A Model of Associative Stigma on Depression and Anxiety Among Children of HIV-Infected Parents in China

被引：22
|
作者：
Mo, Phoenix K. H. [1 ,2 ]
Lau, Joseph T. F. [1 ,2 ,3 ]
Yu, Xiaonan [4 ]
Gu, Jing [5 ]
机构：
[1] Chinese Univ Hong Kong, Sch Publ Hlth & Primary Care, Ctr Hlth Behav Res, Prince Wales Hosp,Sch Publ Hlth,Fac Med, Shatin, Hong Kong, Peoples R China
[2] Chinese Univ Hong Kong, Shenzhen Res Inst, Shenzhen, Peoples R China
[3] Sun Yat Sen Univ, Ctr Med Anthropol & Behav Hlth, Guangzhou 510275, Guangdong, Peoples R China
[4] City Univ Hong Kong, Dept Appl Social Studies, Kowloon, Hong Kong, Peoples R China
[5] Sun Yat Sen Univ, Sch Publ Hlth, Dept Med Stat & Epidemiol, Guangzhou 510275, Guangdong, Peoples R China
来源：
AIDS AND BEHAVIOR | 2015年 / 19卷 / 01期
关键词：
Stigma; HIV-infected parents; Children; Depression; Anxiety; HONG-KONG CHINESE; QUALITY-OF-LIFE; SELF-ESTEEM; MENTAL-HEALTH; SOCIAL SUPPORT; SUICIDAL IDEATION; RURAL-AREAS; HIV/AIDS; PEOPLE; AIDS;
D O I：
10.1007/s10461-014-0809-9
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Human immunodeficiency virus (HIV) carries a high level of stigma to the HIV-infected individuals and their family members. Children of HIV-infected parents in China are particularly affected. The present study examined the relationship between associative stigma, self-esteem, optimism, anxiety and depression among 195 children of HIV-infected parents in rural China. Findings showed that more than one-third (35.4 %) of the participants scored higher than cut-off for depression; and 23.6-67.7 % of them scored higher than cut-off for different types of anxiety disorders. Structural equation modelling revealed that associative stigma had a significant negative relationship on self-esteem and optimism, which were associated with higher levels of depression and anxiety. The indirect effects of associative stigma on depression and anxiety were significant. The overall model showed a satisfactory fit. Findings suggest that associative stigma has a significant negative impact on mental health of children affected by HIV. Interventions to reduce their associative stigma are warranted.
引用
收藏
页码：50 / 59
页数：10
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