Fear of COVID and Physical Health Among People Living with HIV in China: Mediation Effects of HIV Stigma, Social Support, and Substance Use.
The COVID-19 pandemic has uniquely impacted people living with HIV (PLWH) worldwide. The negative impacts on PLWH's mental health from fear of COVID-19 are labeled as "a double stress." The association between fear of COVID-19 and HIV (internalized) stigma has been found among PLWH. Studies that exp...
| Publicado en: | AIDS & Behavior Vol. 28; pp. 115 - 123 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
2024 Supplement1
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180236354&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180236354 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: 2024 Supplement1 vid: 28 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 180236354 164148072 180236354 180236354 10.1007/s10461-023-04099-9 180236354 ppf: 115 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Fear of COVID and Physical Health Among People Living with HIV in China: Mediation Effects of HIV Stigma, Social Support, and Substance Use. aug: au: Chen, Wei-Ti Huang, Feifei Sun, Wenxiu Zhang, Lin affil: School of Nursing, University of California, Los Angeles, 90095, Los Angeles, CA, USA sug: subj: Fear COVID-19 Pandemic Health Status HIV-Positive Persons Psychosocial Factors HIV Infections Stigma Support, Social Substance Use Disorders Mental Health Human Male Female Stress, Psychological Cross Sectional Studies Surveys Sociodemographic Factors Structural Equation Modeling Coping China Summated Rating Scaling Coefficient alpha Patient-Reported Outcomes Data Analysis Software Chi Square Test Pearson's Correlation Coefficient Descriptive Statistics Funding Source Male Female ab: The COVID-19 pandemic has uniquely impacted people living with HIV (PLWH) worldwide. The negative impacts on PLWH's mental health from fear of COVID-19 are labeled as "a double stress." The association between fear of COVID-19 and HIV (internalized) stigma has been found among PLWH. Studies that explore the relationships between fear of COVID-19 and physical health outcomes are few, especially among PLWH. In this study, we explored the relationship between fear of COVID-19 and physical health among PLWH and the mediated effects of HIV stigma, social support, and substance use. A cross-sectional online survey of PLWH (n = 201) from November 2021 to May 2022 was carried out in Shanghai, China. The data on socio-demographics, fear of COVID-19, physical health, HIV-related perceived stigma, social support, and substance use were gathered and analyzed by structure equation modeling (SEM). In SEM analysis, fear of COVID-19 showed a significant and indirect effect on physical health (β=-0.085) which was primarily mediated by HIV stigma. In SEM analysis, the final model had a good fit. Fear of COVID-19 showed a significant effect on HIV stigma (β = 0.223) with the majority being direct effects (β = 0.262) and a small indirect effect via substance use (β=-0.039). Furthermore, HIV stigma showed a significant effect on physical health (β=-0.382), the majority of which was direct (β=-0.340), and a small indirect effect via social support (β=-0.042). This is one of the first studies to explore how fear of contracting COVID-19 can affect PLWH's coping behaviors (e.g., using substances and obtaining social support) used to combat HIV stigma as well as to achieve better physical health in China. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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