Santa-Cruz-Espinoza Henry, Domínguez-Vergara Julio, Guzmán-Rodríguez Natalia Mavila, Molina-Alvarado Janeth, Castañeda-Paredes Jennifer, Chávez-Ventura Gina
Escuela de Psicología, Universidad Autónoma del Perú, Lima 15842, Peru.
Dirección de Investigación, Universidad Tecnológica del Perú, Lima 15046, Peru.
Int J Environ Res Public Health. 2025 Jun 13;22(6):935. doi: 10.3390/ijerph22060935.
Exposure to HIV-related stigma and mental health problems have both been reported by HIV-positive individuals. We analyzed the role of social support as a mediator in the relationship between HIV-associated stigma and mental health among adults living with HIV. A total of 303 people aged 18 years and over (M = 40.5; SD = 11.2) with an HIV diagnosis who were selected using a non-probability convenience sampling method in Trujillo, Peru, participated in this study. The Macro PROCESS program for SPSS was used for data analysis. We found that stigma exerts an indirect effect on the mental health among adults living with HIV, mediated through social support (β = -0.05, SE = 0.02; 95% CI [-0.09; -0.02]). However, stigma does not exert a direct effect on mental health (β = -0.08; = 0.21). It is concluded that social support negatively and fully mediates the relationship between HIV-linked stigma and mental health among adults living with HIV. A higher stigma was associated with lower social support, and lower social support negatively affects mental health. For this reason, strengthening social support networks in adults with HIV may have a positive impact on public health.
艾滋病毒呈阳性的个体报告了遭受与艾滋病毒相关的耻辱感以及出现心理健康问题的情况。我们分析了社会支持作为中介变量在感染艾滋病毒的成年人中艾滋病毒相关耻辱感与心理健康之间关系中的作用。在秘鲁特鲁希略，采用非概率便利抽样方法选取了303名年龄在18岁及以上（M = 40.5；标准差 = 11.2）且被诊断感染艾滋病毒的人参与本研究。使用适用于SPSS的宏过程程序进行数据分析。我们发现，耻辱感通过社会支持的中介作用，对感染艾滋病毒的成年人的心理健康产生间接影响（β = -0.05，标准误 = 0.02；95%置信区间[-0.09；-0.02]）。然而，耻辱感对心理健康没有直接影响（β = -0.08；p = 0.21）。研究得出结论，社会支持在感染艾滋病毒的成年人中艾滋病毒相关耻辱感与心理健康之间的关系中起负面且完全中介的作用。较高的耻辱感与较低的社会支持相关联，而较低的社会支持对心理健康产生负面影响。因此，加强感染艾滋病毒成年人的社会支持网络可能对公共卫生产生积极影响。
