新确诊HIV阳性男男性行为者一般自我效能与HIV相关羞辱的关系

王娜; 仇小强; 阮玉华

doi:10.16462/j.cnki.zhjbkz.2019.12.019

新确诊HIV阳性男男性行为者一般自我效能与HIV相关羞辱的关系

doi: 10.16462/j.cnki.zhjbkz.2019.12.019

1.
541100 桂林, 桂林医学院公共卫生学院流行病与卫生统计学教研室
2.
530021 南宁, 广西医科大学公共卫生学院流行病与卫生统计学教研室
3.
102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心病毒与免疫室

基金项目:

美国国立卫生研究院"Multi-component HIV Intervention Packages for Chinese MSM" R01AI094562

详细信息

通讯作者:
王娜, E-mial: wangna2413@163.com

中图分类号: R512.91
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- 被引次数: 0
出版历程
- 收稿日期: 2019-04-23
- 修回日期: 2019-08-10
- 刊出日期: 2019-12-10

Association between general self-efficacy and HIV-related stigma among newly HIV-diagnosed man who have sex with man

1.
Department of Epidemiology and Health Statistics, School of Public Health, Guilin Medical University, Guilin 541100, China
2.
Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
3.
Division of Virology and Immunology, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

Funds:

America National Institutes of Health R01AI094562

More Information

Corresponding author: Wang Na, E-mail: wangna2413@163.com

摘要

摘要: 目的了解新确诊人类免疫缺陷病毒（human immunodeficiency virus，HIV）阳性男男性行为者（men who have sex with men，MSM）一般自我效能（general self-efficacy，GSES）与HIV相关羞辱的关系。方法 2013年4月-2014年4月，在北京市招募满足纳入标准的MSM进行HIV检测，对检测中确诊为HIV阳性的MSM进行面对面访谈调查。采用多元线性回归，分析新确诊HIV阳性MSM一般自我效能与HIV相关羞辱的关系。结果 367名新确诊的HIV阳性MSM的一般自我效能得分为（31.5±6.3），HIV相关羞辱得分（26.9±20.9）。多元线性回归显示，校正混杂因素后，一般自我效能与HIV相关羞辱呈负相关（GSES为连续变量：β=-0.010，P=0.022；GSES为二分类变量：β=-0.117，P=0.028）。结论新确诊HIV阳性的MSM面临HIV相关羞辱的困扰。对于新确诊HIV阳性的MSM来说，较高的自我效能有助于减轻HIV相关羞辱。
- 男男性行为者 /
- 一般自我效能 /
- HIV相关羞辱
Abstract: Objective To investigate the association between general self-efficacy (GSES) and human immunodeficiency virus(HIV)-related stigma among newly HIV-diagnosed men who have sex with men (MSM) in Beijing. Methods HIV testing was conducted among MSM who met the inclusion criteria in Beijing from April 2013 to April 2014. Face-to-face interviews were conducted among newly HIV-diagnosed MSM. Multiple linear regression was used to analyze the association between general self-efficacy and HIV-related stigma among newly HIV-diagnosed MSM. Results Of the 367 newly HIV-diagnosed MSM, the general self-efficacy score of was (31.5±6.3) and the HIV-related stigma score was (26.9±20.9). Multiple linear regression showed that after adjusting for confounding factors, general self-efficacy was negativly associated with HIV-related stigma (GSES was continuous variable β=-0.010, P=0.022; GSES was dichotomous variable β=-0.117, P=0.028). Conclusions The newly HIV-diagnosed MSM face the problem of HIV-related stigma. For newly HIV-diagnosed MSM, higher self-efficacy helps reduce HIV-related stigma.
- Men who have sex with men /
- General self-efficacy /
- HIV-related stigma

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表 1 北京市367名新确诊HIV阳性MSM中一般自我效能与HIV相关羞辱的关系

Table 1. Association between general self-efficacy and HIV-related stigma among 367 newly HIV-diagnosed MSM in Beijing

变量	HIV相关羞辱
变量	β值	s_x	STB	t值	P值	F值	adj R²
HIV相关羞辱总分
一般自我效能得分(< 32 VS. ≥32)	-0.117	0.053	-0.117	-2.12	0.028	0.80	-0.005
一般自我效能得分(连续)	-0.010	0.004	-0.125	-2.30	0.022	0.85	-0.004
感知到的羞辱
一般自我效能得分(< 32 VS. ≥32)	-0.520	1.186	-0.023	-0.44	0.661	1.10	0.003
一般自我效能得分(连续)	-0.121	0.097	-0.068	-1.25	0.212	1.24	0.007
替代的羞辱
一般自我效能得分(< 32 VS. ≥32)	-1.018	0.688	-0.079	-1.48	0.140	0.74	-0.007
一般自我效能得分(连续)	-0.186	0.056	-0.181	-3.36	0.001	1.66	0.018
自我羞辱
一般自我效能得分(< 32 VS. ≥32)	-2.789	0.948	-0.155	-2.94	0.004	1.65	0.017
一般自我效能得分(连续)	-0.231	0.077	-0.161	-2.99	0.003	1.68	0.018
注：MSM：男男性行为者；HIV：人类免疫缺陷病毒；STB：标准系数；adj R²：调整决定系数(调整了年龄、民族、婚姻状况、教育背景、职业、医疗保险、出生地、酒精和毒品使用情况)。

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