PDF(Pubmed)
Abstract：
BACKGROUND: People living with human immune deficiency virus (PLHIV) grapple with distinct challenges, including HIV stigma which affects their antiretroviral therapy (ART) adherence self-efficacy. This study investigates the interaction of HIV stigma and perceived social support on ART adherence self-efficacy among adult PLHIV in South Africa.
METHODS: This study utilized a cross-sectional design that involved 201 participants selected using time location sampling at a tertiary health facility in Durban.
RESULTS: HIV stigma was significantly and negatively associated with self-efficacy (β = -7.860, t = -4.654, p = .001), with variations across different stigma levels (β = -5.844, t = -4.003, p = .001). Social support was significantly and positively associated with self-efficacy at lower HIV stigma levels (β = 7.440, t = 3.887, p = .001), in contrast to higher levels (β = -2.825, t = 1.400, p = .163).
CONCLUSIONS: Social support significantly influences ART adherence self-efficacy, particularly at lower levels of HIV stigma, but the effect of support weakens as stigma intensifies.
The relationship between perceived social support and antiretroviral therapy adherence self-efficacy among adult PLHIV in South Africa: The influence of HIV stigma.People living with HIV face unique challenges, such as HIV stigma, which impact their ability to adhere to antiretroviral therapy (ART). This study examined how HIV stigma and perceived social support affect the ART adherence self-efficacy of adults living with HIV in South Africa. This survey involved 201 participants who were selected by using time location sampling at a health facility in Durban, South Africa. The study found that HIV stigma had a significant and negative impact on self-efficacy (β = −7.860, t = −4.654, p = .001), with variations depending on the level of stigma (β = −5.844, t = −4.003, p = .001). On the other hand, social support had a significant and positive impact on self-efficacy at lower levels of HIV stigma (β = 7.440, t = 3.887, p = .001), but this effect weakened at higher levels of stigma (β = −2.825, t = 1.400, p = .163). Social support plays an important role in influencing self-efficacy, especially when HIV stigma is lower. However, the significant impact of social support diminishes as HIV stigma becomes more intense.
METHODS: This study utilized a cross-sectional design that involved 201 participants selected using time location sampling at a tertiary health facility in Durban.
RESULTS: HIV stigma was significantly and negatively associated with self-efficacy (β = -7.860, t = -4.654, p = .001), with variations across different stigma levels (β = -5.844, t = -4.003, p = .001). Social support was significantly and positively associated with self-efficacy at lower HIV stigma levels (β = 7.440, t = 3.887, p = .001), in contrast to higher levels (β = -2.825, t = 1.400, p = .163).
CONCLUSIONS: Social support significantly influences ART adherence self-efficacy, particularly at lower levels of HIV stigma, but the effect of support weakens as stigma intensifies.
The relationship between perceived social support and antiretroviral therapy adherence self-efficacy among adult PLHIV in South Africa: The influence of HIV stigma.People living with HIV face unique challenges, such as HIV stigma, which impact their ability to adhere to antiretroviral therapy (ART). This study examined how HIV stigma and perceived social support affect the ART adherence self-efficacy of adults living with HIV in South Africa. This survey involved 201 participants who were selected by using time location sampling at a health facility in Durban, South Africa. The study found that HIV stigma had a significant and negative impact on self-efficacy (β = −7.860, t = −4.654, p = .001), with variations depending on the level of stigma (β = −5.844, t = −4.003, p = .001). On the other hand, social support had a significant and positive impact on self-efficacy at lower levels of HIV stigma (β = 7.440, t = 3.887, p = .001), but this effect weakened at higher levels of stigma (β = −2.825, t = 1.400, p = .163). Social support plays an important role in influencing self-efficacy, especially when HIV stigma is lower. However, the significant impact of social support diminishes as HIV stigma becomes more intense.
