Infectious Diseases Institute, Department of Safety and Bioethics, Catholic University of Sacred Heart, Rome, Italy.
Department of Psychology, Catholic University, Milan, Italy.
Psychol Rep. 2023 Jun;126(3):1181-1200. doi: 10.1177/00332941211057142. Epub 2022 Jan 11.
The care engagement of people living with HIV (PLWH) measured with the patient health engagement (PHE) model and its association with HIV-related internalized stigma are not well established. Indeed, currently there are no data yet about the engagement of PLWH measured with the PHE model. This study aimed to evaluate the effects of HIV-related internalized stigma on care engagement and mental health and to fill the lack of data on PHE model applied to PLWH. We found that the internalized stigma score was significantly higher for PLWH (=82) in worse care engagement phase and both higher internalized stigma scores and worse engagement were associated to major depression symptoms.In conclusion, our findings describe for the first time the engagement in care of PLWH measured with PHE and highlight the importance of PLWH support to find strategies to cope stigma-related stress and optimize their care engagement.
HIV 感染者（PLWH）的关怀参与度，通过患者健康参与（PHE）模型进行测量，以及与 HIV 相关的内化污名之间的关系尚未得到充分证实。实际上，目前尚无关于使用 PHE 模型测量 PLWH 的参与度的数据。本研究旨在评估 HIV 相关内化污名对关怀参与度和心理健康的影响，并填补在应用于 PLWH 的 PHE 模型方面的数据空白。我们发现，在关怀参与度较差的阶段，PLWH（=82）的内化污名评分显著更高，较高的内化污名评分和较差的参与度均与重度抑郁症状相关。总之，我们的研究结果首次描述了使用 PHE 测量的 PLWH 的关怀参与度，并强调了支持 PLWH 的重要性，以寻找应对与污名相关的压力和优化他们的关怀参与度的策略。
