Evidence map›Paper›PMID 42635952›Full record

ArticleAIDS and behavior2026

Illness Perception Clusters Moderated the Association Between HIV-related Stigma and Resilience in Mother-Child Dyads Living with HIV: An Actor-Partner Interdependence Moderation Approach.

Chenxi Wang, Shiyun Ji, Siya Chen, Xiaoliang Zeng, Nancy Xiaonan Yu

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Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Chenxi Wang *Department of Social and Behavioral Sciences, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-6418-5791
Shiyun Ji *Department of Social and Behavioral Sciences, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong SAR, China.ORCID http://orcid.org/0000-0001-8147-6163
Siya ChenGuangxi Zhuang Autonomous Region Center for Disease Control and Prevention (Guangxi Zhuang Autonomous Region Academy of Preventive Medicine), 18 Jinzhou Road, Nanning, Guangxi, China.
Xiaoliang ZengGuangxi Zhuang Autonomous Region Center for Disease Control and Prevention (Guangxi Zhuang Autonomous Region Academy of Preventive Medicine), 18 Jinzhou Road, Nanning, Guangxi, China. xlzeng225@sina.com.ORCID http://orcid.org/0000-0003-2201-3489
Nancy Xiaonan YuDepartment of Social and Behavioral Sciences, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong SAR, China. nancy.yu@cityu.edu.hk.ORCID http://orcid.org/0000-0002-6371-2684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Illness perceptions (beliefs about illness identity, impact, understanding, and control) are connected with clinical and psychological outcomes. According to the relationship-oriented model of HIV-related stigma, stigma affects individuals and their significant others. Among mothers living with HIV and their children with perinatally acquired HIV (PHIV) who experience stigma, adaptive or maladaptive illness perception clusters could play a moderating role. This study investigated the extent to which illness perception clusters moderate the dyadic stigma-resilience associations among such mothers and children. In this cross-sectional survey, 123 Chinese dyads of mothers living with HIV and children with PHIV completed measures of illness perceptions, HIV-related stigma, and resilience. For both mothers and children, hierarchical cluster analyses identified an adaptive cluster (lower perceived impact and higher control; mothers: 37.4%, children: 56.9%) and a maladaptive cluster (higher perceived impact and lower control; mothers: 62.6%, children: 43.1%). Mothers and children in the adaptive cluster reported lower stigma and higher resilience. Actor-partner interdependence models (APIM) examined dyadic stigma-resilience associations, showing that higher maternal and child stigma predicted lower child resilience. APIM moderation models showed that illness perception clusters moderated the dyadic stigma-resilience associations: only among dyads with mothers in the maladaptive cluster, mothers' and children's higher stigma predicted their own lower resilience. Only among children in the adaptive cluster, children's higher stigma predicted their lower resilience. These findings extend the relationship-oriented model to mothers and their children living with HIV and call for consideration of both members' illness perceptions and mothers' HIV-related stigma.

Indexed as

Children with perinatally acquired HIVCluster analysisIllness perceptionsStigma

Identifiers

PMID42635952

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.