Disclosure experience and associated factors among HIV positive men and women clinical service users in Southwest Ethiopia.
Disclosure experience and associated factors among HIV positive men and women clinical service users in Southwest Ethiopia.
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DOI：
10.1186/1471-2458-8-81
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发表时间：
2008-02-29
影响因子：
4.5
通讯作者：
Amberbir A
中科院分区：
文献类型：
--
作者：
Deribe K;Woldemichael K;Wondafrash M;Haile A;Amberbir A
向性伴侣披露艾滋病毒检测结果，可使性伴侣采取预防性行为，并获得应对血清状况或疾病的必要支持。它可能会激励合作伙伴寻求测试或改变行为，并最终减少艾滋病毒的传播。本研究旨在确定埃塞俄比亚西南部艾滋病毒阳性服务使用者的艾滋病毒阳性状态披露率、结果和相关因素。2007年1月15日至2007年3月15日在吉马大学专科医院进行了横断面研究。数据收集使用预先测试的访谈管理的结构化问卷。共有705人（353名女性和352名男性）参加了这项研究，其中71.6%正在接受ART治疗。绝大多数人（94.5%）向至少一个人透露了他们的结果，90.8%向他们目前的主要伴侣透露了结果。然而，14.2%的人延迟披露，20.6%的人不知道他们的伴侣的艾滋病毒状况。在那些没有透露的人中，54%的人说他们的原因是害怕伴侣的负面反应。然而，在这些披露中，只有5%的人报告了伴侣的任何负面反应。大多数人（80.3%）报告说，他们的伴侣对披露艾滋病毒状况反应强烈。向性伴侣披露艾滋病毒结果与了解伴侣的艾滋病毒状况、疾病晚期、低负面自我形象、与伴侣住在同一所房子以及在寻求服务之前讨论艾滋病毒检测有关。虽然大多数参与者披露了他们的测试结果，但少数人缺乏披露导致参与预防行为和获得支持的能力有限。此外，相当一部分参与者不知道其伴侣的艾滋病毒状况。方案和咨询工作应侧重于相互披露艾滋病毒检测结果，鼓励个人除了披露自己的艾滋病毒状况外，还询问其伴侣的艾滋病毒状况。
Disclosing HIV test results to one's sexual partner allows the partner to engage in preventive behaviors as well as the access of necessary support for coping with serostatus or illness. It may motivate partners to seek testing or change behavior, and ultimately decrease the transmission of HIV. The present study was undertaken to determine the rate, outcomes and factors associated with HIV positive status disclosure in Southwest Ethiopia among HIV positive service users. A cross-sectional study was carried out from January 15, 2007 to March 15, 2007 in Jimma University Specialized Hospital. Data were collected using a pre-tested interviewer-administered structured questionnaire. A total of 705 people (353 women and 352 men), participated in the study of which 71.6% were taking ART. The vast majority (94.5%) disclosed their result to at least one person and 90.8% disclosed to their current main partner. However, 14.2% of disclosure was delayed and 20.6% did not know their partner's HIV status. Among those who did not disclose, 54% stated their reason as fear of negative reaction from their partner. Among those disclosures however, only 5% reported any negative reaction from the partner. Most (80.3%) reported that their partners reacted supportively to disclosure of HIV status. Disclosure of HIV results to a sexual partner was associated with knowing the partner's HIV status, advanced disease stage, low negative self-image, residing in the same house with partner, and discussion about HIV testing prior to seeking services. Although the majority of participants disclosed their test results, lack of disclosure by a minority resulted in a limited ability to engage in preventive behaviors and to access support. In addition, a considerable proportion of the participants did not know their partner's HIV status. Programmatic and counseling efforts should focus on mutual disclosure of HIV test results, by encouraging individuals to ask their partner's HIV status in addition to disclosing their own.
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影响因子：
4.2
作者：
MARKS, G;BUNDEK, NI;MASON, HRC
通讯作者：
MASON, HRC
影响因子：
4.2
作者：
Kalichman, SC;Nachimson, D
通讯作者：
Nachimson, D
DOI：
10.1097/00126334-200105010-00013
发表时间：
2001-05-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Marks, G;Crepaz, N
通讯作者：
Crepaz, N
DOI：
10.1080/09540120020018224
发表时间：
2001-02-01
影响因子：
1.7
作者：
Issiaka, S;Cartoux, M;Van de Perre, P
通讯作者：
Van de Perre, P
影响因子：
3.8
作者：
HAYS, RB;MCKUSICK, L;COATES, TJ
通讯作者：
COATES, TJ