Perceived discrimination and mental health symptoms among persons living with HIV in China: the mediating role of social isolation and loneliness.

Journal Article (Multicenter Study;Journal Article)

Perceived discrimination is significantly associated with mental health symptoms among persons living with HIV (PLWH). However, little is known about the factors mediating this relationship. We aimed to examine the mediating role of social isolation and loneliness in the association between perceived discrimination and mental health symptoms among PLWH. A multicenter (Shanghai, Kunming, Nanning, Hengyang, and Changning in China) cross-sectional study was conducted in 2017. Data from 883 PLWH were used for statistical analysis. Perceived discrimination, mental health symptoms, loneliness and social isolation were assessed through self-report questionnaires. Structural equation modeling (SEM) showed a satisfactory model fit (CMIN/DF = 2.676, GFI = 0.998, CFI = 0.997, NFI = 0.995, TLI = 0.985, RMSEA = 0.044 [0.000, 0.090]) and a significant total indirect effect (β  = 0.058, SE = 0.009, Z  = 6.444, p  < 0.01). Both loneliness (β  = 0.042, SE = 0.008, Z  = -5.250, p  < 0.01) and social isolation (β  = 0.016, SE = 0.004, Z  = -4.000, p  < 0.01) were determined to be significant mediators of the association between perceived discrimination and mental health symptoms. Interventions that combat loneliness and social isolation may help ameliorate the adverse consequences of perceived discrimination on mental health.

Full Text

Duke Authors

Cited Authors

  • Han, S; Hu, Y; Wang, L; Pei, Y; Zhu, Z; Qi, X; Wu, B

Published Date

  • May 1, 2021

Published In

Volume / Issue

  • 33 / 5

Start / End Page

  • 575 - 584

PubMed ID

  • 33233938

Electronic International Standard Serial Number (EISSN)

  • 1360-0451

International Standard Serial Number (ISSN)

  • 0954-0121

Digital Object Identifier (DOI)

  • 10.1080/09540121.2020.1847246

Language

  • eng