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Pearson correlation coefficients, mean (standard deviation), and Cronbach’s alpha among the study variables (N = 315 couples)
Source publication
Objectives
This study aimed to assess the influences of stigma and HIV status on reproductive intention among heterosexual couples living with HIV in China.
Methods
A cross-sectional study was conducted in Kunming, China among 315 HIV-positive individuals and their spouses (n = 315 couples). An interview questionnaire was used to collect data on i...
Citations
... In the collective cultural atmosphere in China, Chinese PLWH even suffer greater social impact (Xie et al. 2017). The effects of HIV infection can permeate major life events, such as education, employment, and marriage (Celeste-Villalvir et al. 2023;Gigstad et al. 2023;Guo et al. 2022). Unpleasant experiences in interpersonal interactions may active multiple mental health symptoms, ultimately contributing to the emergence of feeling inferior to others. ...
Aim
This study aims to develop dynamic networks and examine the longitudinal relationships of mental health symptoms among persons living with HIV (PLWH).
Design
A longitudinal study.
Methods
We collected data between October 2022 and December 2022 using Wenjuanxing (Questionnaire Star), an online survey platform. The study tracked weekly data across 10 sessions, involving 123 PLWH in Beijing, China. A total of 40 mental health symptoms with six dimensions (somatization symptoms, negative affect, cognitive processes, cognitive function, interpersonal communication and social adaptation) were included in the symptom network, which consists of temporal, contemporaneous and between‐person networks.
Results
In the temporal network, ‘feeling inferior to others’ had the largest in‐strength value, whereas ‘suicidal ideation’ exhibited the largest out‐strength value. In the contemporaneous network, ‘feeling inferior to others’ showed the highest bridge strength, indicating it had the most connections to other mental health symptoms.
Conclusions
We found that ‘feeling inferior to others’ had the highest number of predictors, with up to seven mental health symptoms potentially triggering this particular symptom. Additionally, ‘suicidal ideation’ emerged as a powerful predictor, influencing the greatest number of mental health symptoms across five dimensions.
Impact
Our study enhances the understanding of the sequential development and consequences of mental health symptoms among PLWH, which may provide an important basis for designing precise mental health symptom management interventions.
Reporting Method
This study was reported according to the STROBE checklist.
Patient or Public Contribution
No patient or public contribution.
... Under these circumstances, the impact of HIV on crucial life milestones can significantly influence the decision-making process for PWH. They may face uncertainties when making important life choices, such as whether to get married and have children (Gigstad et al., 2023;Guo et al., 2022); whether to disclose their HIV status to friends, family, sexual partners, and others ; and whether to change jobs or avoid jobs with HIV testing involved in pre-employment or annual medical examination (Celeste-Villalvir et al., 2023). Effective appraisal support requires that support providers not influence PWH's decision-making with personal subjective tendencies and preferences. ...
... Despite the fact that there are various studies that relate the TDIB model to various variables such as politics (Liu et al., 2023), fatal diseases (Buber-Ennser et al., 2023;Djiometio et al., 2019;Guo et al., 2022), race (Alexander et al., 2021), couple relationship (Barber et al., 2019), among others; empirical evidence of family of origin characteristics as predictors of CM in the national and international literature is scarce (Rich et al., 2021;Varas & Borsa, 2021). Gerson (1980Gerson ( , 1983Gerson ( , 1984Gerson ( , 1986, assessed the impact on CM of perceived parental attention, parental identification, and happiness of family life in childhood and the results indicated that CMs are correlated with the aforementioned variables. ...
This study examines childhood experiences and the relationship with the family of origin as predictive variables for positive childbearing motivation (PCM). It was conducted through analyses using the method of Multigroup Structural Equation Modeling, which were conducted on a Peruvian sample (n = 1494, 72.2% females) and a Brazilian sample (n = 1507; 84.0% females). The results indicate that the variables caring of younger siblings and family adaptation are statistically significant predictors of PCM in both countries, while the variable number of siblings did not emerge as a predictor in either case. Family autonomy emerged as a predictor only in Brazil, and birth order only in Peru. Multigroup analysis shows that the difference in the effects of “family adaptation” and “family autonomy” on PCM is moderated by the country of origin. In summary, this study provides empirical evidence that family variables predictPCM and highlights the moderating effect of the country of origin in the analyzed samples.
