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CN 34-1304/R ISSN 1674-3679

Volume 23 Issue 5
May  2019
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Article Navigation >  CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION  > 2019  >  23(5): 592-596
QIAO Jia-ying, XU Zhi-meng, ZHANG Han-xi, ZENG Cheng-bo, CAI Wei-ping, GUO Yan. A structural equation model of HIV-related stigma, stress and depression among people living with HIV and depression in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(5): 592-596. doi: 10.16462/j.cnki.zhjbkz.2019.05.020
Citation: QIAO Jia-ying, XU Zhi-meng, ZHANG Han-xi, ZENG Cheng-bo, CAI Wei-ping, GUO Yan. A structural equation model of HIV-related stigma, stress and depression among people living with HIV and depression in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(5): 592-596. doi: 10.16462/j.cnki.zhjbkz.2019.05.020
shu

A structural equation model of HIV-related stigma, stress and depression among people living with HIV and depression in Guangzhou

doi: 10.16462/j.cnki.zhjbkz.2019.05.020
  • 1.

    Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China

  • 2.

    Infectious Disease Department, Guangzhou eighth People's Hospital, Guangzhou 510060, China

  • 3.

    Sun Yat-sen Center for Migrant Health Policy, Guangzhou, Guangzhou 510080, China

Funds:

National Natural Science Foundation of China 81302517

China Medical Board 17-271

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  • Corresponding author: GUO Yan, E-mail: guoy8@mail.sysu.edu.cn
  • Received Date: 2018-11-22
  • Rev Recd Date: 2019-03-01
  • Publish Date: 2019-05-10
    Abstract
  •   Objective  To examine the mechanism among HIV-related stigma, perceived stress, and severity of depression among people living with HIV and depression (PLWHD).  Methods  A total of 300 PLWHD were recruited from a large HIV treatment hospital in Guangzhou, China from August to October in 2017. Participants completed measures assessing HIV-related stigma, perceived stress, depression, and socio-demographic characteristics at baseline. Structural equation modeling (SEM) was performed to examine the direct and indirect associations between stigma and depression.  Results  Among the 300 participants (mean age=28.21 years, 92.3% male), the median score of CES-D was 23.0 (19.0, 28.0).The global model showed good model fit (Chi-square value=25.97, CFI=0.98, RMSEA=0.04, SRMR=0.04). Structural equation model revealed that stigma had significantly direct (pathway coefficient=0.31, P < 0.001) and indirect (pathway coefficient=0.25, P < 0.001) effects on depression.  Conclusions  Stress plays an important role in the mechanism between stigma and depression, thus future interventions need to pay more attention on stress.
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