Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Southwestern University of Finance and Economics, Chengdu, Sichuan, China.
Am J Mens Health. 2023 Jul-Aug;17(4):15579883231189622. doi: 10.1177/15579883231189622.
This study explored the current status and influencing factors of HIV-related stigma among elderly men (≥50 years old) in rural Chengdu, China. A structured face-to-face interview survey was conducted among 286 elderly males from three towns in Chengdu using convenience sampling, 240 men (83.9%) who had heard of HIV/AIDS were included in the analysis. Hierarchical regression was used to examine the associated factors of HIV-related stigma, including demographic variables, HIV/AIDS knowledge level, receiving HIV/AIDS-related health education in the past year, depression, and anxiety, and to examine the moderating effect of educational level on HIV/AIDS knowledge and HIV-related stigma. Hierarchical regression analysis showed that men with lower HIV/AIDS knowledge scores, primary school or below educated, and depression had higher HIV-related stigma total score and social stigma dimensional scores than their counterparts. In addition, living alone was associated with higher HIV-related stigma, and elderly men with lower monthly income and those without HIV/AIDS-related health education in the past year had higher levels of social stigma. Higher HIV/AIDS knowledge score was significantly associated with lower HIV-related stigma level among those with middle school or above education level, but no such effect in those with primary school or below. In conclusion, the HIV-related stigma level among elderly men in rural Chengdu was high and positively associated with depression. HIV/AIDS education should target elderly men with low education, living alone, and low income, and interventions to promote mental health may work together to reduce HIV-related stigma in the rural elderly population.
本研究旨在探讨中国成都市农村地区老年男性（≥50 岁）艾滋病相关污名的现状及其影响因素。采用便利抽样法，对成都市三个镇的 286 名老年男性进行了结构化面对面访谈调查，其中 240 名男性（83.9%）听说过艾滋病。采用分层回归分析方法，探讨了与艾滋病相关污名相关的因素，包括人口统计学变量、艾滋病知识水平、过去一年接受艾滋病相关健康教育、抑郁和焦虑，并检验了教育水平对艾滋病知识和艾滋病相关污名的调节作用。分层回归分析结果显示，艾滋病知识得分较低、受教育程度为小学及以下、抑郁的男性艾滋病相关污名总分和社会污名维度得分均高于其对应者。此外，独居与艾滋病相关污名较高有关，月收入较低和过去一年未接受艾滋病相关健康教育的老年男性社会污名程度较高。艾滋病知识得分较高与中学及以上受教育程度的男性艾滋病相关污名水平呈负相关，但在小学及以下受教育程度的男性中则无此关联。总之，成都市农村老年男性的艾滋病相关污名水平较高，且与抑郁呈正相关。艾滋病教育应针对受教育程度较低、独居和收入较低的老年男性，同时促进心理健康的干预措施可能共同作用，以减少农村老年人群体的艾滋病相关污名。
