The mediating role of self-perceived HIV- related stigma in partner notification among older people living with HIV: A structured equation modeling approach.

This study investigated the prevalence of partner notification among older people living with HIV in China and explored associated factors, particularly the mediating effect of self-perceived HIV-related stigma. Using a cross-sectional design with convenience sampling, data were collected from 348 participants at two designated HIV hospitals between January and June 2021. The partner notification rate was 41.4 % (144/348). Older people living with HIV who were female, living with family members, had a junior high school education or higher, were married, had only one regular partner, and reported higher levels of self-efficacy and a lower self-perceived HIV-related stigma were more likely to disclose their status. Self-perceived HIV-related stigma is a major barrier to disclosure and fully mediated the association between social medical support, depressive symptoms, and partner notification. The study highlights the need for targeted interventions to improve partner notification, focusing on reducing stigma and supporting those most at risk.