Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
School of Public Administration, Sichuan University, Chengdu, China.
AIDS Patient Care STDS. 2024 Sep;38(9):453-462. doi: 10.1089/apc.2024.0104. Epub 2024 Aug 12.
Understanding the psychosocial factors influencing self-management behaviors among people with HIV (PWH) is crucial for effective medical interventions and improving their quality of life. However, there has been limited research exploring the psychosocial mechanisms influencing self-management behaviors among PWH in China. Our study examined the relationship between stigma, social support, self-esteem, and self-management behaviors among PWH, as well as whether social support and self-esteem mediate these relationships. Cross-sectional data were collected from 282 PWH in Sichuan Province, China. Data were collected using four validated self-report measures (HIV Stigma Scale, HIV/AIDS Patient Self-Management Scale, Social Support Rating Scale, and Self-Esteem Scale). Structural equation modeling was used to examine the different pathways influencing self-management behaviors. All the impacts on self-management behavior outcomes were found to be significant. The final mediation model indicated that social support and self-esteem significantly mediated the relationship between stigma and self-management behaviors. These findings underscore the importance of addressing stigma and enhancing social support and self-esteem in interventions aimed at promoting self-management behaviors among PWH.
了解影响 HIV 感染者（PWH）自我管理行为的心理社会因素对于有效的医疗干预和提高他们的生活质量至关重要。然而，在中国，针对影响 PWH 自我管理行为的心理社会机制的研究有限。我们的研究考察了 PWH 中的污名、社会支持、自尊与自我管理行为之间的关系，以及社会支持和自尊是否在这些关系中起中介作用。横断面数据来自中国四川省的 282 名 PWH。使用四个经过验证的自我报告量表（HIV 污名量表、HIV/AIDS 患者自我管理量表、社会支持评定量表和自尊量表）收集数据。结构方程模型用于检验影响自我管理行为的不同途径。所有对自我管理行为结果的影响均具有统计学意义。最终的中介模型表明，社会支持和自尊显著中介了污名与自我管理行为之间的关系。这些发现强调了在旨在促进 PWH 自我管理行为的干预措施中，解决污名问题、增强社会支持和自尊的重要性。
