The relationship between HIV serostatus disclosure, self-stigma, social support and suicidal ideation in AIDS patients

YU Yong; SU Li-li; SUN Yin-meng; XIE Jing; ZHANG Li; XIAO Shui-yuan

doi:10.16462/j.cnki.zhjbkz.2021.12.011

Volume 25 Issue 12

Dec. 2021

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(12): 1420-1425

YU Yong, SU Li-li, SUN Yin-meng, XIE Jing, ZHANG Li, XIAO Shui-yuan. The relationship between HIV serostatus disclosure, self-stigma, social support and suicidal ideation in AIDS patients[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1420-1425. doi: 10.16462/j.cnki.zhjbkz.2021.12.011

Citation:

YU Yong, SU Li-li, SUN Yin-meng, XIE Jing, ZHANG Li, XIAO Shui-yuan. The relationship between HIV serostatus disclosure, self-stigma, social support and suicidal ideation in AIDS patients[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1420-1425. doi: 10.16462/j.cnki.zhjbkz.2021.12.011

Citation:

YU Yong, SU Li-li, SUN Yin-meng, XIE Jing, ZHANG Li, XIAO Shui-yuan. The relationship between HIV serostatus disclosure, self-stigma, social support and suicidal ideation in AIDS patients[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1420-1425. doi: 10.16462/j.cnki.zhjbkz.2021.12.011

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The relationship between HIV serostatus disclosure, self-stigma, social support and suicidal ideation in AIDS patients

doi: 10.16462/j.cnki.zhjbkz.2021.12.011

1.
Department of Public Administration, School of Politics and Public Administration, Guangxi Normal University, Guilin 541006, China
2.
Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078, China

Funds:

Hunan Provincial Philosophy and Sociology Fund Project 16YBA326

Special Funding Project for High-level Innovation Teams and Outstanding Scholars Plan for Guangxi Colleges and University: Research on Emergencies in Guangxi GuiRenCai[2020]6

More Information

Corresponding author: YU Yong, E-mail: yuyongsheyi@163.com
Received Date: 2021-03-16
Rev Recd Date: 2021-05-23

Available Online: 2021-12-27

Publish Date: 2021-12-10

Abstract

Abstract

Objective To investigate self-stigma and suicidal ideation in acquired immunodeficiency syndrome (AIDS) patients, and to explore the relationship between self-stigma, suicidal ideation, human immunodeficiency virus (HIV) serostatus disclosure and social support in AIDS patients. Methods A total of 1 276 AIDS patients in a provincial capital city were investigated anonymously using the general situation questionnaire, perceived social support scale (PSSS), self-stigma scale (SSS), and Beck scale for suicide ideation-Chinese version (BSI-CV). Results 54.2% (692/1 276) of the sample reported that they have suicidal ideation in the past week or the most severe depression. Multivariate analysis showed that after controlling for other factors, self-stigma was negatively correlated with social support (OR=0.57, 95% CI: 0.45-0.72, P < 0.001), and HIV serostatus disclosure was positively correlated with social support (OR=1.47, 95% CI: 1.12-1.92, P=0.005); self-stigma was positively correlated with suicidal ideation (OR=5.53, 95% CI: 4.21-7.27, P < 0.001), and social support was negatively correlated with suicidal ideation (OR=0.58, 95% CI: 0.45-0.76, P < 0.001). HIV serostatus disclosure played a partial mediating effect between self-stigma and social support (the mediating effect accounted for 29.0% of the total effect); social support played a partial mediating effect between self-stigma and suicidal ideation (the mediating effect accounted for 17.5% of the total effect). Conclusions The proportion of suicidal ideation is higher among AIDS patients. Patients with low self-stigma and who inform family, friends, and regular partners of the infection results perceive higher social support. Patients with high self-stigma and low social support have stronger suicidal ideation. The HIV serostatus disclosure plays a partial mediating role between self-stigma and social support in AIDS patients, while social support plays a partial mediating role between self-stigma and suicidal ideation.
- Acquired immunodeficiency syndrome,
- HIV serostatus disclosure,
- Self-stigma,
- Social support,
- Suicidal ideation

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References(13)

References

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