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Amsterdam 2015
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Abstract #2012  -  The Enigma of Stigma
Session:
  35.5: The Enigma of Stigma (Symposium) on Thursday @ 14.30-16.00 in C104 Chaired by Danuta Kasprzyk,
Jeffrey Fisher

Authors:
  Presenting Author:   Mr Cheuk Chi Tam - Wayne State University, United States
 
  Additional Authors:   
Aim:
Background: National investigations reveal that more than 9,000 parents are living with HIV/AIDS in China. These families sustain high level of AIDS-related social stigma, which was proven to significantly affect children’s psychosocial well-being, especially loneliness. However, existing evidence indicated that parenting of caregivers was an essentially protective factor to psychosocial well-being among children in face of AIDS-related adversities. Nevertheless, the mechanism among AIDS-related stigma, parenting, and loneliness among children affected by parental HIV/AIDS has not been well-understood. Purpose: The current study is to examine the relationship among AIDS-related stigma (i.e., enacted stigma against people who live with HIV/AIDS [PLWHA], and perceived stigma against PLWHA), parenting of caregivers (i.e., trust relationship with caregiver and parental style, including responsiveness and demandingness), and loneliness among children affected by parental HIV/AIDS in rural China.
 
Method / Issue:
Method: Cross section data was collected from 790 AIDS orphans (boys and girls) aged from 7 to 13 (M=) in 2012 in rural area of Henan, China. All participants evaluated their perception of enacted stigma, perceived stigma, their perception of trust with their caregiver, their caregivers’ parenting style (responsiveness and demandingness), and loneliness.
 
Results / Comments:
Results: The Regression indicated that enacted stigma and perceived stigma against PLWHA have significant association with loneliness (ß=.25, p<.001 ß=.10, p<.01 respectively). In addition, loneliness was negatively related to trust relationship with caregiver (ß=-.08, p<.001) and responsiveness (ß=-.24, p<.001). Furthermore, responsiveness had indirect effects on either the link between enacted stigma and loneliness or the link between perceived stigma and loneliness. However, trust relationship with caregiver had only indirect effect on relationship between perceived stigma and loneliness. Bootstrapping revealed that the link between enacted stigma and loneliness was simultaneously and partially mediated by trust relationship with caregiver (indirect effect=.-.19, 95%CI [-.04, -.01]) and responsiveness (indirect effect=.01, 95%CI [.001, .025]). In addition, responsiveness also partially mediated the relationship of perceived stigma on loneliness (indirect effect=.03, 95%CI [.013, .044]).
 
Discussion:
Conclusion: The present study suggests that AIDS-related stigma and parenting of caregivers predicted loneliness among children affected by parental HIV/AIDS. In addition, parenting of caregivers provides mediation effects on the relationship between HIV-related stigma and loneliness of children. Future intervention or prevention should attend to parenting of caregiver for promoting psychological well-being among children in face of AIDS-related stigma.
 
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