HIV disclosure in rural China: predictors and relationship to access to care.
HIV disclosure in rural China: predictors and relationship to access to care.
复制标题
DOI：
10.1080/09540121.2011.554524
复制
发表时间：
2011-09
期刊：
影响因子：
1.7
通讯作者：
Ji G
中科院分区：
文献类型：
--
作者：
Ding Y;Li L;Ji G
本研究调查了中国农村地区艾滋病毒感染者（PLH）艾滋病信息披露的主要原因和预测因素及其与护理可及性的关系。2009年对来自三个县的88名公共卫生工作者进行了访谈。在我们的样本中，家庭内外的披露率更高。信任（31%）、需要帮助（28%）和亲密关系（26%）是PLH选择披露对象的三个主要原因。通过多变量分析，向伴侣和社区成员披露艾滋病毒的水平仅与抗逆转录病毒治疗（ART）的使用显著相关（β =2.76； 95%可信区间：0.77,4.74）。在调整了人口统计学、自HIV诊断和ART以来的时间后，我们发现HIV信息披露（β =0.07； 95%置信区间：0.01,0.13）是获得护理的显著预测因子。为了改善公共卫生机构获得卫生服务和护理的机会，未来的干预方案应考虑与艾滋病毒披露（有意和无意）相关的潜在利益和风险，并协助公共卫生机构为艾滋病毒披露做好准备，减少随之而来的潜在负面影响。
This study examined the main reasons and predictors of HIV disclosure and its relationship to access to care among people living with HIV (PLH) in a rural area of China. A sample of 88 PLH from three counties was interviewed in 2009. In our sample, the rates of disclosure were higher within and outside family. Trust (31%), needing help (28%), and close relationships (26%) were the three main reasons of selecting the person to disclose by a PLH. Using a multivariate analysis, level of HIV disclosure to partners and members within the community was only significantly associated with use of antiretroviral treatment (ART) (β =2.76; 95% Confidence Interval: 0.77, 4.74). After adjusting for demographics, time since HIV diagnosis and ART, we found HIV disclosure (β =0.07; 95% Confidence Interval: 0.01, 0.13) was a significant predictor for access to care. In order to improve PLHs’ access to health services and care, future intervention programs should consider both the potential benefits and risks associated with HIV disclosure (intentional and unintentional), and assist PLHs to prepare for HIV disclosure and reduce potential negative impacts that come with it.
登录
查看更多内容
影响因子：
4.2
作者：
MARKS, G;BUNDEK, NI;MASON, HRC
通讯作者：
MASON, HRC
影响因子：
4.9
作者：
Liu, HJ;Hu, Z;Yang, HM
通讯作者：
Yang, HM
影响因子：
1
作者：
Chan, Kit Yee;Yang, Yi;Reidpath, Daniel D.
通讯作者：
Reidpath, Daniel D.
影响因子：
4.4
作者：
King, Rachel;Katuntu, David;Bunnell, Rebecca
通讯作者：
Bunnell, Rebecca
影响因子：
1.4
作者：
Lee SJ;Li L;Jiraphongsa C;Iamsirithaworn S;Khumtong S;Rotheram-Borus MJ
通讯作者：
Rotheram-Borus MJ