Regional variations in HIV disclosure in Thailand: implications for future interventions.

Regional variations in HIV disclosure in Thailand: implications for future interventions.
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DOI:
10.1258/ijsa.2009.009008
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发表时间:
2010-03
影响因子:
1.4
通讯作者:
Rotheram-Borus MJ
Rotheram-Borus MJ
中科院分区:
医学4区
文献类型:
--
作者:
Lee SJ;Li L;Jiraphongsa C;Iamsirithaworn S;Khumtong S;Rotheram-Borus MJ

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泰国的艾滋病毒感染者面临着巨大的挑战,包括艾滋病毒的披露。随着抗逆转录病毒疗法在泰国的出现,披露艾滋病毒的积极益处变得更加突出。然而,泰国艾滋病毒的披露程度存在区域差异。我们检查并比较了泰国北方和东北部的艾滋病毒披露水平。PLH(n=410)从北部和东北部的四个地区医院招募。北部更多的艾滋病毒携带者报告说,他们至少向家中的一名家庭成员透露了艾滋病毒状况。东北部的艾滋病毒携带者报告说,家庭内和家庭外的艾滋病毒披露水平明显较低。在泰国,艾滋病毒的披露仍然是一个重大挑战,特别是在东北部。我们建议未来的干预措施侧重于艾滋病毒的披露,以解决艾滋病毒披露的具体问题和障碍,考虑到艾滋病毒披露的区域差异。
People living with HIV (PLH) in Thailand face tremendous challenges, including HIV disclosure. With the advent of anti-retroviral (ARV) therapy in Thailand, the positive benefits of HIV disclosure are becoming more salient. However, there are regional variations in the levels of HIV disclosure in Thailand. We examined and compared the levels of HIV disclosure in Northern and Northeastern Thailand. PLH (n=410) were recruited from four district hospitals in the North and the Northeast. More PLH in the North reported disclosing HIV status to at least one family member in the household. PLH in the Northeast reported significantly lower levels of HIV disclosure within family and outside of family. HIV disclosure remains a significant challenge in Thailand, especially in the Northeast. We propose future interventions focusing on HIV disclosure to address the specific concerns and barriers to HIV disclosure, taking into account of the regional differences in HIV disclosure.
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