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Perceived discrimination, social support, and perceived stress among people living with HIV/ AIDS in China

Identifieur interne : 001256 ( Main/Exploration ); précédent : 001255; suivant : 001257

Perceived discrimination, social support, and perceived stress among people living with HIV/ AIDS in China

Auteurs : XIAOYOU SU [République populaire de Chine] ; Joseph T. F. Lau [République populaire de Chine, Hong Kong] ; Winnie W. S. Mak [Hong Kong] ; LIN CHEN [République populaire de Chine] ; K. C. Choi [République populaire de Chine] ; JUNMIN SONG [République populaire de Chine] ; YAN ZHANG [République populaire de Chine] ; GUANGLU ZHAO [République populaire de Chine] ; TIEJIAN FENG [République populaire de Chine] ; XI CHEN [République populaire de Chine] ; CHULIANG LIU [République populaire de Chine] ; JUN LIU [République populaire de Chine] ; DE LIU [République populaire de Chine] ; JINQUAN CHENG [République populaire de Chine]

Source :

RBID : Pascal:13-0094994

Descripteurs français

English descriptors

Abstract

Perceived stress among people living with HIV/AIDS (PLWH) was associated with severe mental health problems and risk behaviors. Discrimination toward PLWH in China is prevalent. Both perceived discrimination and social supports are determinants of the stress level among PLWH. Psychological support services for PLWH in China are scarce. It is unknown whether social support is a buffer between the perceived discrimination and perceived stress. With written consent, this study surveyed 258 PLWH recruited from multiple sources in two cities in China. Instruments were validated in previous or the present study, including the perceived stress scale for PLWH (PSSHIV), the perceived social support scale (PSSS), and the perceived discrimination scale for PLWH (PDSHIV). Pearson correlations and multiple regression models were fit. PDSHIV was associated with the Overall Scale and all subscales of PSSHIV, whilst lower socioeconomic status in general and lower scores of PSSS were associated with various subscales of PSSHIV. The interaction item (PSSS x PSDHIV) was nonsignificant in modeling PSSHIV, hence no significant moderating effect was detected. Whilst perceived discrimination is a major source of stress and social support can reduce stress among PLWH in China, improved social support cannot buffer the stressful consequences due to perceived discrimination. The results highlight the importance to reduce discrimination toward PLWH and the difficulty to alleviate its negative consequences. It is warranted to improve mental health among PLWH in China and it is still important to foster social support among PLWH as it has direct effects on perceived stress.


