Shan Qiao
Datos Biográficos
| ID | 186550 |
|---|---|
| NOMBRE | Shan Qiao |
| NOMBRES | Shan |
| APELLIDO | Qiao |
| FIRMA | QIAO S |
| AFILIACIONES | University of South Carolina |
| ORCID | 0000-0001-8698-9013 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 106 |
| TOTAL DE CITAS | 2 |
| TOTAL COMO AUTOR | 106 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2013 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
County-Level New HIV Diagnoses, Social Determinants of Health, and Residential Segregation by U.S. Region 2013 to 2023
Health disparities persist along the HIV care continuum. As new HIV diagnoses are a key indicator of the HIV epidemic, we aimed to assess associations of the social determinants of health (SDOH; non-medical factors that are related to health outcomes) and residential segregation, as a proxy for systemic racism, with new HIV diagnosis rates across the major regions of the United States. Publicly available county-level data (i.e., 2013–2023) from a…
Discrimination, Stress, and Substance Use Among Ethnoracial Minority Gay, Bisexual, and Other Men Who Have Sex with Men
BACKGROUND: Unhealthy alcohol, marijuana, and cocaine use are major public health concerns among ethnoracial minority gay, bisexual, and other men who have sex with men (GBMSM), who experience compounded stressors related to sexual and ethnoracial minority identities. Guided by the Minority Stress Model, this study examined pathways linking everyday discrimination, perceived stress, and substance use among ethnoracial minority GBMSM. OBJECTIVES: …
Psychological resilience in the Covid-19 response
Objective: The COVID-19 pandemic has highlighted the importance of psychological resilience for well-being. While several reviews have addressed resilience in specific populations or contexts, few have synthesized global literature across diverse populations. This review examines psychological resilience across diverse populations, focusing on measurement, associated factors, and future public health preparedness strategies. Method: Guided by the…
Structural patterns of intersectional stigma among sexual and gender minorities
People with HIV (PWH) have high rates of co-occurring mental health disorders (MHDs), yet patterns of comorbidity remain unclear. Mapping these networks may identify central conditions whose treatment could disrupt broader comorbidity clusters and improve mental health outcomes in this vulnerable population. To map comorbidity networks of mental health disorders among people with HIV and identify diagnoses with the highest co-occurrence with othe…
From social stigma to physical health
People with HIV (PWH) in rural China continue to experience multiple forms of stigma that threaten their overall wellbeing. This study explored how internalized stigma and mental health distress mediate the relationship between social stigma and physical health using baseline data from 800 PWH (42% women; mean age 54.8 years) from the Rise-Up Project in Guangxi, China. Social stigma was modeled as a latent construct composed of perceived and anti…
Dyadic Internalized Stigma, Resilience, and Psychological Distress Among People with HIV and their Family Members
Despite robust evidence showing the mediation role of psychological resilience in the impacts of HIV-related stigma on psychological distress, most studies were conducted from an intrapersonal perspective. Limited studies have examined the dyadic effects of HIV-related stigma and resilience on psychological distress for people with HIV (PWH) and their family members. This study aimed to explore the actor-partner effect and the mediation role of r…
Health-related quality of life pattern and correlates
This cross-sectional study assessed health-related quality of life (HRQoL) and its correlates among 386 people living with HIV (PLWH) receiving care at a large immunology center in South Carolina, USA. This study used the WHO Quality of Life (WHOQOL-HIV BREF) scale to measure HRQoL across six domains: physical, psychological, independence, social, environmental, and spiritual. The study found that mean HRQoL scores were statistically significantl…
Factors that influence communication between healthcare providers and sexual minority men in HIV service delivery in Zambia
Studies that have investigated client-provider interactions in HIV service delivery have focused mainly on the views of sexual and gender minorities. This study explored the views of both Healthcare Providers (HCPs) and Sexual Minority Men (SMM) in Zambia about factors that influence client-provider interactions and how this could affect HIV service delivery. We conducted in-depth interviews with 20 HCPs (>25 years old) and 20 SMM (20-34 years ol…
Post-Pandemic Multidimensional Integration of Afghan Refugee Women in the U.S
