Influencing factors of perceived stigma among people living with HIV/AIDS: a cross-sectional survey_Chinese Journal of Evidence-Based Medicine

Authors：

LUO Shanxia ¹ , YANG Dongju ² , HUANG Xia ¹ , YANG Xiaojing ³ , LI Xu ⁴ ,  DU Liang ⁵

1. Department of Mental Health Center, West China Hospital of Sichuan University, Chengdu, 610041, P.R.China;
2. School of Nursing, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
3. Department of Infection, Public Health Clinic Center of Chengdu, Chengdu, 610061, P.R.China;
4. Yibin Psychiatric Hospital of Sichuan Provine, Yibin, 644600, P.R.China;
5. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding?author：

DU Liang, Email: dulliang0606@vip.sina.com

Keywords：

Human immunodeficiency virus; Acquired immunodeficiency syndrome; Stigma; Cross-sectional survey

DOI：

10.7507/1672-2531.201803042

Video：

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Objective To investigate the level and influencing factors of perceived HIV stigma and discrimination among people living with HIV/AIDS (PLWHA). Methods By using convenience sampling method, 123 patients were recruited from the department of infectious diseases in a tertiary hospital in Chengdu from April to May in 2017. Berger HIV stigma scale was used to measure the level of perceived HIV stigma. Results The mean score of Berger HIV stigma scale was 113.72±17.890, which revealed a middle to upper level. Among the four subscales, the score of disclosure concerns (3.07±0.462) was the highest, while the score of negative self-image (2.70±0.494) was the lowest. Multiple regression analysis showed that gender and self-perceived health status were the influencing factors of perceived HIV stigma. Conclusions The level of perceived HIV stigma among PLWHA is from middle to upper level. Female gender and poor self-perceived health status are associated with a higher level of perceived HIV stigma. Individualized interventions are required in order to reduce the level of HIV stigma.

Citation： LUO Shanxia, YANG Dongju, HUANG Xia, YANG Xiaojing, LI Xu, DU Liang. Influencing factors of perceived stigma among people living with HIV/AIDS: a cross-sectional survey. Chinese Journal of Evidence-Based Medicine, 2018, 18(6): 560-564. doi: 10.7507/1672-2531.201803042 Copy

1.	World Health Organization. World AIDS Day 1 December 2016. Available at: http://www.who.int/campaigns/aids day/2016/event/en/.
2.	中國疾病預防控制中心, 性病艾滋病預防控制中心, 性病控制中心. 2016 年第 2 季度全國艾滋病性病疫情及主要防治工作進展. 中國艾滋病性病, 2016, 22(8): 585.
3.	Jacobi CA, Atanga PN, Bin LK, et al. HIV/AIDS-related stigma felt by people living with HIV from Buea, Cameroon. AIDS Care, 2013, 25(2): 173-180.
4.	Berger BE, Ferrans CE, Lashley FR. Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Res Nurs Health, 2001, 24(6): 518-529.
5.	Grossman CI, Stangl AL. Global action to reduce HIV stigma and discrimination. J Int AIDS Soc, 2013, 16(3 Suppl 2): 18881.
6.	李真, 王克榮, 繩宇. 中文版艾滋病感知歧視量表的信效度研究. 中華護理雜志, 2015, 50(7): 882-885.
7.	李真, 繩宇. 河南省 HIV 感染者與 AIDS 患者感知歧視的現狀研究. 中華護理雜志, 2014, 49(5): 522-525.
8.	李真, 徐曉華, 繩宇. HIV 感染者和 AIDS 患者感知歧視的心理體驗. 中華護理雜志, 2014, 49(12): 1420-1424.
9.	Chaudoir SR, Fisher JD, Simoni JM. Understanding HIV disclosure: a review and application of the disclosure processes model. Soc Sci Med, 2011, 72(10): 1618-1629.
10.	Galvan FH, Davis EM, Banks D, et al. HIV stigma and social support among African Americans. AIDS Patient Care STDS, 2008, 22(5): 423-436.
11.	Loutfy MR, Logie CH, Zhang Y, et al. Gender and ethnicity differences in HIV-related stigma experienced by people living with HIV in Ontario, Canada. PLoS One, 2012, 7(12): e48168.
12.	琚臘紅, 呂繁, 徐鵬, 等. 從性別視角分析 HIV 感染者和艾滋病患者自我歧視狀況及其影響因素. 中華預防醫學雜志, 2016, 50(10): 863-868.
13.	徐莉, 游莉. 農村艾滋病群體社會歧視的維度分析. 學習與實踐, 2013, (12): 107-114.
14.	Pantelic M, Shenderovich Y, Cluver L, et al. Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa. Health Psychol Rev, 2015, 9(4): 469-490.
15.	Busza JR. Promoting the positive: responses to stigma and discrimination in Southeast Asia. AIDS Care, 2001, 13(4): 441-456.
16.	世界衛生組織. 艾滋病毒/艾滋病. Available at: http://www.who.int/mediacentre/factsheets/fs360/zh/.

