Feifei Huang, RN, PhD, is an Associate Professor, School of Nursing, Fujian Medical University, Fuzhou, Fujian province, China. Wei-Ti Chen, RN, CNM, PhD, FAAN, Associate Professor, School of Nursing, University of California Los Angeles, Los Angeles, California, USA. Cheng-Shi Shiu, MSW, PhD, GStat, Associate Professor, Department of Social Work, National Taiwan University, Taipei, Taiwan. Sai Htun Lin, M.B., B.S., Advocacy, Human Right & Technical Services Department, Secretariat Office, Myanmar Positive Group (MPG), Yangon, Myanmar. Min San Tun, MS, Advocacy, Human Right & Technical Services Department, Secretariat Office, Myanmar Positive Group (MPG), Yangon, Myanmar. Thet Wai Nwe, MPH, National AIDS Program, Department of Public Health, Ministry of Health and Sports, Naypyidaw, Myanmar. Yin Thet Nu Oo, M.B., B.S, MPH, Deputy Director, Health System Research Division, Department of Medical Research, Yangon, Myanmar. Htun Nyunt Oo, M.B., B.S, MPH, Deputy Director, Health System Research Division, Department of Medical Research, Yangon, Myanmar.
J Assoc Nurses AIDS Care. 2022;33(5):559-566. doi: 10.1097/JNC.0000000000000352. Epub 2022 Jul 21.
HIV is a highly stigmatized and stressful condition for people with HIV (PWH). As a country heavily influenced by religion, especially Buddhism, we explore how the perceived stress from HIV stigma interacts with the mediator of mindfulness on PWH in Myanmar. From January to July 2020, a sample of 248 eligible PWH was recruited by quasi-random sampling methods from a private Facebook group in Myanmar. Data on demographics, HIV stigma, mindfulness, and perceived stress were collected. The bias-corrected percentile bootstrap method was used to test multiple mediation analyses. The path from perceived HIV stigma to perceived stress (direct effect β = 0.16) and the mediating effect of mindfulness on that stress were significant (indirect effect accounts for 45.15% of total effect). The findings indicate that interventions enhancing mindfulness-based practice should be considered to reduce HIV stigma and, therefore, lower perceived stress among PWH in Myanmar.
艾滋病毒（HIV）对艾滋病毒感染者（PWH）来说是一种高度污名化和压力大的状况。作为一个深受宗教影响的国家，特别是佛教，我们探讨了 HIV 污名化所带来的感知压力如何与缅甸 PWH 的正念中介相互作用。2020 年 1 月至 7 月，通过准随机抽样方法，从缅甸的一个私人 Facebook 群组中招募了 248 名符合条件的 PWH 作为研究对象。收集了人口统计学、HIV 污名、正念和感知压力的数据。采用偏倚校正百分位 bootstrap 方法检验多重中介分析。感知到的 HIV 污名与感知到的压力之间的路径（直接效应 β=0.16）以及正念对这种压力的中介作用具有统计学意义（间接效应占总效应的 45.15%）。研究结果表明，应当考虑加强基于正念的实践干预措施，以减少缅甸 PWH 中的 HIV 污名化，从而降低他们的感知压力。
