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. 2006 Oct;18(7):717-24.
doi: 10.1080/09540120500303403.

HIV-related knowledge, stigma, and willingness to disclose: A mediation analysis

H Yang  1 , X Li, B Stanton, X Fang, D Lin, S Naar-King
Affiliations

HIV-related knowledge, stigma, and willingness to disclose: A mediation analysis

H Yang et al. AIDS Care. 2006 Oct.

Abstract

Increasing HIV knowledge is a focus of many HIV education and prevention efforts. While the bivariate relationship of HIV serostatus disclosure with HIV-related knowledge and stigma has been reported in the literature, little is known about the mediation effect of stigma on the relationship of HIV knowledge with HIV serostatus disclosure. Data from 4,208 rural-to-urban migrants in China were analyzed to explore this issue. Overall, 70% of respondents reported willingness to disclose their HIV status if they were HIV-positive. Willingness to disclose was negatively associated with misconceptions about HIV transmission and stigma. Stigma mediated the relationship between misconceptions and willingness to disclose among women but not men. The mediation effect of stigma suggests that stigmatization reduction would be an important component of HIV prevention approaches. Gender inequality needs to be addressed in stigmatization reduction efforts.

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Figures

Figure 1
Figure 1
Conceptual framework of mediation effect of stigma on the effects of HIV knowledge on willingness to disclose.
See this image and copyright information in PMC

References

    1. Aggleton P, Parker R UNAIDS (Joint United Nations Programme on HIV/AIDS) World AIDS Campaign 2002–2003: A conceptual framework and basis for action: HIV/AIDS stigma and discrimination. 2002. Available at: http://www.eldis.org/static/DOC10145.htm.
    1. Baron R, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology. 1986;51:1173–1182. - PubMed
    1. Chesney MA, Smith AW. Critical delays in HIV testing and care–the potential role of stigma. American Behavioral Scientist. 1999;42:1158–1170.
    1. Cock KMD, Mbori-Ngacha D, Marum E. Shadow on the continent: Public health and HIV/AIDS in Africa in the 21st century. The Lancet. 2002;360:67–72. - PubMed
    1. De Rosa CJ, Marks G. Preventive counseling of HIV-positive men and self-disclosure of serostatus to sex partners: New opportunities for prevention. Health Psychology. 1998;17:224–231. - PubMed

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