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Emotional, physical and financial burdens of stigma against people living with HIV/Aids in China

Bibliographic Data

ID19439633
AuthorsChen Zhang (0000-0002-1923-2771, Vanderbilt University, corresponding author), Xiaoming Li (0000-0002-5555-9034, University of South Carolina), Yu Liu (0000-0002-0016-2902, Vanderbilt University), Shan Qiao (0000-0001-8698-9013), Liying Zhang (0000-0002-5882-6070, Wayne State University), Yuejiao Zhou (Guangxi Center for Disease Prevention and Control), Zhiyong Shen (0000-0001-7629-0743, Guangxi Center for Disease Prevention and Control), Zhengzhu Tang (Guangxi Center for Disease Prevention and Control)
Year2016
Volume28
Issuesup1
Pages124-131
Publication date2016-03-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2016.1146206
PMID26886415
OpenAlexW2279900172
LanguageEN
Citations received12
References cited31

Numerous researches have shown pernicious effects of stigma against people living with HIV/AIDS (PLWHA). However, no available studies have reported these negative effects including emotional, physical to financial burdens to PLWHA. In the current study, we aim to explore different types of stigma (e.g., perceived, internalized and enacted) and the relevant consequences among PLWHA in China. A cross-sectional study was conducted from 2012 to 2013 in the Guangxi Autonomous Region in China. The validated Berger HIV Stigma Scale was used to measure various types of stigma. We employed a series of linear, logistic and polytomous regression models to assess the association between stigma and different consequences while accounting for potential confounders for each specific model. Of the total sample, 2987 PLWHA provided valid responses with 63% being male and having an average age of 42.9 years. Perceived, internalized and enacted HIV stigma were prevalent among participants, and resulted in various burdens with different magnitudes in their life contexts. Specially, PLWHA who reported higher perceived and internalized stigma were more likely to be imposed on emotional and physical burdens (p < .05). People who reported higher enacted stigma had heavier financial burden compared to their peers (p < .05). Our findings revealed that devastating consequences of HIV-related stigma in China. The prevalent stigmatizing attitudes have pushed PLWHA to the fringes of society and affected them at multiple aspects in their life context. We call for tailored efforts to overcome stigma and discrimination against PLWHA

China · Cross-sectional study · Environmental health · Family medicine · Logistic regression · Political science · Psychiatry · Social stigma · Clinical Psychology · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology

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Unique citing works12
Citations per year1,33
Citation span2017 - 2025 (9)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 12
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