Abstract：
BACKGROUND: Living with HIV/AIDS is more difficult for gay, bisexual, and queer (G- BQ) people as they face stigma on both the disease and sexuality, which puts significant stress on coping with stressors, and online platforms have become an alternative coping channel.
METHODS: This study investigated the use of online coping strategies in moderating the HIV stigma mediated by sexual identity stigma on mental health in Malaysia. 123 GBQ people living with HIV between the ages of 20 and 39 participated in the study, responding to the HIV Stigma - Short Form Scale, adapted China MSM Stigma Scale, Online Coping Inventory, and DASS-21.
RESULTS: Results were analyzed using OLS, and logistic regression path modeling showed a statisti- cally significant indirect effect of sexual identity stigma mediating HIV stigma on depressive (ab = 0.1362), anxiety (ab = 0.1259), and stress (ab = 0.1636) levels. Problem-focused online coping strategy was found to moderate the indirect association between HIV stigma and depression levels via sexual identity stigma at low (β = 0.2110, SE = 0.0741, p<.05) and moderate levels (β = 0.1168, SE = 0.0465, p<.05). The findings demonstrated the compounding link between HIV and sexual identity stigmas on mental health and how online coping strategies can be used as a helpful coping resource to manage depressive symptoms for this community and mental health practition- ers.
CONCLUSIONS: These findings can be beneficial to generate a better understanding of how double stigmas play a role in mental health and the types of online coping strategies adopted to process the stressors for GBQ individuals living with HIV in Malaysia.
METHODS: This study investigated the use of online coping strategies in moderating the HIV stigma mediated by sexual identity stigma on mental health in Malaysia. 123 GBQ people living with HIV between the ages of 20 and 39 participated in the study, responding to the HIV Stigma - Short Form Scale, adapted China MSM Stigma Scale, Online Coping Inventory, and DASS-21.
RESULTS: Results were analyzed using OLS, and logistic regression path modeling showed a statisti- cally significant indirect effect of sexual identity stigma mediating HIV stigma on depressive (ab = 0.1362), anxiety (ab = 0.1259), and stress (ab = 0.1636) levels. Problem-focused online coping strategy was found to moderate the indirect association between HIV stigma and depression levels via sexual identity stigma at low (β = 0.2110, SE = 0.0741, p<.05) and moderate levels (β = 0.1168, SE = 0.0465, p<.05). The findings demonstrated the compounding link between HIV and sexual identity stigmas on mental health and how online coping strategies can be used as a helpful coping resource to manage depressive symptoms for this community and mental health practition- ers.
CONCLUSIONS: These findings can be beneficial to generate a better understanding of how double stigmas play a role in mental health and the types of online coping strategies adopted to process the stressors for GBQ individuals living with HIV in Malaysia.
摘要：
背景：携带艾滋病毒/艾滋病对同性恋来说更加困难，双性恋,和酷儿（G-BQ）的人，因为他们在疾病和性行为上都面临耻辱，这给应对压力源带来了巨大的压力，在线平台已经成为另一种应对渠道。
方法：本研究调查了在马来西亚使用在线应对策略来缓解由性身份污名介导的HIV污名对心理健康的影响。123名年龄在20至39岁之间的HIV感染者参与了这项研究，对艾滋病毒污名的回应-简短形式的量表，适应中国MSM污名量表，在线应对库存，DASS-21
结果：使用OLS分析结果，和逻辑回归路径模型显示了性别认同污名介导HIV污名对抑郁的统计显著间接影响（ab=0.1362），焦虑（ab=0.1259），和应力（ab=0.1636）水平。发现以问题为中心的在线应对策略通过低（β=0.2110，SE=0.0741，p<.05）和中等水平（β=0.1168，SE=0.0465，p<.05）的性认同污名来减轻HIV污名和抑郁水平之间的间接关联。研究结果表明，艾滋病毒和性身份污名与心理健康之间的复合联系，以及如何将在线应对策略用作有用的应对资源，以管理社区和心理健康从业者的抑郁症状。
结论：这些发现有助于更好地理解双重柱头在心理健康中的作用，以及为处理马来西亚HIV感染者的压力源而采用的在线应对策略类型。
方法：本研究调查了在马来西亚使用在线应对策略来缓解由性身份污名介导的HIV污名对心理健康的影响。123名年龄在20至39岁之间的HIV感染者参与了这项研究，对艾滋病毒污名的回应-简短形式的量表，适应中国MSM污名量表，在线应对库存，DASS-21
结果：使用OLS分析结果，和逻辑回归路径模型显示了性别认同污名介导HIV污名对抑郁的统计显著间接影响（ab=0.1362），焦虑（ab=0.1259），和应力（ab=0.1636）水平。发现以问题为中心的在线应对策略通过低（β=0.2110，SE=0.0741，p<.05）和中等水平（β=0.1168，SE=0.0465，p<.05）的性认同污名来减轻HIV污名和抑郁水平之间的间接关联。研究结果表明，艾滋病毒和性身份污名与心理健康之间的复合联系，以及如何将在线应对策略用作有用的应对资源，以管理社区和心理健康从业者的抑郁症状。
结论：这些发现有助于更好地理解双重柱头在心理健康中的作用，以及为处理马来西亚HIV感染者的压力源而采用的在线应对策略类型。
