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Network Characteristics of Social Support Sources for People Living with HIV Under Community Follow-Up: A Social
Xiaoxue Chen1, Jiename Lang1, Jingbo Zhang1
1School of Public Health, Southwest Medical University, Luzhou City, 646000, SichuanProvince, China.
Abstract:
For people living with HIV (PLWH), the configuration of social support networks may shape access to support, yet the structural position of support sources remains poorly understood. We conducted a cross-sectional study among 446 PLWH receiving community follow-up in Luzhou, China, from March to May 2023. A two-mode network (participants × 10 support-source categories) was analyzed in UCINET to describe support-source degree and core-periphery structure. Community Health Service Centers, hospitals, and family members occupied core positions. Overall support scores differed by gender (female vs male: t = -2.66, p = .008), age (≥ 50 vs <50 years: t = -6.79, p < .001), and transmission route (heterosexual vs homosexual: t = 6.25, p < .001). Overall, 52.47% of participants were classified as core actors. The proportion was 46.88% in the combined homosexual-transmission and other-routes group and 44.53% among young/middle-aged men. These findings describe how support sources are positioned within the community follow-up setting and may inform efforts to connect PLWH with fewer core-source ties to available services.
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