们没有发现与毒品相关的污名与心理健康之间存在显著关系。需要制定考虑污名类型和层次的针对性干预策略，以解决 HIV 阳性吸毒者所面临的与污名相关的挑战。
