The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional study
Abstract Background Due to the chronic nature of HIV, mental health has become a critical concern in people living with HIV (PLWHIV). However, little knowledge exists about the association between fear of progression (FoP) and medical coping modes (MCMs) in PLWHIV in China. Methods A cohort of 303 P...
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BMC
2024-02-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-17969-1 |
| _version_ | 1827325867269816320 |
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| author | Bing Li Xiaoli Lin Suling Chen Zhe Qian Houji Wu Guichan Liao Hongjie Chen Zixin Kang Jie Peng Guangyu Liang |
| author_facet | Bing Li Xiaoli Lin Suling Chen Zhe Qian Houji Wu Guichan Liao Hongjie Chen Zixin Kang Jie Peng Guangyu Liang |
| author_sort | Bing Li |
| collection | DOAJ |
| description | Abstract Background Due to the chronic nature of HIV, mental health has become a critical concern in people living with HIV (PLWHIV). However, little knowledge exists about the association between fear of progression (FoP) and medical coping modes (MCMs) in PLWHIV in China. Methods A cohort of 303 PLWHIV were consecutively enrolled and their demographic, clinical and psychological information was collected. The Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Social Support Rating Scale (SSRS), Internalized HIV Stigma Scale (IHSS) and MCMs Questionnaire were utilized. Results Of the participants, 215 PLWHIV were classified into the low-level FoP group, and 88 were grouped into the high-level FoP group based on their FoP-Q-SF scores, according to the criteria for the classification of dysfunctional FoP in cancer patients. The high-level group had a higher proportion of acquired immunodeficiency syndrome (AIDS) stage (P = 0.005), lower education levels (P = 0.027) and lower income levels (P = 0.031). Additionally, the high-level group had lower scores in social support (P < 0.001) and its three dimensions, with total SSRS scores showing a negative correlation with two dimensions of FoP-Q-SF, namely physical health (r2 = 0.0409, P < 0.001) and social family (r2 = 0.0422, P < 0.001). Further, the high-level group had higher scores in four dimensions of internalized HIV stigma, and a positive relationship was found to exist between IHSS scores and FoP-Q-SF scores for physical health (r2 = 0.0960, P < 0.001) and social family (r2 = 0.0719, P < 0.001). Social support (OR = 0.929, P = 0.001), being at the AIDS stage (OR = 3.795, P = 0.001), and internalized HIV stigma (OR = 1.028, P < 0.001) were independent factors for FoP. Furthermore, intended MCMs were evaluated. FoP were positively correlated with avoidance scores (r2 = 0.0886, P < 0.001) and was validated as the only factor for the mode of confrontation (OR = 0.944, P = 0.001) and avoidance (OR = 1.059, P = 0.001) in multivariate analysis. Conclusion The incidence of dysfunctional FoP in our study population was relatively high. High-level FoP was associated with poor social support, high-level internalized HIV stigma and a negative MCM among PLWHIV. |
| first_indexed | 2024-03-07T14:36:29Z |
| format | Article |
| id | doaj.art-0b168163be2f4e709109e7e64abd4180 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-07T14:36:29Z |
| publishDate | 2024-02-01 |
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| spelling | doaj.art-0b168163be2f4e709109e7e64abd41802024-03-05T20:36:13ZengBMCBMC Public Health1471-24582024-02-0124111010.1186/s12889-024-17969-1The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional studyBing Li0Xiaoli Lin1Suling Chen2Zhe Qian3Houji Wu4Guichan Liao5Hongjie Chen6Zixin Kang7Jie Peng8Guangyu Liang9Department of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical UniversityAbstract Background Due to the chronic nature of HIV, mental health has become a critical concern in people living with HIV (PLWHIV). However, little knowledge exists about the association between fear of progression (FoP) and medical coping modes (MCMs) in PLWHIV in China. Methods A cohort of 303 PLWHIV were consecutively enrolled and their demographic, clinical and psychological information was collected. The Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Social Support Rating Scale (SSRS), Internalized HIV Stigma Scale (IHSS) and MCMs Questionnaire were utilized. Results Of the participants, 215 PLWHIV were classified into the low-level FoP group, and 88 were grouped into the high-level FoP group based on their FoP-Q-SF scores, according to the criteria for the classification of dysfunctional FoP in cancer patients. The high-level group had a higher proportion of acquired immunodeficiency syndrome (AIDS) stage (P = 0.005), lower education levels (P = 0.027) and lower income levels (P = 0.031). Additionally, the high-level group had lower scores in social support (P < 0.001) and its three dimensions, with total SSRS scores showing a negative correlation with two dimensions of FoP-Q-SF, namely physical health (r2 = 0.0409, P < 0.001) and social family (r2 = 0.0422, P < 0.001). Further, the high-level group had higher scores in four dimensions of internalized HIV stigma, and a positive relationship was found to exist between IHSS scores and FoP-Q-SF scores for physical health (r2 = 0.0960, P < 0.001) and social family (r2 = 0.0719, P < 0.001). Social support (OR = 0.929, P = 0.001), being at the AIDS stage (OR = 3.795, P = 0.001), and internalized HIV stigma (OR = 1.028, P < 0.001) were independent factors for FoP. Furthermore, intended MCMs were evaluated. FoP were positively correlated with avoidance scores (r2 = 0.0886, P < 0.001) and was validated as the only factor for the mode of confrontation (OR = 0.944, P = 0.001) and avoidance (OR = 1.059, P = 0.001) in multivariate analysis. Conclusion The incidence of dysfunctional FoP in our study population was relatively high. High-level FoP was associated with poor social support, high-level internalized HIV stigma and a negative MCM among PLWHIV.https://doi.org/10.1186/s12889-024-17969-1Fear of progressionHIV infectionMetal healthInternalized HIV stigmaMedical coping modesSocial support |
| spellingShingle | Bing Li Xiaoli Lin Suling Chen Zhe Qian Houji Wu Guichan Liao Hongjie Chen Zixin Kang Jie Peng Guangyu Liang The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional study BMC Public Health Fear of progression HIV infection Metal health Internalized HIV stigma Medical coping modes Social support |
| title | The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional study |
| title_full | The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional study |
| title_fullStr | The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional study |
| title_full_unstemmed | The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional study |
| title_short | The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional study |
| title_sort | association between fear of progression and medical coping strategies among people living with hiv a cross sectional study |
| topic | Fear of progression HIV infection Metal health Internalized HIV stigma Medical coping modes Social support |
| url | https://doi.org/10.1186/s12889-024-17969-1 |
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