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Timely linkage to care among men who have sex with men newly diagnosed with HIV: A structural equation model adapted from the HIV‐related stigma framework.
- Source :
- Nursing & Health Sciences; Sep2022, Vol. 24 Issue 3, p643-651, 9p
- Publication Year :
- 2022
-
Abstract
- HIV prevalence among men who have sex with men in China has increased dramatically, and timely linkage to care after being diagnosed with HIV is important to treatment success. This cross‐sectional study aims to utilize structural equation modeling to test a hypothesized model of timely linkage to care adapted from the HIV‐related stigma framework. Data were collected from 257 men who have sex with men living with HIV. The proportion of participants with timely linkage to care within 1 month was 63.42%. The model result showed a good fit. Higher HIV‐related stigma was significantly associated with a lower level of social support, mental health, maladaptive coping (three mechanism variables), and attitude toward linkage to care. Higher CD4+ T‐cell count, disclosure of HIV positivity to sexual partners, and greater convenience of accessing care were related to timely linkage to care (p < 0.05). These model results suggest that enhancing attention to family reactions and social support are needed for further research and interventions to accelerate newly diagnosed people's access to HIV care in China. [ABSTRACT FROM AUTHOR]
- Subjects :
- STRUCTURAL equation modeling
HEALTH services accessibility
SOCIAL support
CONFIDENCE intervals
CROSS-sectional method
SELF-evaluation
SOCIAL stigma
MENTAL health
RESEARCH funding
QUESTIONNAIRES
HEALTH attitudes
DESCRIPTIVE statistics
CD4 lymphocyte count
MEN who have sex with men
PSYCHOLOGICAL adaptation
SEXUAL partners
DATA analysis software
STATISTICAL models
T cells
PSYCHOLOGY of HIV-positive persons
Subjects
Details
- Language :
- English
- ISSN :
- 14410745
- Volume :
- 24
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Nursing & Health Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 159135758
- Full Text :
- https://doi.org/10.1111/nhs.12960