Effectiveness of interventions promoting HIV serostatus disclosure to sexual partners: a systematic review.

Effectiveness of interventions promoting HIV serostatus disclosure to sexual partners: a systematic review.
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促进艾滋病毒血清及性伴侣披露的干预措施的有效性:系统评价。

DOI:
10.1007/s10461-015-1006-1
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发表时间:
2015-10
期刊:
影响因子:
4.4
通讯作者:
Maman, Suzanne
Maman, Suzanne
中科院分区:
医学2区
文献类型:
--
作者:
Conserve, Donaldson F.;Groves, Allison K.;Maman, Suzanne

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在美国和其他国家的某些州,向性伴侣披露艾滋病毒血清状态是强制性的。尽管实施了这些法律,公共卫生努力增加披露,但艾滋病毒携带者(PLWH)向性伴侣披露的比率仍然很低,这表明需要采取干预措施,帮助PLWH进行披露过程。我们对HIV血清状态披露干预措施是否增加了对性伴侣的披露进行了系统的研究综述。我们搜索了6个电子数据库,筛选出484条记录。2005至2012年间发表的五项研究符合纳入标准,并被纳入本次审查。结果表明,三项与艾滋病毒血清状况披露相关的干预研究在促进性伴侣披露方面是有效的。尽管这三项研究都是在美国进行的,但这些研究的干预内容和信息披露的衡量标准各不相同,因此不可能得出广泛的结论。这些发现表明,需要针对美国和国外的不同人群进行更严格的艾滋病毒血清状况披露相关干预试验,以促进向性伴侣披露信息。
Disclosure of HIV serostatus to sexual partners is mandated within certain states in the United States and other countries. Despite these laws implemented and public health efforts to increase disclosure, rates of disclosure to sexual partners among people living with HIV (PLWH) remain low, suggesting the need for interventions to assist PLWH with the disclosure process. We conducted a systematic review of studies testing whether HIV serostatus disclosure interventions increase disclosure to sexual partners. We searched six electronic databases and screened 484 records. Five studies published between 2005 and 2012 met inclusion criteria and were included in this review. Results showed that three of the HIV serostatus disclosure-related intervention studies were efficacious in promoting disclosure to sexual partners. Although all three studies were conducted in the United States the intervention content and measurements of disclosure across the studies varied, so broad conclusions are not possible. The findings suggest that more rigorous HIV serostatus disclosure-related intervention trials targeting different populations in the United States and abroad are needed to facilitate disclosure to sexual partners.
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