Self-efficacy and disclosure of HIV-positive serostatus to sex partners
Self-efficacy and disclosure of HIV-positive serostatus to sex partners
复制标题
DOI：
10.1037/0278-6133.18.3.281
复制
发表时间：
1999-05-01
影响因子：
4.2
通讯作者：
Nachimson, D
中科院分区：
文献类型：
--
作者：
Kalichman, SC;Nachimson, D
艾滋病毒抗体阳性者在披露其艾滋病毒血清状况方面面临重大挑战，不披露可能使其性伴侣处于危险之中。目前的研究审查HN血清状态披露266性活跃的艾滋病毒阳性的人从社区招募。结果显示，41%的人没有向性伴侣透露他们的艾滋病毒血清状况。没有向伴侣透露的男性在肛交过程中使用避孕套的比例较低，并且在避孕套使用的自我效能感方面得分显著低于已经透露的男性。最近没有透露的人的情绪困扰也最大。没有透露给性伴侣是密切相关的自我效能较低的披露，与妇女谁没有披露报告披露自我效能最低。由于鼓励艾滋病毒/艾滋病感染者披露其艾滋病毒状况，因此需要采取干预措施，以促进作出披露决定。
HIV-positive persons face significant challenges to disclosing their HIV serostatus, and failure to disclose can place their sex partners at risk. The current study examined HN serostatus disclosure in 266 sexually active HIV-positive persons recruited from the community. Results showed that 41% had not disclosed their HIV serostatus to sex partners. Men who had not disclosed to partners indicated lower rates of condom use during anal intercourse and scored significantly lower on a measure of self-efficacy for condom use compared to individuals who had disclosed. Emotional distress was also greatest among persons who had not recently disclosed. Having not disclosed to sex partners was closely associated with lower self-efficacy for disclosing, with women who had not disclosed reporting the lowest disclosure self-efficacy. As people living with HIV-AIDS are encouraged to disclose their HIV status, interventions are needed to facilitate disclosure decision making.