桂林高校大学生观点采择与共情对艾滋病污名的影响

Impact of perspective-taking and empathy on HIV-related stigma among college students in Guilin

目的了解桂林地区高校大学生艾滋病污名现状,探讨实施观点采择及共情对艾滋病污名的影响,为后续其他地区、人群开展艾滋病污名研究提供参考。方法采用分层抽样法选取桂林地区4所高校大学生,在层内随机将研究对象分为对照组(410名)和试验组(396名),并采用艾滋病污名及共情自评量表对其进行采择前后测试,比较测试结果。结果两组研究对象的艾滋病污名问卷各维度得分与总分在采择前差异均无统计学意义(t值分别为0.80,0.35,-0.62,-0.10,P值均>0.05),采择后差异均有统计学意义(t值分别为3.53,2.21,2.30,3.98,P值均<0.05);采择前共情水平认知共情和情感移情维度得分与总分差异均无统计学意义(t值分别为0.10,-0.27,-0.08,P值均>0.05),采择后情感移情得分与总分差异均有统计学意义(t值分别为-2.15,-3.06,P值均<0.05)。共情在观点采择与艾滋病污名之间起到14.08%的中介作用。结论艾滋病污名存在于桂林地区高校大学生中,而观点采择可有效降低其艾滋病污名,共情在其中具有中介作用。

Objective To investigate the current status of HIV-related stigma among college students in Guilin,and to explore the impact of perspective-taking and empathy on HIV-related stigma among college students.Methods The stratified cluster sampling method was used to select college students from 4 universities in Guilin city.Stratified randomization was used to assign all subjects into a control group( 410) and an experimental group( 396) for randomized controlled trials,and the HIV-related Stigma Questionnaire and the Basic Empathy Scale were used before and after the intervention.Results Before the intervention of perspective-taking,there were no statistically significant differences between two groups in subscale scores and total scores of HIV-related stigma( t = 0.80,0.35,-0.62,-0.10,P>0.05);However,signiticant differences in subscale scores and total score in HIV-related stigma were found after intervention( t = 3.53,2.21,2.30,3.98,P<0.05).There was no statistically singnificant in the scores of all dimensions of empathy level and the total score before the intervention( t = 0.10,-0.27,-0.08,P>0.05),dimensional score and total score in empathy were statistically significant after intervention( t =-2.15,-3.06,P< 0.05).Empathy played an intermediary role of 14.08% between opinion selection and HIV stigma.Conclusion HIV-related stigma exists among college students in Guilin,and perspective-taking intervention effectively reduces its AIDS stigma.Empathy plays an intermediary role between them.