Disclosure History Among Persons Initiating Antiretroviral Treatment at Six HIV Clinics in Oromia, Ethiopia, 2012-2013.
Disclosure History Among Persons Initiating Antiretroviral Treatment at Six HIV Clinics in Oromia, Ethiopia, 2012-2013.
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DOI：
10.1007/s10461-016-1290-4
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发表时间：
2017-01
影响因子：
4.4
通讯作者：
Melaku Z
中科院分区：
文献类型：
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作者：
Gadisa T;Tymejczyk O;Kulkarni SG;Hoffman S;Lahuerta M;Remien RH;Yigzaw M;Daba S;Elul B;Nash D;Melaku Z
艾滋病毒状态披露可以帮助患者获得支持，这可能会影响治疗依从性和随后的医疗保健需求。我们研究了1180名新开始抗逆转录病毒治疗（ART）的成年人的披露程度和不披露的相关性。虽然91%的恋爱中的人与伴侣分享了自己的状态，但整体样本中有14%的人没有向任何人透露。不披露与年龄较大、对家庭资源的控制以及对意外披露、生活中断和家庭反应的担忧呈正相关。了解其他艾滋病毒阳性者和自诊断以来的较长时间与不披露的可能性较低有关。大多数报告披露情况的应答者得到了支持性的回应，通常包括决定让不知道自己状况的知己进行艾滋病毒检测。虽然艾滋病毒状况披露之前，抗逆转录病毒治疗启动高，一些人提到的意外披露，八卦和伴侣暴力的担忧，并可能受益于额外的披露支持。
HIV status disclosure can help patients obtain support which may influence treatment adherence and subsequent healthcare needs. We examined the extent of disclosure and correlates of non-disclosure among 1180 adults newly initiating antiretroviral treatment (ART). While 91 % of those in a relationship shared their status with their partners, 14 % of the overall sample had not disclosed to anyone. Non- disclosure was positively associated with older age; control over household resources; and concerns about unintended disclosure, life disruptions, and family reactions. Knowing other HIV-positive people and longer time since diagnosis were associated with lower odds of non-disclosure. Most respondents reporting disclosure experienced supportive responses, frequently including decision to get an HIV test by confidants who had not known their own status. Although HIV status disclosure prior to ART initiation was high, some individuals cited concerns about unintended disclosure, gossip, and partner violence, and may benefit from additional disclosure support.