Amid the recent global refugee crisis, the United States (U.S.) hosts over 200,000 Afghan refugees, many struggling to integrate into U.S. society. The COVID-19 pandemic and its subsequent health and social sequelae have severely affected Afghan refugees' lives, especially women, further complicating their integration. This study examines how the pandemic has influenced Afghan refugee women's integration through challenges and facilitators at var…
Chlamydia and gonorrhea incidence and residential segregation
This study found that residential segregation was associated with race-specific differences in chlamydia and gonorrhea transmission, especially during the COVID-19 pandemic.How this study might affect research, practice or policy: Study findings suggest that interventions aiming to reduce chlamydia and gonorrhea incidence rates in the United States should also include intervention activities that address adversities associated with residential se…
I’m Afraid to Put Any More of It Into My Body”
As people with HIV (PWH) have an immunocompromised status and face potential complications from a COVID-19 infection, there are alternate, more expansive, vaccination schedules recommended for PWH. As the pandemic evolves and prevention fatigue rises, the vaccination sentiments and hesitancy of PWH require attention amid continued recommendations for boosters. Situated within South Carolina, this study aims to illustrate PWH's vaccination sentime…
Unraveling the Latent Profile and Transition of HIV-Related Stigma Among PLWH in China
Association Between Intersectional Stigma and Psychological Well-Being Among Men Who Have Sex with Men Living with HIV
Body Image and Its Associated Factors among People Living with HIV
People living with HIV (PLWH) face unique biopsychosocial challenges due to both infection and antiretroviral therapy (ART), one of which is body image disruption. This study comprehensively reviewed relevant studies to explore body image issues, identify associated factors, and describe assessment methods and interventions targeting body image in this population. Guided by the PRISMA, a thorough search of PsycINFO, PubMed, Embase, and Web of Sci…
Identification of Transgender and Gender-Diverse Individuals in the All of Us Research Program, 2017–2022
Objectives. To develop computable phenotype algorithms to identify a transgender and gender-diverse (TGD) cohort by using diverse data sources in All of Us, a national community-engaged program to facilitate health equity in the United States by partnering with 1 million participants. Methods. We identified TGD individuals in All of Us by applying inclusion criteria based on conditions, laboratory measurements, or medications related to being TGD…
Resilience, Social Support, and Coping Strategies in Mitigating Psychological Distress Among Rural African American Women in South Carolina During the Covid-19 Pandemic
Background Marginalization of intersecting racial, sex, and rural identities heightens the vulnerability of African American women in rural South Carolina (SC) during the COVID-19 pandemic, leading to psychological distress. Social support, positive coping, and resilience may serve as protective factors, enhancing individuals' ability to cope with stress. Methods A cross-sectional online survey of 328 African American women (Mean age = 48.03 ± 16…
Impacts of Residential Segregation and Comorbidity on Racial Disparities in Acute Care Utilization
Resilience Mediates the Association Between Discrimination and Psychological Distress Among Rural, Black Women in South Carolina
Introduction The marginalization of intersecting racial, gender, and rural identities compounds the structural vulnerabilities (e.g., discrimination, stigma, health disparities) experienced by Black women in South Carolina's rural areas. Discriminatory experiences can deteriorate mental health; however, resilience can potentially reduce the ill effects of discrimination by decreasing associated psychological distress. This study examines the medi…
Bridging internalized HIV stigma and depressive symptoms among people living with HIV in China during the Covid-19 pandemic
Previous research has documented that HIV-related stigma may be a significant trigger of mental health problems among people living with HIV (PLWH). However, less is known about how internalized HIV stigma is linked to depressive symptoms among PLWH during the COVID-19 pandemic. The current study sought to explore the network structure of internalized HIV stigma and depressive symptoms, along with bridge nodes, to elucidate how they co-exist. Par…
Effect of green credit policy on shadow banking activities
