Serostatus disclosure to sexual partners among people living with HIV: examining the roles of partner characteristics and stigma.
Serostatus disclosure to sexual partners among people living with HIV: examining the roles of partner characteristics and stigma.
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DOI：
10.1080/09540121.2012.722601
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发表时间：
2013
期刊：
影响因子：
1.7
通讯作者：
Suchindran C
中科院分区：
文献类型：
--
作者：
Przybyla SM;Golin CE;Widman L;Grodensky CA;Earp JA;Suchindran C
艾滋病毒/艾滋病感染者（PLWHA）的艾滋病毒血清状况披露是预防艾滋病毒传播给性伴侣的重要组成部分。然而，由于耻辱感等障碍，许多艾滋病感染者没有向所有性伴侣披露其服务状况。本研究探讨了基于性行为亚组[男男性行为者（MSM）、异性恋男性和女性]、性关系特征（关系类型和伴侣的艾滋病毒血清状态）和感知耻辱的艾滋病病毒血清状态披露的差异。我们检查了341名艾滋病感染者：138名男同性恋者，87名异性恋男性和116名异性恋女性的披露情况，这些人参加了SafeTalk，这是一项安全性行为干预的随机对照试验。我们发现，总体而言，79%的参与者在过去3个月内向所有性伴侣透露了他们的艾滋病毒状况。然而，我们发现在亚群和关系特征的披露方面存在重要差异。异性恋男性和女性比男男性接触者更有可能披露自己的艾滋病毒状况（分别为86%、85%和69%）。此外，只有主要伴侣的参与者比只有非正式伴侣或既有非正式伴侣又有主要伴侣的参与者更容易透露自己的秘密（分别为92%、54%和62%）。只有hiv阳性伴侣的参与者也比只有hiv阴性伴侣、未知血清状态伴侣或混合血清状态伴侣的参与者更有可能透露（分别为96%、85%、40%和60%）。最后，认为与艾滋病毒相关的耻辱更多的人不太可能向伴侣透露他们的艾滋病毒血清状况，无论亚组或关系特征如何。这些发现表明，有必要采取干预措施，帮助艾滋病病毒感染情况的披露，特别是对血清不一致的临时性伴侣的披露，并且可能从纳入减少污名的内容中受益。
HIV serostatus disclosure among people living with HIV/AIDS (PLWHA) is an important component of preventing HIV transmission to sexual partners. Due to barriers like stigma, however, many PLWHA do not disclose their serostatus to all sexual partners. This study explored differences in HIV serostatus disclosure based on sexual behavior subgroup [men who have sex with men (MSM), heterosexual men, and women], characteristics of the sexual relationship (relationship type and HIV serostatus of partner), and perceived stigma. We examined disclosure in a sample of 341 PLWHA: 138 MSM, 87 heterosexual men, and 116 heterosexual women who were enrolled in SafeTalk, a randomized, controlled trial of a safer sex intervention. We found that, overall, 79% of participants disclosed their HIV status to all sexual partners in the past 3 months. However, we found important differences in disclosure by subgroup and relationship characteristics. Heterosexual men and women were more likely to disclose their HIV status than MSM (86%, 85%, and 69%, respectively). Additionally, disclosure was more likely among participants with only primary partners than those with only casual or both casual and primary partners (92%, 54%, and 62%, respectively). Participants with only HIV-positive partners were also more likely to disclose than those with only HIV-negative partners, unknown serostatus partners, or partners of mixed serostatus (96%, 85%, 40%, and 60%, respectively). Finally, people who perceived more HIV-related stigma were less likely to disclose their HIV serostatus to partners, regardless of subgroup or relationship characteristics. These findings suggest that interventions to help PLWHA disclose, particularly to serodiscordant casual partners, are needed and will likely benefit from inclusion of stigma reduction components.
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DOI：
10.1097/00126334-200105010-00013
发表时间：
2001-05-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Marks, G;Crepaz, N
通讯作者：
Crepaz, N
DOI：
10.1097/00126334-200408150-00009
发表时间：
2004-08-15
影响因子：
3.6
作者：
Weinhardt, LS;Kelly, JA;Gore-Felton, C
通讯作者：
Gore-Felton, C
影响因子：
4.4
作者：
Widman, Laura;Golin, Carol E.;Grodensky, Catherine A.;Suchindran, Chirayath
通讯作者：
Suchindran, Chirayath
影响因子：
1.7
作者：
Brooks RA;Kaplan RL;Lieber E;Landovitz RJ;Lee SJ;Leibowitz AA
通讯作者：
Leibowitz AA
影响因子：
168.9
作者：
Des Jarlais, DC;Paone, D;Friedman, SR
通讯作者：
Friedman, SR