观点采择干预对青少年学生艾滋病污名的影响  

Effect of perspective-taking intervention on AIDS/HIV-related stigma among teenage students

作　　者：郑思娣 李静芝 林莲珍[2] 姜浩[2] 蔡舒 麦熙[2] ZHENG Si-di;LI Jing-zhi;LIN Lian-zhen;JIANG Hao;CAI Shu;MAI Xi

机构地区：[1]广东药科大学护理学院,广东广州510310 [2]广州医科大学附属口腔医院广州市荔湾区昌华街社区卫生服务中心

出　　处：《实用预防医学》2018年第12期1441-1444,共4页Practical Preventive Medicine

基　　金：广东省普通高校青年创新人才类项目(2015WQNCX055)

摘　　要：目的了解青少年学生艾滋病污名的现状并探讨观点采择干预对其的影响。方法采用整群抽样法抽取某中学初中一年级5个班的学生,按学号单双分为对照组和干预组。被试对象均采用艾滋病污名问卷进行前测,观点采择干预后,均进行艾滋病污名后测,同时采用基本共情量表测共情水平。比较两组艾滋病污名差异,分析共情在观点采择对艾滋病污名影响中的中介作用。结果完成本研究被试对象为146名,其中对照组72名,干预组74名,艾滋病污名前测对照组及干预组艾滋病污名总分分别为(43. 75±8. 95)分和(44. 40±10. 41)分,两组间差异无统计学意义(P>0. 05)。艾滋病污名后测对照组及干预组艾滋病污名总分分别为(42. 65±11. 40)分和(37. 82±9. 94)分,两组差异有统计学意义(P<0. 05),共情中介效应的系数c(c=-0. 210)、系数a(a=0. 181)、系数b(b=-0. 163)和系数c’(c’=-0. 181)差异均有统计学意义(P<0. 05),中介效应占总效应的比值为14. 05%,共情在观点采择与艾滋病污名关系间存在部分中介作用。结论青少年学生普遍存在艾滋病污名,观点采择干预能有效降低其艾滋病污名,共情在观点采择对艾滋病污名的影响中发挥部分中介作用。Objective To investigate the current status of AIDS/HIV-related stigma in teenage students, and to explore the impact of perspective-taking intervention on it. Methods A cluster sampling method was used to select teenage students from five classes of junior Grade I in a middle school, and then all the students were divided into the control group and the intervention group based on their single or double student numbers. AIDS/HIV-related stigma questionnaire was used to evaluate all the students’ AIDS/HIV-related stigma baseline. After implementing perspective-taking intervention in the intervention group, the levels of AIDS/HIV-related stigma of the two groups were assessed, and their levels of empathy were simultaneously evaluated by the Basic Empathy Scale. The level of AIDS/HIV-related stigma was compared between the two groups, and the mediating role of empathy in the impact of perspective-taking on AIDS/HIV-related stigma was analyzed. Results One hundred and forty-six students were enrolled into this study, including 72 students in the control group and 74 in the intervention group. Before implementing the perspective-taking intervention, no statistically significant difference was found in the total score of AIDS/HIV-related stigma between the control group and the intervention group ((43.75±8.95) vs. (44.40±10.41), P>0.05). After implementing the perspective-taking intervention, the total scores of AIDS/HIV-related stigma of the control group and the intervention group were (42.65±11.40) and (37.82±9.94) respectively, with a statistically significant difference (P<0.05). The coefficient c (c=-0.210), coefficient a (a=0.181), coefficient b (b=-0.163) and coefficient c&apos; (c&apos;=-0.181) of mediating effect of empathy showed statistically significant differences (all P<0.05). Mediating effect accounted for 14.05% of the total effect. Empathy had a partial mediating effect on the relationship between perspective-taking and HIV/AIDS-related stigma. Conclusions HIV/AIDS-related stigma is common in te

关 键 词：艾滋病污名 观点采择 青少年学生 共情 中介作用 

分 类 号：R512.91[医药卫生—内科学]