This paper investigates whether green credit policy can mitigate firms’ financialization. Using data from Chinese non-financial public listed firms during 2008 to 2019, we take the green credit policy promulgated in 2012 as a quasi-natural experiment and find that: (1) the green credit policy can reduce firms’ entrusted loans, especially affiliated entrusted loans. Moreover, the governance effect exerted by banks’ green credit policy reduces free…
Impact of children's age on parental HIV disclosure
Parental HIV disclosure, where parents living with HIV (PLH) communicate their diagnosis to their children, is crucial for family communication. This study assessed intervention effects of a parental HIV disclosure intervention on psychosocial factors, focusing on child's age impact. Data from a randomized controlled trial involving 791 PLH in China were analyzed at baseline (W1), 6-month (W2), and 12-month follow-ups (W3). The study measured eff…
Stigmatizing clinical setting erodes physician-patient interaction quality for sexual minority men through perceived HIV stigma and HIV infection concerns in Zambia
This study investigated whether perceived HIV stigma and HIV infection concerns among healthcare providers (HCPs) mediate the association between stigmatizing clinical setting and their interaction quality with sexual minority men (SMM) patients in Zambia. In 2021, a cross-sectional survey was conducted with 91 HCPs offering HIV-related services to SMM in Zambia. Path analysis was conducted to examine the potential mediation effect of “perceived …
Utilizing Big Data analytics and electronic health record data in HIV prevention, treatment, and care research
Propelled by the transformative power of modern information and communication technologies, digitalization of data, and the increasing affordability of high-performance computing, Big Data science has brought forth revolutionary advancement in many areas of business, industry, health, and medicine. The HIV research and care service community is no exception to the benefits from the availability and utilization of Big Data analytics. Electronic he…
Is It Safe for Me to Get It? Factors Influencing Covid-19 Vaccination Decision-Making among Postpartum Women Who Are Black and Hispanic in Deep South
BACKGROUND: COVID-19 vaccination is vital for ending the pandemic, yet safety concerns persist among pregnant and postpartum women, especially those who are Black and Hispanic. This study aims to explore factors that influence postpartum women's vaccination decision-making during pregnancy and postpartum through women's lived experiences and maternal care providers' (MCPs) observations. METHODS: From January to August 2022, we conducted semi-stru…
Exploring the Longitudinal Influence of Perceived Social Support, HIV Stigma, and Future Orientation on Depressive Symptoms Among People Living with HIV in China
Theoretical models of parental HIV disclosure
This study critically examined three major theoretical models related to parental HIV disclosure (i.e., the Four-Phase Model [FPM], the Disclosure Decision Making Model [DDMM], and the Disclosure Process Model [DPM]), and the existing studies that could provide empirical support to these models or their components. For each model, we briefly reviewed its theoretical background, described its components and/or mechanisms, and discussed its strengt…
Alcohol and Other Drug Use, Partner Violence, and Mental Health Problems Among Female Sex Workers in Southwest China
In this study we investigated the association between mental health problems and negative experiences among female sex workers (FSWs) in China. A total of 1,022 FSWs completed a self-administered survey on their demographic characteristics, mental health status, substance use behaviors, and experiences of partner violence. We found that alcohol use was independently predictive of mental health problems when both partner violence and illicit drug …
Psychological Stressors in the Context of Commercial Sex Among Female Sex Workers in China
Because of the illegality and stigma associated with female sex workers (FSWs) in China, data were limited regarding their psychological stressors examined through the lens of occupational health. Analyzing qualitative data from 16 gatekeepers and 38 FSWs, we explored these stressors in the context of commercial sex in China. We found that FSWs faced a continuum of stressors that resulted from poverty, limited employment, lack of social protectio…
Social Support and HIV-related Risk Behaviors
Social Support and Condom Use Among Female Sex Workers in China
While the relationship between social support and psychological well-being has been well established, limited studies have explored how social support might affect condom use among female sex workers (FSWs). Using cross-sectional data from 1,022 FSWs in Guangxi, China, we examined how different forms of support from diverse sources may influence condom use among FSWs. Friends, coworkers, and stable partners were FSWs' main sources of social suppo…