... 25 The previous studies used a dyadic approach to assess the fertility desire and intention by other factors such as stigma, HIV status, HIV-related worriers and living children. 26,27 The objective of the current study was to document the effects of (in)congruency in fertility motivation linked to intention via desire among CLWH using the APIM and DRSA. To achieve this objective, we divided the analysis into three parts: the causal pathway; degree of husband-wife congruence of fertility motivations; and congruency effect of fertility motivation between wives and husbands on fertility desire/intention. ...
Background
Fertility decision-making plays a negligible role in completing fertility goals among couples living with HIV (CLWH). Being commonly matched concerning fertility motivation seems essential for fertility desire/intention. Few studies report on intra-couple congruences or incongruences in fertility motivation on desire/intention. This study aims to assess the effects of (in)congruency in fertility motivation on fertility desire and intention among couples living with HIV.
Methods
This study uses the actor-partner interdependence model (APIM) to assess the independent direct and indirect effect of fertility motivation on intention, and dyadic response surface analysis with congruency/incongruent effect (DRSA) of fertility motivation on intention using fertility desire as mediator variable among CLWH. CLWH were selected from a clinic in Kunming, China, between October and December 2020. Cross-sectional research included 314 CLWH.
Results
APIM revealed that the wife’s fertility motivation had an indirect influence on fertility intention of couples mediated by her fertility desire (R² = 0.42). There was a significant effect on fertility intention by interaction of (in)congruency in fertility motivation among couples. DRSA shows that linear congruency in fertility motivation of both husband and wife increased fertility desire and intention of couples. However, if there was an incongruent in fertility motivation among husband and wife, husband’s domination in fertility motivation was common and negatively affect the wife’s fertility desire to have a child. Overall, couples who were matched on fertility motivation reported a significant greater relationship with fertility intention than couples who were mismatched.
Conclusion
Counseling could help both the husband and wife achieve a greater positive fertility intention by addressing comparable fertility goals.
This study investigates the role of self-perceived burden as a mediating factor in the association between perceived partner responsiveness and fertility intentions in women of reproductive age diagnosed with inflammatory bowel disease. A sample of 366 female inflammatory bowel disease patients from Changsha, China, was recruited using convenience sampling. Participants completed assessments, including the Impact of Perceived Partner Responsiveness Scale, Self-Perceived Burden Scale, Fertility Intentions Questionnaire, and a demographic questionnaire. Results indicated a moderate-to-low level of fertility intentions (mean score: 5.33 ± 2.21), with corresponding moderate levels of self-perceived burden (mean score: 30.01 ± 10.02) and perceived partner responsiveness (mean score: 52.80 ± 17.03). Positive correlations were observed between perceived partner responsiveness and fertility intentions and negative correlations between self-perceived burden and fertility intentions. The relationship between perceived partner responsiveness and fertility intentions was found to be partially mediated by self-perceived burden. These findings highlight the significance of perceived partner responsiveness and self-perceived burden in shaping fertility intentions among women with inflammatory bowel disease.
The desires for marriage and fertility among people living with HIV (PLWH) are increasing worldwide because of improved treatment and prognosis; yet they remain understudied in China, which has a family-oriented culture. This study aimed to investigate these desires for marriage and fertility among Chinese PLWH and explore their correlates. A cross-sectional study was conducted among 1,504 Chinese PLWH to assess their desires for marriage, fertility, and other variables through an online questionnaire. Logistic regression models were used to analyze factors associated with desires for marriage and fertility. Among the 1,504 participants, 53.9% aspired to marry at 34.76 ± 5.26 years old, whereas 62.0% desired parenthood at 36.43 ± 5.11 years old. Factors associated with these desires included age, gender, residence, education level, HIV transmission route, CD4 ⁺ T-cell count, time since HIV diagnosis, disclosure of HIV status, social support, and mental health indicators.
