Coping Strategies for HIV-Related Stigma in Liuzhou, China

Zhang, Yingxia; Golin, Carol E.; Bu, Jin; Emrick, Catherine Boland; Zhang, Nan; Li, Mingqiang

doi:10.1007/s10461-013-0662-2

Cited by 16 publications

(4 citation statements)

References 40 publications

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“…Keeping their HIV status confidential is believed to create positive community stigma against them. 29 Moreover, other studies also stated that perceived stigma had a significant relationship with quality-of-life, where the higher the level of perceived stigma, the lower the quality-of-life for them. 30 , 31 …”

Section: Discussionmentioning

confidence: 99%

<p>Quality-of-Life (QoL) of Indonesian Children Living with HIV: The Role of Caregiver Stigma, Burden of Care, and Coping</p>

Putera¹,

Irwanto²,

Maramis³

2020

HIV

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Background: Treatment of children with HIV infection has increased rapidly by increasing the life span of HIV patients from baby to adult. Improving the quality-of-life (QoL) in children living with HIV is a priority of HIV management in children and caregivers of children living with HIV have important roles. Caregiver stigma, caregiver burden, and caregiver coping affect caregivers in treating children living with HIV. Objective: Analyzing the association of caregiver stigma, caregiver burden, and caregiver coping on QoL of Indonesian children living with HIV. Methods: Participants in this study were caregivers of Indonesian children living with HIV. Participants were measured for caregiver stigma, caregiver burden, caregiver coping, and QoL of Indonesian children living with HIV. The instrument used in measuring caregiver stigma was people living with HIV/AIDS and caregiver questionnaire, caregiver burden used Zarit Burden questionnaire, caregiver coping used F-COPES questionnaire, and QoL used PedsQL for children aged 2-18 years old. Measurement data were analyzed using logistic regression and independent t tests with P<0.05. Results: Indonesian children living with HIV in this study had an average age of 7.7±3.68 years and average participant age of 40.2±11.26 years. All participants stated that Indonesian children living with HIV tend to keep their health status confidential. Most QoL of Indonesian children living with HIV was good (71.7%), caregiver stigma value was 21.7±2.06, and caregiver burden level was moderate, of 50.9%. However, there was no significant association between caregiver stigma (β=0.064; P=0.548) and burden level (β=0.058; P=0.593) on QoL. On the other hand, caregiver coping value was 77.2±7.30, and there was a significant association of caregiver coping on QoL (β=−0.196; P=0.049). Conclusion: There is an association of caregiver coping on QoL of Indonesian children living with HIV, in which the higher the caregiver coping, the lower the QoL. Meanwhile, there is no significant association of caregiver stigma and burden on QoL of Indonesian children living with HIV.

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Section: Discussionmentioning

confidence: 99%

<p>Quality-of-Life (QoL) of Indonesian Children Living with HIV: The Role of Caregiver Stigma, Burden of Care, and Coping</p>

Putera¹,

Irwanto²,

Maramis³

2020

HIV

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“…A recent study reported that about 40% of respondents from general population in the society agreed that PLHIV should be isolated and 18% of them agreed that PLHIV should be punished (Abler et al, 2014). The majority of Chinese PLHIV feel stigmatized (Zhang et al, 2014). Despite the dramatic increase in global literature on health implications of HIV stigma (Hatzenbuehler, Phelan, & Link, 2013; Herek, Capitanio, & Widaman, 2002) and on the relationship of HIV stigma with mental health (Wingood et al, 2008), on CD4 counts and chronic illness comorbidity (Earnshaw et al, 2013), and on HIV symptoms (Earnshaw et al, 2015), data regarding the relationship between stigma and self-rated health status among PLHIV are scarce in China.…”

Section: Introductionmentioning

confidence: 99%

“…Perceived community support and receiving instrumental social support acted as resilience resources that moderated the relationship between stigma and stress (Earnshaw et al, 2015). The common coping strategies used by PLHIV to deal with stigma in Chinese culture included passive (avoidance) and active (problem-focused) strategies that occurred in both interpersonal and intrapersonal levels (Zhang et al, 2014). However, limited data are available regarding the protective effect of resilience in PLHIV in China.…”

Section: Introductionmentioning

confidence: 99%

The mediating role of individual resilience resources in stigma–health relationship among people living with HIV in Guangxi, China

Zhang

Qiao

et al. 2015

AIDS Care

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Despite the vigorous global efforts to reduce stigma, HIV-related stigma continues to undermine the health status of people living with HIV (PLHIV). Internalized HIV stigma may cause stress adversely affecting the health of PLHIV. Resilience is the process of an effective coping and positive adaption in the face of adversities. To date, limited data are available on the mediating role of resilience in the relationship of internalized HIV stigma and health status among PLHIV in China. A cross-sectional survey was conducted among 2987 PLHIV in Guangxi Autonomous Region (Guangxi) in China. A mediation analysis was employed and Sobel test was used to test the mediation effect of individual resilience. Of the 2987 PLHIV, 62.8% were men. The mean age of the sample was 42.5 years (SD = 12.8). Over 57.7% of PLHIV reported their overall health status being poor. About 72% of PLHIV reported experiencing internalized HIV stigma. Internalized HIV stigma had a negative direct effect on self-rated health status (p < .001). Individual resilience resources mediated the relationship between internalized HIV stigma and self-rated health status (p < .001). Sobel test confirmed the mediation effect of resilience (z = −8.359, SE = 0.003, p < .001). Resilience as a protective factor might buffer the effect of internalized HIV stigma on health status. Multilevel interventions are needed to foster resilience of PLHIV in order to mitigate the negative impact of HIV stigma and to improve the overall health status of PLHIV.

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“…Several articles in this Special Issue demonstrate an important quality of life need among PLHIV for greater support and acceptance from their families and local communities [81, 101, 102]. Internalization of HIV stigma is well documented among PLHIV in these studies who face the constant psychological and physical stress of social isolation [101].…”

Section: Future Directionsmentioning

confidence: 99%

Advancing the Prevention Agenda for HIV and Other Sexually Transmitted Infections in South China: Social Science Research to Inform Effective Public Health Interventions

et al. 2014

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Despite widespread biomedical advances in treatment, HIV and other sexually transmitted infections (STI) continue to affect a large portion of the world's population. The profoundly social nature of behaviorally driven epidemics and disparities across socioeconomic divides in the distribution of HIV/STI and care outcomes emphasize the need for innovative, multilevel interventions. Interdisciplinary approaches to HIV/STI control are needed to combine insights from the social and biological sciences and public health fields. In this concluding essay to a Special Issue on HIV/STI in south China, we describe the evolution of China's HIV/STI epidemics and the government response; then synthesize findings from the 11 studies presented in this issues to extend seven recommendations for future HIV/STI prevention and care research in China. We discuss lessons learned from forging international collaborations between social science and public health to inform a shared research agenda to better meet the needs of those most affected by HIV and other STI.

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Coping Strategies for HIV-Related Stigma in Liuzhou, China

Cited by 16 publications

References 40 publications

<p>Quality-of-Life (QoL) of Indonesian Children Living with HIV: The Role of Caregiver Stigma, Burden of Care, and Coping</p>

<p>Quality-of-Life (QoL) of Indonesian Children Living with HIV: The Role of Caregiver Stigma, Burden of Care, and Coping</p>

The mediating role of individual resilience resources in stigma–health relationship among people living with HIV in Guangxi, China

Advancing the Prevention Agenda for HIV and Other Sexually Transmitted Infections in South China: Social Science Research to Inform Effective Public Health Interventions

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