摘要：
背景：患有人类免疫缺陷病毒（PLHIV）的人面临着不同的挑战，包括影响他们抗逆转录病毒治疗（ART）依从性自我效能的HIV污名。这项研究调查了南非成人PLHIV中HIV污名和感知的社会支持与ART依从性自我效能感的相互作用。
方法：本研究采用了横断面设计，该设计涉及在德班的三级医疗机构使用时间位置采样选择的201名参与者。
结果：HIV污名与自我效能感显著负相关（β=-7.860，t=-4.654，p=.001），不同柱头水平的差异（β=-5.844，t=-4.003，p=.001）。在较低的HIV污名水平下，社会支持与自我效能感显着正相关（β=7.440，t=3.887，p=.001），与较高的水平(β=-2.825，t=1.400，p=0.163)相反。
结论：社会支持显著影响ART依从性自我效能感，特别是在较低水平的艾滋病毒耻辱，但是随着污名化的加剧，支持的效果会减弱。
南非成人PLHIV患者感知社会支持与抗逆转录病毒治疗依从性自我效能之间的关系：HIV污名的影响.艾滋病毒感染者面临着独特的挑战，比如艾滋病毒的耻辱，这影响了他们坚持抗逆转录病毒治疗（ART）的能力。这项研究调查了南非艾滋病毒感染者的艾滋病毒耻辱和感知的社会支持如何影响ART依从性自我效能。这项调查涉及201名参与者，他们是通过在德班的一家医疗机构使用时间位置抽样来选择的，南非。研究发现，艾滋病毒的污名对自我效能感有显著的负面影响(β=−7.860，t=−4.654，p=.001)，根据柱头水平的变化(β=−5.844，t=−4.003，p=.001)。另一方面,社会支持对HIV病耻感水平较低时的自我效能感有显著的正向影响(β=7.440,t=3.887,p=.001),但这种效应在柱头水平较高时减弱(β=−2.825，t=1.400，p=0.163)。社会支持在影响自我效能感、尤其是当艾滋病毒的耻辱较低时。然而,随着艾滋病毒的污名化变得更加强烈，社会支持的显著影响减弱。
方法：本研究采用了横断面设计，该设计涉及在德班的三级医疗机构使用时间位置采样选择的201名参与者。
结果：HIV污名与自我效能感显著负相关（β=-7.860，t=-4.654，p=.001），不同柱头水平的差异（β=-5.844，t=-4.003，p=.001）。在较低的HIV污名水平下，社会支持与自我效能感显着正相关（β=7.440，t=3.887，p=.001），与较高的水平(β=-2.825，t=1.400，p=0.163)相反。
结论：社会支持显著影响ART依从性自我效能感，特别是在较低水平的艾滋病毒耻辱，但是随着污名化的加剧，支持的效果会减弱。
南非成人PLHIV患者感知社会支持与抗逆转录病毒治疗依从性自我效能之间的关系：HIV污名的影响.艾滋病毒感染者面临着独特的挑战，比如艾滋病毒的耻辱，这影响了他们坚持抗逆转录病毒治疗（ART）的能力。这项研究调查了南非艾滋病毒感染者的艾滋病毒耻辱和感知的社会支持如何影响ART依从性自我效能。这项调查涉及201名参与者，他们是通过在德班的一家医疗机构使用时间位置抽样来选择的，南非。研究发现，艾滋病毒的污名对自我效能感有显著的负面影响(β=−7.860，t=−4.654，p=.001)，根据柱头水平的变化(β=−5.844，t=−4.003，p=.001)。另一方面,社会支持对HIV病耻感水平较低时的自我效能感有显著的正向影响(β=7.440,t=3.887,p=.001),但这种效应在柱头水平较高时减弱(β=−2.825，t=1.400，p=0.163)。社会支持在影响自我效能感、尤其是当艾滋病毒的耻辱较低时。然而,随着艾滋病毒的污名化变得更加强烈，社会支持的显著影响减弱。
