title: Roles of Self-Stigma, Social Support, and Positive and Negative Affects as Determinants of Depressive Symptoms Among HIV Infected Men who have Sex with Men in China.
abstract: Poor mental health was prevalent among HIV positive men who have sex with men (HIVMSM), and a tremendous burden extents on their families and society. The present study investigated the prevalence of depression and its relationship with social support, HIV self-stigma, positive affect and negative affect among 321 HIVMSM in Chengdu, China. The study was conducted during July 2013 through October 2013. Findings showed that 55.8 % of the participants had mild to severe depression. The results of structural equation modeling showed that social support and positive affect were negatively associated with depression, while HIV self-stigma and negative affect were positively associated with depression. Social support, positive affect, and negative affect mediated the association between HIV self-stigma and depression. The hypothesized model had a satisfactory fit. Interventions improving mental health among this population are warranted.
authors.affiliation: Division of Behavioral Health and Health Promotion, The School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
authors.forename: Jinghua
authors.initials: J
authors.lastname: Li
authors.affiliation: Division of Behavioral Health and Health Promotion, The School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.|The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China.
authors.forename: Phoenix K H
authors.initials: PK
authors.lastname: Mo
authors.affiliation: Department of Psychology, University of Macau, Macau, China.
authors.forename: Anise M S
authors.initials: AM
authors.lastname: Wu
authors.affiliation: Division of Behavioral Health and Health Promotion, The School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. jlau@cuhk.edu.hk.|The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China. jlau@cuhk.edu.hk.|Centre for Medical Anthropology and Behavioral Health, Sun Yat-sen University, Guangzhou, China. jlau@cuhk.edu.hk.|Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. jlau@cuhk.edu.hk.
authors.forename: Joseph T F
authors.initials: JT
authors.lastname: Lau
mesh_terms: D000328:Adult; D000339:Affect; D002681:China / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008297:Male; D008603:Mental Health; D015995:Prevalence; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D057545:Social Stigma; D012944:Social Support; D055815:Young Adult
keywords: Depression; Men who have sex with men; Positive and negative affect; Self-stigma; Social support