1. World Health Organization. World AIDS Day 1 December 2016. Available at: http://www.who.int/campaigns/aids day/2016/event/en/.
2. 中國疾病預防控制中心, 性病艾滋病預防控制中心, 性病控制中心. 2016 年第 2 季度全國艾滋病性病疫情及主要防治工作進展. 中國艾滋病性病, 2016, 22(8): 585.
3. Jacobi CA, Atanga PN, Bin LK, et al. HIV/AIDS-related stigma felt by people living with HIV from Buea, Cameroon. AIDS Care, 2013, 25(2): 173-180.
4. Berger BE, Ferrans CE, Lashley FR. Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Res Nurs Health, 2001, 24(6): 518-529.
5. Grossman CI, Stangl AL. Global action to reduce HIV stigma and discrimination. J Int AIDS Soc, 2013, 16(3 Suppl 2): 18881.
6. 李真, 王克榮, 繩宇. 中文版艾滋病感知歧視量表的信效度研究. 中華護理雜志, 2015, 50(7): 882-885.
7. 李真, 繩宇. 河南省 HIV 感染者與 AIDS 患者感知歧視的現狀研究. 中華護理雜志, 2014, 49(5): 522-525.
8. 李真, 徐曉華, 繩宇. HIV 感染者和 AIDS 患者感知歧視的心理體驗. 中華護理雜志, 2014, 49(12): 1420-1424.
9. Chaudoir SR, Fisher JD, Simoni JM. Understanding HIV disclosure: a review and application of the disclosure processes model. Soc Sci Med, 2011, 72(10): 1618-1629.
10. Galvan FH, Davis EM, Banks D, et al. HIV stigma and social support among African Americans. AIDS Patient Care STDS, 2008, 22(5): 423-436.
11. Loutfy MR, Logie CH, Zhang Y, et al. Gender and ethnicity differences in HIV-related stigma experienced by people living with HIV in Ontario, Canada. PLoS One, 2012, 7(12): e48168.
12. 琚臘紅, 呂繁, 徐鵬, 等. 從性別視角分析 HIV 感染者和艾滋病患者自我歧視狀況及其影響因素. 中華預防醫學雜志, 2016, 50(10): 863-868.
13. 徐莉, 游莉. 農村艾滋病群體社會歧視的維度分析. 學習與實踐, 2013, (12): 107-114.
14. Pantelic M, Shenderovich Y, Cluver L, et al. Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa. Health Psychol Rev, 2015, 9(4): 469-490.
15. Busza JR. Promoting the positive: responses to stigma and discrimination in Southeast Asia. AIDS Care, 2001, 13(4): 441-456.
16. 世界衛生組織. 艾滋病毒/艾滋病. Available at: http://www.who.int/mediacentre/factsheets/fs360/zh/.

Chinese Journal of Evidence-Based Medicine

Influencing factors of perceived stigma among people living with HIV/AIDS: a cross-sectional survey

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