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BMC Public Health
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Mood Disorders | Research article

Factors associated with hostility among people living with HIV/AIDS in Northeast China: a cross-sectional study

Authors: Miaomiao Zhao, Baohua Liu, Tong Zheng, Jiao Xu, Yanhua Hao, Jiahui Wang, Xin Zhang, Wanling Nie, Chao Wang, Fuxiang Wang, Mingli Jiao, Qunhong Wu, Libo Liang

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

Hostility can result in negative outcomes in people living with HIV/AIDS (PLWHA); however, previous research on this topic is far from adequate. To contribute to existing knowledge on this aspect of PLWHA, the current study examined the prevalence of hostility and its potential influencing factors among PLWHA.

Methods

A cross-sectional questionnaire survey was undertaken on 218 HIV patients in Heilongjiang Province of China between March and August in 2013. A multiple logistic regression analysis was performed to identify factors associated with hostility.

Results

The prevalence of hostility was 17.0% among the participants. The three most alarming types of hostility included desiring to kill the person who infected them, blaming the infection on the society, and abandoning themselves to despair. A multiple logistic regression model identified that depression (OR = 3.845, 95% CI = 1.309–9.229), perceived stigma (OR = 3.281, 95% CI = 1.109–7.711), and fear of dying (OR = 2.710, 95% CI = 1.068–6.881) were the risk factors for hostility, while higher levels of trust-in-doctor (OR = 0.176, 95% CI = 0.060–0.517) and per capita household income (OR = 0.344, 95% CI = 0.119–0.991) were protective factors.

Conclusions

Our findings highlight the prominent influence of psychological, healthcare, and social factors on hostility among PLWHA. Interventions specifically targeted to reduce hostility should be provided, including incorporating psychological service into HIV management guidelines, enhancing PLWHA’s trust-in-doctor, establishing comprehensive services for PLWHA, reducing the social stigma against PLWHA, and paying more attention to PLWHA with financial problems. These interventions may improve the management and control of HIV/AIDS.
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Metadata
Title
Factors associated with hostility among people living with HIV/AIDS in Northeast China: a cross-sectional study
Authors
Miaomiao Zhao
Baohua Liu
Tong Zheng
Jiao Xu
Yanhua Hao
Jiahui Wang
Xin Zhang
Wanling Nie
Chao Wang
Fuxiang Wang
Mingli Jiao
Qunhong Wu
Libo Liang
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7526-2

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