HIV infection disclosure, treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy

BMC Infectious Diseases

Research

Chunxiao Cheng¹  Yijun Li¹  Xuan Yang¹  Wei Ma¹  Jing Ma¹  Yanwen Cao¹  Xinting Wang¹  Yu Yan¹  Lina Wang¹  Kedi Jiao¹  Zhonghui Zhao¹  Yuxi Lin¹  Jing Meng¹  Wenwen Jia¹  Meizhen Liao²  Dianmin Kang²  Chunmei Wang³ 

[1] Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 West Wenhua Road, 250012, Jinan, Shandong, People’s Republic of China;Institution for AIDS/STD Control and Prevention, Shandong Center for Disease Control and Prevention, 16992 Jingshi Road, 250014, Jinan, Shandong, People’s Republic of China;Shandong Public Health Clinical Center, 12 East Martyrs Mountain Road, 250132, Jinan, Shandong, People’s Republic of China;

关键词: HIV/AIDS;    Disclosure;    Men who have sex with men;    Self-efficacy;    Quality of life;   

DOI  :  10.1186/s12879-022-07932-z

 received in 2022-04-19, accepted in 2022-12-07,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundResearch on the relationship between disclosure of HIV status to male sexual partners (HIV disclosure) and quality of life (QOL) revealed complex and even contradictory results. The impact of HIV disclosure on various domains of QOL and the mediation effect between them are unclear. The purposes of this study were to explore the impact of HIV disclosure on QOL among men who have sex with men (MSM), and whether HIV treatment self-efficacy mediated these relationships.MethodsThe data came from a baseline survey on the design of a randomized control trial conducted in Shandong, China. A total of 579 MSM patients were included. SPSS 24.0 was used to conduct independent samples t test, one-way analysis of variance and nonparametric tests and the PROCESS macro was used to conduct mediation analysis.ResultsAmong 579 participants, 16.06% disclosed their HIV infection status to their male sexual partners. The effect of HIV disclosure on QOL was mediated by treatment self-efficacy. Self-efficacy played partial mediating role in social relationships, meaning that HIV disclosure had both direct and indirect effects on this factor. In the overall QOL and domains of physical, psychological, independence, and environment, HIV disclosure had an indirect effect only through self-efficacy and no significant effect on the spirituality domain.ConclusionsThe results emphasize the importance of HIV disclosure and self-efficacy on the QOL of MSM patients and suggest that health care providers should assist MSM patients in deciding whether to disclose their HIV status during daily medical services.

【 授权许可】

CC BY   
© The Author(s) 2022

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