School of Nursing, University of California Los Angeles, Los Angeles, CA, USA.
School of Nursing, Fujian Medical University, Fuzhou, China.
AIDS Care. 2024 Feb;36(2):255-262. doi: 10.1080/09540121.2023.2254545. Epub 2023 Sep 6.
Stigma has heavily impacted People Living with HIV (PLWH). Limited studies report on how social support affects HIV-related stigma and perceived stress, especially in Myanmar. During first seven months of 2020, a random sample of 248 eligible PLWH were contacted from a private, closed Facebook group with more than 18,000 Myanmar people, where 90% of the members were PLWH. Variables collected included demographics data, perceived stress, social support, and HIV stigma. After controlling for the effects of demographic variables, the path from HIV stigma to perceived stress (direct effect = 0.40) and though the mediation of social support was significant (indirect effect = 0.014). However, the mediating effect of social support was non-significant between HIV stigma and perceived stress. This exploratory study shows that social support did not have the expected effect of decreasing perceived stress in PLWH in Myanmar. Interventions to reduce HIV stigma to decrease perceived stress should consider other strategies, e.g., spirituality-based practice, to reduce perceived stress in Myanmar PLWH.
污名化严重影响了艾滋病毒感染者（PLWH）。有限的研究报告了社会支持如何影响与艾滋病毒相关的污名和感知压力，特别是在缅甸。在 2020 年的前七个月，从一个拥有超过 18000 名缅甸成员的私人封闭 Facebook 群组中随机抽取了 248 名符合条件的 PLWH 进行联系，该群组中 90%的成员是 PLWH。收集的变量包括人口统计学数据、感知压力、社会支持和艾滋病毒污名。在控制了人口统计学变量的影响后，艾滋病毒污名与感知压力之间的路径（直接效应=0.40）和通过社会支持的中介作用是显著的（间接效应=0.014）。然而，社会支持在艾滋病毒污名和感知压力之间的中介作用不显著。这项探索性研究表明，在缅甸，社会支持并没有起到降低 PLWH 感知压力的预期效果。为了降低感知压力而减少艾滋病毒污名的干预措施应考虑其他策略，例如基于灵性的实践，以减少缅甸 PLWH 的感知压力。