Practice and Perception of Parental HIV Disclosure to Children in Beijing, China
To explore parental disclosure practices and perceptions among HIV-positive parents in urban China, we conducted in-depth interviews with 29 HIV-positive parents in Beijing in 2011. The disclosure rate was low (17%), and unplanned disclosure was common. Most parents chose not to disclose because of concerns regarding their children's young age, concerns about potentially negative psychological impacts on the children, potential secondary disclosu…
The role of enacted stigma in parental HIV disclosure among HIV-infected parents in China
Existing studies have delineated that HIV-infected parents face numerous challenges in disclosing their HIV infection to the children ("parental HIV disclosure"), and practices of parental HIV disclosure vary with individual characteristics, family contexts, and social environment. Using cross-sectional data from 1254 HIV-infected parents who had children aged 5-16 years in southwest China, the current study examined the association of parental H…
Using communication privacy management theory to examine HIV disclosure to sexual partners/spouses among PLHIV in Guangxi
The current study employed Communication Privacy Management (CPM) theory to examine the factors associated with disclosure of HIV infection to sexual partners or spouses as well as gender differences in these associations among a sample of people living with HIV (PLHIV) in China. A total of 1254 PLHIV who had 5-16 years old children were invited to answer the questions related to disclosure of HIV infection to sexual partners/spouses. Prevalence …
What's in the telling? Understanding social, psychological and clinical aspects of HIV disclosure
The course of HIV infection includes a parallel pathway of disclosure (Asudani, Corser, & Patel, 2004). Multiple types of HIV disclosure have been identified across a wide spectrum of HIV prevention and treatment cascade (Arnold, 2008; Arun, Singh, Lodha, & Kabra, 2009; Ateka, 2006; Bairan et al., 2007). They all need to be under the spotlight of academic research. HIV testing, often seen as an entry point to diagnosis and disease management, inv…
Truth-telling to the patient, family, and the sexual partner
Patients' rights are central in today's legislation and social policies related to health care, including HIV care, in not only Western countries but around the world. However, given obvious socio-cultural differences it is often asked how or to what extent patients' rights should be respected in non-Western societies such as China. In this paper, it is argued that the patients' rights framework is compatible with Chinese culture, and that from t…
Parental HIV disclosure
Culturally and developmentally appropriate parental HIV disclosure (i.e., parents disclose their HIV infection to children) has been shown to be closely related with the well-being of both HIV-infected parents and their children. However, current practices and effects of parental HIV disclosure remain poorly understood in low- and middle-income countries including China. Quantitative data from 626 children affected by parental HIV (orphans and vu…
The mediating role of individual resilience resources in stigma–health relationship among people living with HIV in Guangxi, China
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 a…
Human immunodeficiency virus, syphilis and hepatitis C virus prevalence trends among cross-border migrant Vietnamese female sex workers in Guangxi, China
The relatively higher HIV, syphilis and HCV prevalence among Vietnamese FSW compared to their Chinese counterparts sets a challenge for health officials at both sides. To curb the epidemic among the cross-border FSW, preventive action requires bilateral cooperation and action by health authorities of China and Vietnam. A national-level response system should be launched in order to tackle the urgently ever-increasing epidemic
Disclosure of HIV Serostatus and Sexual Orientation Among HIV-Positive Men Who Have Sex with Men in China
Side effects, adherence self-efficacy, and adherence to antiretroviral treatment
Antiretroviral therapy (ART) is a lifelong treatment. To date, ART adherence is suboptimal for most patients in resource-poor settings. Previous research indicates that medication side effects are perceived to be a significant barrier of high ART adherence. Data regarding the role of adherence self-efficacy in mediating the relationship between side effects from ART and adherence to ART are limited; thus, this study examines this potential mediat…