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Le document en format XML

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<name sortKey="Jinquan Cheng" sort="Jinquan Cheng" uniqKey="Jinquan Cheng" last="Jinquan Cheng">JINQUAN CHENG</name>
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<s1>Department of Psychology, The Chinese University of Hong Kong</s1>
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<settlement type="city">Sha Tin</settlement>
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<name sortKey="Lin Chen" sort="Lin Chen" uniqKey="Lin Chen" last="Lin Chen">LIN CHEN</name>
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<settlement type="city">Shenzhen</settlement>
<region type="province">Guangdong</region>
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<name sortKey="Choi, K C" sort="Choi, K C" uniqKey="Choi K" first="K. C." last="Choi">K. C. Choi</name>
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<name sortKey="Junmin Song" sort="Junmin Song" uniqKey="Junmin Song" last="Junmin Song">JUNMIN SONG</name>
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<s1>Department of HIV/AIDS Prevention, Shenzhen City CDC</s1>
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<name sortKey="Yan Zhang" sort="Yan Zhang" uniqKey="Yan Zhang" last="Yan Zhang">YAN ZHANG</name>
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<name sortKey="Guanglu Zhao" sort="Guanglu Zhao" uniqKey="Guanglu Zhao" last="Guanglu Zhao">GUANGLU ZHAO</name>
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<name sortKey="Tiejian Feng" sort="Tiejian Feng" uniqKey="Tiejian Feng" last="Tiejian Feng">TIEJIAN FENG</name>
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<s1>Shenzhen Chronic Disease Hospital</s1>
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<settlement type="city">Shenzhen</settlement>
<region type="province">Guangdong</region>
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<author>
<name sortKey="Xi Chen" sort="Xi Chen" uniqKey="Xi Chen" last="Xi Chen">XI CHEN</name>
<affiliation wicri:level="1">
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<s1>Department of HIV/AIDS Prevention, Hunan Province CDC</s1>
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<wicri:noRegion>Changsha</wicri:noRegion>
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<name sortKey="Chuliang Liu" sort="Chuliang Liu" uniqKey="Chuliang Liu" last="Chuliang Liu">CHULIANG LIU</name>
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<s1>Department of HIV/AIDS Prevention, Hengyang Center for Disease Control and Prevention (CDC)</s1>
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<s3>CHN</s3>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
</inist:fA14>
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<wicri:noRegion>Hengyang</wicri:noRegion>
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</author>
<author>
<name sortKey="Jun Liu" sort="Jun Liu" uniqKey="Jun Liu" last="Jun Liu">JUN LIU</name>
<affiliation wicri:level="1">
<inist:fA14 i1="07">
<s1>Department of HIV/AIDS Prevention, Hengyang Center for Disease Control and Prevention (CDC)</s1>
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<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
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<wicri:noRegion>Hengyang</wicri:noRegion>
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<author>
<name sortKey="De Liu" sort="De Liu" uniqKey="De Liu" last="De Liu">DE LIU</name>
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<s1>The 5th Hospital</s1>
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<s3>CHN</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>République populaire de Chine</country>
<wicri:noRegion>The 5th Hospital</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Jinquan Cheng" sort="Jinquan Cheng" uniqKey="Jinquan Cheng" last="Jinquan Cheng">JINQUAN CHENG</name>
<affiliation wicri:level="3">
<inist:fA14 i1="04">
<s1>Department of HIV/AIDS Prevention, Shenzhen City CDC</s1>
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<sZ>4 aut.</sZ>
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<placeName>
<settlement type="city">Shenzhen</settlement>
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<title level="j" type="main">AIDS Care : (Print)</title>
<title level="j" type="abbreviated">AIDS Care : (Print)</title>
<idno type="ISSN">0954-0121</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>AIDS</term>
<term>Adult</term>
<term>China</term>
<term>Discrimination</term>
<term>Human immunodeficiency virus</term>
<term>Mental health</term>
<term>Public health</term>
<term>Social environment</term>
<term>Social perception</term>
<term>Social support</term>
<term>Stress</term>
<term>Subjective experience</term>
<term>Young adult</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Soutien social</term>
<term>Perception sociale</term>
<term>Expérience subjective</term>
<term>Discrimination</term>
<term>Stress</term>
<term>SIDA</term>
<term>Virus immunodéficience humaine</term>
<term>Chine</term>
<term>Santé publique</term>
<term>Santé mentale</term>
<term>Environnement social</term>
<term>Adulte jeune</term>
<term>Adulte</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Santé publique</term>
<term>Santé mentale</term>
<term>Adulte</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Perceived stress among people living with HIV/AIDS (PLWH) was associated with severe mental health problems and risk behaviors. Discrimination toward PLWH in China is prevalent. Both perceived discrimination and social supports are determinants of the stress level among PLWH. Psychological support services for PLWH in China are scarce. It is unknown whether social support is a buffer between the perceived discrimination and perceived stress. With written consent, this study surveyed 258 PLWH recruited from multiple sources in two cities in China. Instruments were validated in previous or the present study, including the perceived stress scale for PLWH (PSSHIV), the perceived social support scale (PSSS), and the perceived discrimination scale for PLWH (PDSHIV). Pearson correlations and multiple regression models were fit. PDSHIV was associated with the Overall Scale and all subscales of PSSHIV, whilst lower socioeconomic status in general and lower scores of PSSS were associated with various subscales of PSSHIV. The interaction item (PSSS x PSDHIV) was nonsignificant in modeling PSSHIV, hence no significant moderating effect was detected. Whilst perceived discrimination is a major source of stress and social support can reduce stress among PLWH in China, improved social support cannot buffer the stressful consequences due to perceived discrimination. The results highlight the importance to reduce discrimination toward PLWH and the difficulty to alleviate its negative consequences. It is warranted to improve mental health among PLWH in China and it is still important to foster social support among PLWH as it has direct effects on perceived stress.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Hong Kong</li>
<li>République populaire de Chine</li>
</country>
<region>
<li>Guangdong</li>
</region>
<settlement>
<li>Pékin</li>
<li>Sha Tin</li>
<li>Shenzhen</li>
</settlement>
<orgName>
<li>Université chinoise de Hong Kong</li>
</orgName>
</list>
<tree>
<country name="République populaire de Chine">
<noRegion>
<name sortKey="Xiaoyou Su" sort="Xiaoyou Su" uniqKey="Xiaoyou Su" last="Xiaoyou Su">XIAOYOU SU</name>
</noRegion>
<name sortKey="Choi, K C" sort="Choi, K C" uniqKey="Choi K" first="K. C." last="Choi">K. C. Choi</name>
<name sortKey="Chuliang Liu" sort="Chuliang Liu" uniqKey="Chuliang Liu" last="Chuliang Liu">CHULIANG LIU</name>
<name sortKey="De Liu" sort="De Liu" uniqKey="De Liu" last="De Liu">DE LIU</name>
<name sortKey="Guanglu Zhao" sort="Guanglu Zhao" uniqKey="Guanglu Zhao" last="Guanglu Zhao">GUANGLU ZHAO</name>
<name sortKey="Jinquan Cheng" sort="Jinquan Cheng" uniqKey="Jinquan Cheng" last="Jinquan Cheng">JINQUAN CHENG</name>
<name sortKey="Jun Liu" sort="Jun Liu" uniqKey="Jun Liu" last="Jun Liu">JUN LIU</name>
<name sortKey="Junmin Song" sort="Junmin Song" uniqKey="Junmin Song" last="Junmin Song">JUNMIN SONG</name>
<name sortKey="Lau, Joseph T F" sort="Lau, Joseph T F" uniqKey="Lau J" first="Joseph T. F." last="Lau">Joseph T. F. Lau</name>
<name sortKey="Lin Chen" sort="Lin Chen" uniqKey="Lin Chen" last="Lin Chen">LIN CHEN</name>
<name sortKey="Tiejian Feng" sort="Tiejian Feng" uniqKey="Tiejian Feng" last="Tiejian Feng">TIEJIAN FENG</name>
<name sortKey="Xi Chen" sort="Xi Chen" uniqKey="Xi Chen" last="Xi Chen">XI CHEN</name>
<name sortKey="Yan Zhang" sort="Yan Zhang" uniqKey="Yan Zhang" last="Yan Zhang">YAN ZHANG</name>
</country>
<country name="Hong Kong">
<noRegion>
<name sortKey="Lau, Joseph T F" sort="Lau, Joseph T F" uniqKey="Lau J" first="Joseph T. F." last="Lau">Joseph T. F. Lau</name>
</noRegion>
<name sortKey="Mak, Winnie W S" sort="Mak, Winnie W S" uniqKey="Mak W" first="Winnie W. S." last="Mak">Winnie W. S. Mak</name>
</country>
</tree>
</affiliations>
</record>

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