title: Network stigma towards people living with HIV/AIDS and their caregivers: An egocentric network study.
abstract: HIV stigma occurs among peers in social networks. However, the features of social networks that drive HIV stigma are not well understood. The objective of this study is to investigate anticipated HIV stigma within the social networks of people living with HIV/AIDS (PLWHA) (N = 147) and the social networks of PLWHA's caregivers (N = 148). The egocentric social network data were collected in Guangxi, China. More than half of PLWHA (58%) and their caregivers (53%) anticipated HIV stigma from their network peers. Both PLWHA and their caregivers anticipated that spouses or other family members were less likely to stigmatise them, compared to friend peers or other relationships. Married network peers were believed to stigmatise caregivers more than unmarried peers. The association between frequent contacts and anticipated stigma was negative among caregivers. Being in a close relationship with PLWHA or caregivers (e.g., a spouse or other family member) was associated with less anticipated stigma. Lower network density was associated with higher anticipated stigma among PLWHA's alters, but not among caregivers' alters. Findings may shed light on innovative stigma reduction interventions at the social network level and therefore improve HIV/AIDS treatment utilisation.
authors: a Department of Epidemiology and Biostatistics, School of Public Health , University of Maryland , College Park , MD , USA.
authors: Fei
authors: F
authors: Wu
authors: a Department of Epidemiology and Biostatistics, School of Public Health , University of Maryland , College Park , MD , USA.
authors: Xin
authors: X
authors: He
authors: a Department of Epidemiology and Biostatistics, School of Public Health , University of Maryland , College Park , MD , USA.
authors: Jennifer
authors: J
authors: Guida
authors: b Department of HIV/AIDS Control and Prevention , Nanning Center for Disease Control and Prevention , Nanning , China.
authors: Yongfang
authors: Y
authors: Xu
authors: a Department of Epidemiology and Biostatistics, School of Public Health , University of Maryland , College Park , MD , USA.
authors: Hongjie
authors: H
authors: Liu
mesh_terms: D000328:Adult; D017677:Age Distribution; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D002681:China; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012044:Regression Analysis; D017678:Sex Distribution; D012931:Social Environment; D057545:Social Stigma; D055815:Young Adult
keywords: China; HIV; egocentric social network; stigma
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