Family relations in the context of HIV/Aids in Southwest China
In China, an estimated 780,000 people have been infected with HIV (China AIDS, 2012 ). Even as this stigmatized population rapidly grows, with the majority of reproductive age (20-40 years old), information about their daily experiences in the domestic sphere has been scarce. Because the family remains a central unit of social and ethical organization in China, the current qualitative study examines family relations among people living with HIV (…
Emotional, physical and financial burdens of stigma against people living with HIV/Aids in China
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…
Aids impact special issue 2015
HIV partner disclosure may facilitate social support, improve psychological well-being among HIV-infected individuals, and promote HIV testing and HIV prevention among their sexual partners. A growing literature emphasizes the critical role of interpersonal factors may play in decision-making and practice regarding HIV partner disclosure. However, there is a dearth of empirical studies that investigate how interpersonal factors may be associated …
HIV-negative children’s experiences and opinions towards parental HIV disclosure
In HIV/AIDS research, few studies to date have evaluated ways to improve parental HIV disclosure practices using feedback from HIV negative children who have recently experienced this event. We conducted semi-structured in-depth interviews with 20 children (aged 6-15) who were partially to fully aware of their parents' HIV status in rural Guangxi, China. Of the 20 children, eight children who were of older age (11.38 years in average) endorsed pa…
Co-infections of tuberculosis, hepatitis B or C viruses in a cohort of people living with HIV/Aids in China
The co-infection of viral hepatitis and tuberculosis (TB) among people living with HIV/AIDS (PLWHA) makes the syndemic of HIV even worse as there is higher mortality and morbidity among PLWHA with co-infections compared to people with HIV mono-infection. In the current study, we explored predictors and sequelae among a group of Chinese PLWHA to guide future program strategies and enhance the repertoire of action for both preventative and clinical…
Social support, depression, and quality of life among people living with HIV in Guangxi, China
This study collected data from 2987 people living with HIV in China and employed structural equation modeling to examine the relationships among social support, depression, and quality of life (QOL). Depression was the strongest predictor of the psychological, energy, and mobility aspects of QOL with β = -.70 (p < .001), β = -.47 (p < .001), and β = -.44 (p < .001), respectively. Emotional social support was a significant predictor of depression …
Psychological and behavioral barriers to ART adherence among PLWH in China
Globally, optimal adherence to antiretroviral therapy (ART) is insufficient despite it is critical for maximum clinical benefits and treatment success among people living with HIV (PLWH). Many factors have been evidenced to influence medication adherence, including perceived barriers and self-efficacy. However, limited data are available regarding to psychological and behavioral barriers to ART adherence in China. Moreover, few studies have exami…
A pedigree-based proxy measure of genetic predisposition of drinking and alcohol use among female sex workers in China
Scientific evidence has suggested that genetic factors accounted for more than half of the vulnerability of developing alcohol use problems. However, collecting genetic data poses a significant challenge for most population-based behavioral studies. The aim of this study was to assess the utilities of a pedigree-based proxy measure of genetic predisposition of drinking (GPD) and its effect on alcohol use behaviors as well as its interactions with…
Influence of Side Effects on ART Adherence Among PLWH in China
Social support, stigma, and HIV disclosure among parents living with HIV in Guangxi, China
Both stigma and social support have been identified to be associated with HIV status disclosure among people living with HIV. This study aimed to examine cross-sectional associations of perceived social support and multiple types of stigma with both disclosure to various target groups and timing of disclosure among parents living with HIV (PLHIV) in Guangxi, China. Cross-sectional data from 1254 PLHIV in Guangxi, China were analyzed. Measures inc…
Medicine (85 obras) · Psychology (68 obras) · HIV/AIDS Research and Interventions (65 obras) · Psychiatry (57 obras) · Clinical Psychology (46 obras) · HIV, Drug Use, Sexual Risk (43 obras) · Family medicine (39 obras) · Psychological intervention (37 obras) · Social Psychology (34 obras) · Public health (33 obras)