【摘要】 [目的]了解HIV/AIDS患者(People Living with HIV and AIDS,PLHA)社会支持和自我歧视状况,以进一步寻求相应的有效对策,降低社会对PLHA的歧视和PLHA的自我歧视,同时也对今后在社区及重点人群中开展HIV/AIDS健康教育的内容、方式和策略等提供有益的依据和建议。[方法]对128名18岁及以上确诊HIV/AIDS者进行问卷调查。[结果]被调查对象自我歧视行为总均分为(19.93±4.64)分(范围12～36分),半数以上PLHA存在自我歧视行为/自我歧视倾向。多元逐步回归分析提示与PLHA自我歧视相关的因素是孤独及消极自我形象(R=0.593,R2=0.351,F=21.285,P=0.000)。[结论]本研究结果提示PLHA显著缺乏社会支持并存在较强孤独情感和自我歧视。更多还原

【Abstract】 [Objective] To explore a strategy of decreasing social discrimination and self-discrimination in PLHA,and to provide suggestion on contents,means and methods of HIV /AIDS health education.[Methods] A total of 128 PLHA above 18 years old were recruited in the study,who were outpatients in an infectious disease hospital or followed up by a nongovernmental organization(NGO) named Red Ribbon in Beijing from April to May 2009.[Results] The mean scores of self-discrimination of all the respondents were 19.93±4.64(in the range between 12～36).More than half of them showed self-discrimination-related behavior and attitude.With self-discrimination score as dependent variable,multiple stepwise regression analysis was used in the related variables of single factor analysis and self-discrimination.It is found that correlation factors of PLHA self-discrimination included objective social support,loneliness and negative self-image.[Conclusion] PLHA observably lacked social support and had strong feelings of loneliness and self-discrimination.更多还原