Disclosure of HIV-positive status to Latino gay men's social networks
Disclosure of HIV-positive status to Latino gay men's social networks
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DOI：
10.1023/b:ajcp.0000014322.33616.ae
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发表时间：
2004-03-01
影响因子：
3.1
通讯作者：
Bianchi, FT
中科院分区：
文献类型：
--
作者：
Reisen, CA;Poppen, PJ;Bianchi, FT
这项研究探讨了来自纽约市和华盛顿特区的 155 名 HIV 阳性拉丁裔男同性恋样本的血清状态披露情况。我们研究了向社交网络不同成员（母亲、父亲、亲密朋友和主要性伴侣）的披露率。向主要伴侣和最亲密的朋友披露艾滋病毒阳性血清状况的比例很高，而向父亲和母亲披露的比例较低。我们研究了 3 个背景目标相关因素（与目标的情感接近度、目标的预期反应以及目标对性取向的了解）以及文化适应和自诊断以来的时间的作用。进行了三个独立的逻辑回归模型来预测向 3 个目标（母亲、父亲和最亲密的朋友）披露 HIV 阳性状况。我们发现，披露并不是一种普遍趋势，而是根据目标的不同，不同的因素会产生影响。目标是否了解参与者的性取向与所有 3 个模型中的披露相关。情感上更加亲密也预示着向父母透露信息。更大程度的美国文化同化与向父亲透露信息有关，而向母亲透露的情况则略有不同。诊断后较长一段时间与向最亲密的朋友透露信息有关。这些发现强调了考虑角色和关系及其对披露的影响的重要性。
This study explored disclosure of serostatus in a sample of 155 HIV-positive Latino gay men from New York City and Washington, DC. We examined rates of disclosure to different members of the social network: mothers, fathers, close friends, and primary sexual partners. There were high rates of disclosure of HIV-positive serostatus to main partners and closest friends and lower rates to fathers and mothers. We examined the role of 3 contextual target-dependent factors (emotional closeness to target, anticipated reactions from target, and target's knowledge of sexual orientation), as well as acculturation and time since diagnosis. Three separate logistic regression models were performed to predict disclosure of HIV-positive status to 3 targets: mothers, fathers, and closest friends. We found that disclosure was not a generalized tendency, but rather different factors were influential depending on the target. Whether the target was aware of participant's sexual orientation was associated with disclosure in all 3 models. Greater emotional closeness also predicted disclosure to mother and father; greater U. S. acculturation was associated with disclosure to father and marginally to mother. A longer time since diagnosis was associated with disclosure to the closest friend. These findings highlight the importance of taking into account roles and relationships, and their effect on disclosure.