HIV Status Disclosure and Sexual Transmission Risks Among People Who Are Living With HIV and Receiving Treatment for Non-HIV Sexually Transmitted Infections, Cape Town, South Africa.
HIV Status Disclosure and Sexual Transmission Risks Among People Who Are Living With HIV and Receiving Treatment for Non-HIV Sexually Transmitted Infections, Cape Town, South Africa.
复制标题
DOI：
10.1097/qai.0000000000002256
复制
发表时间：
2020-03-01
期刊：
影响因子：
--
通讯作者：
Kalichman M
中科院分区：
文献类型：
--
作者：
Kalichman S;Mathews C;Banas E;Kalichman M
向性伴侣披露艾滋病毒状况可能会降低性传播艾滋病毒的风险。然而，关于在性伙伴关系类型中披露艾滋病毒状况与随后的性行为之间的关联的信息有限。在南非开普敦，我们研究了205名男性和女性艾滋病病毒感染者和接受诊断和治疗服务的性伴侣之间的艾滋病病毒状态披露的共同发生的性传播感染（STI）。参与者完成了一对一的性行为访谈，并允许在随后的12个月内提取反复性传播感染诊所的访问。根据向性伴侣披露艾滋病毒状况分为三组：（a）22%的人只报告艾滋病毒相同状况的性伴侣;（B）26%的人有艾滋病毒阴性或艾滋病毒状况未知（艾滋病毒不同状况）的性伴侣，他们曾向他们披露艾滋病毒状况;（c）52%的人至少有一个艾滋病毒不同状况的性伴侣，他们没有向他们披露。艾滋病毒状况披露与人口特征、性行为或经常性性病诊所就诊之间没有关联。未向至少一个HIV不同状态性伴侣披露HIV与更多的酒精使用和接受ART的可能性较小相关;最不可能向伴侣披露其HIV状态的参与者饮酒更多，并且不太可能接受抗逆转录病毒治疗。高患病率的合作伙伴不披露和缺乏显着的相关性，艾滋病毒状况披露表明，需要进一步研究，着眼于确定披露过程和机制，最终可能导致有效的干预措施。
HIV status disclosure to sex partners potentially reduces the risk of sexually transmitting HIV. However, there is limited information on the associations between HIV status disclosure in types of sexual partnerships and ensuing sexual practices. We examined HIV status disclosure to sex partners among 205 men and women living with HIV and receiving diagnostic and treatment services for a co-occurring sexually transmitted infection (STI) in Cape Town, South Africa. Participants completed partner-by-partner sexual behavior interviews and provided permission to extract recurrent STI clinic visits over the subsequent 12-months. Three groups were formed on the basis of HIV status disclosure to sex partners: (a) 22% reported only HIV same-status partners; (b) 26% had HIV negative or unknown HIV status (HIV different-status) sex partners to whom they had disclosed their HIV status; and (c) 52% had at least one HIV different-status partner to whom they had not disclosed. There were no associations between HIV status disclosure and demographic characteristics, sexual practices, or recurrent STI clinic visits. Undisclosed HIV to at least one HIV different-status sex partner was associated with greater alcohol use and less likelihood of receiving ART; participants who were least likely to disclosure their HIV status to partners drank more alcohol and were less likely to be taking antiretroviral therapy. High prevalence of partner non-disclosure and lack of significant correlates to HIV status disclosure indicate a need for further research with an eye toward identifying disclosure processes and mechanisms that may ultimately lead to effective interventions.