HIV stigma, disclosure and psychosocial distress among Thai youth living with HIV
| Autor: | Theshinee Chuenyam, Praphan Phanuphak, Chokechai Rongkavilit, Kathryn Wright, Sylvie Naar-King, Xinguang Chen |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Knowledge Attitudes Practice Self Disclosure Social stigma Adolescent Urban Population Population Stigma (botany) HIV Infections Dermatology Social support Acquired immunodeficiency syndrome (AIDS) medicine Humans Pharmacology (medical) education Psychiatry education.field_of_study Stereotyping business.industry Mental Disorders Public Health Environmental and Occupational Health medicine.disease Thailand Mental health Health Surveys Distress Infectious Diseases Quality of Life Female business Psychosocial Stress Psychological |
| Zdroj: | International journal of STDAIDS. 21(2) |
| ISSN: | 0956-4624 |
| Popis: | The objective of the present paper is to assess stigma and to create an abbreviated 12-item Stigma Scale based on the 40-item Berger's Stigma Scale for Thai youth living with HIV (TYLH). TYLH aged 16–25 years answered the 40-item Stigma Scale and the questionnaires on mental health, social support, quality of life and alcohol/substance use. Sixty-two (88.6%) of 70 TYLH reported at least one person knowing their serostatus. Men having sex with men were more likely to disclose the diagnosis to friends (43.9% versus 6.1%, P < 0.01) and less likely to disclose to families (47.6% versus 91.8%, P < 0.01). Women were more likely to disclose to families (90.2% versus 62.1%, P < 0.01) and less likely to disclose to friends (7.3% versus 31%, P < 0.05). The 12-item Stigma Scale was reliable (Cronbach's α, 0.75) and highly correlated with the 40-item scale ( r = 0.846, P < 0.01). Half of TYLH had mental health problems. The 12-item Stigma Scale score was significantly associated with mental health problems ( β = 0.21, P < 0.05). Public attitudes towards HIV were associated with poorer quality of life ( β = −1.41, P < 0.01) and mental health problems ( β = 1.18, P < 0.01). In conclusion, the12-item Stigma Scale was reliable for TYLH. Increasing public understanding and education could reduce stigma and improve mental health and quality of life in TYLH. |
| Databáze: | OpenAIRE |
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