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Abstract
Increasing HIV knowledge is a focus of many HIV education and prevention efforts. While the bivariate relationship of HIV serostatus disclosure with HIV-related knowledge and stigma has been reported in the literature, little is known about the mediation effect of stigma on the relationship of HIV knowledge with HIV serostatus disclosure. Data from 4,208 rural-to-urban migrants in China were analyzed to explore this issue. Overall, 70% of respondents reported willingness to disclose their HIV status if they were HIV-positive. Willingness to disclose was negatively associated with misconceptions about HIV transmission and stigma. Stigma mediated the relationship between misconceptions and willingness to disclose among women but not men. The mediation effect of stigma suggests that stigmatization reduction would be an important component of HIV prevention approaches. Gender inequality needs to be addressed in stigmatization reduction efforts.
Acknowledgments
The study is funded by NIMH/NIH (grant number R01MH64878). The authors would like to thank our participating investigators at Beijing Normal University Institute of Developmental Psychology, Nanjing University Institute of Mental Health and West Virginia University School of Medicine for their contributions to questionnaire development and data collection. Special thanks to Dr. Ambika Mathur for her assistance in editing the manuscript.