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February 14, 2026BMC Public Health1 citationsOpen Access

The process and mechanism of help-seeking behavior among people living with HIV: a qualitative analysis based on grounded theory

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YWY. Lynn WangWWWenhiu WeiHXHuali Xiao

Key Points

  • This research aims to explore the mechanisms and processes of help-seeking behavior among people living with HIV.
  • Used grounded theory for qualitative analysis
  • Conducted face-to-face semi-structured interviews with 34 HIV patients in Sichuan Province, China
  • Participants ranged between 25-75 years old, predominantly with primary to junior high school education
  • Identified four stages of help-seeking behavior: problem identification, awareness awakening, behavior development, and interaction maintenance
  • Established that help-seeking is a dynamic process linked to the theory of planned behavior
  • Highlighted the importance of personalized interventions by healthcare providers based on dynamic assessments.

Abstract

AIDS is a global public health issue that requires continuous monitoring and response. Although antiretroviral therapy has decreased the death rate among people living with HIV, several physical and mental health issues remain to be addressed. Seeking help might be a way to solve mental health problems for people living with HIV. Although the research on help-seeking behavior is extensive, the specific content, process, and mechanism of help-seeking behavior in people living with HIV are still unclear. This study aims to explore the mechanism and process of help-seeking behavior in peolple living with HIV and to provide a reference for promoting such behavior. From December 2024 to March 2025, 34 HIV/AIDS patients in Sichuan Province, China, were selected for face‒to-face semi-structured interviews, and the grounded theory method was used to analyse and integrate the data. The interviewees were 25-75 years old, 22 were male, 12 were female, and their education levels were mainly primary school or junior high school. The process and mechanism of help-seeking behavior among people living with HIV include four stages: identification of help-seeking problems; awakening of help-seeking awareness; development of help-seeking behavior; and maintenance of help-seeking interactions. The help-seeking behavior of people living with HIV is a dynamic process that can be conceptualized within Ajzen’s theory of planned behavior. This perspective underscores the need for healthcare providers to dynamically evaluate an individual's status across the key theory of planned behavior constructs (attitudes, subjective norms, and perceived behavioral control) throughout their journey. Interventions should then be strategically tailored on the basis of this assessment to effectively promote and sustain help-seeking behavior. http://www.chictr.org.cn ChiCTR2400094174. Registered 18/12/2024, first recruitment 19/12/2024.

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Cite This Study

Wang et al. (2026) studied this question.

synapsesocial.com/papers/698fd276306598e8538dea0fhttps://doi.org/10.1186/s12889-026-26617-9
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