Disclosure of HIV among black African men and women attending a London HIV clinic
Disclosure of HIV among black African men and women attending a London HIV clinic
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DOI：
10.1080/09540120600971224
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发表时间：
2007-03-01
影响因子：
1.7
通讯作者：
Brook, G.
中科院分区：
文献类型：
--
作者：
Calin, T.;Green, J.;Brook, G.
很少有研究专门关注居住在英国的非洲黑人艾滋病病毒的披露；然而，现有的证据表明，这一群体可能不愿向重要的其他人披露。从伦敦一家艾滋病诊所招募了45名HIV+非洲黑人男性和女性。半结构化访谈收集了以下方面的信息：披露、社会支持、心理和身体健康、服药依从性、文化适应和可感知的污名流行率。定性和定量的分析都进行了。大多数参与者都向另一个重要的人披露了情况，感觉到的耻辱与披露之间存在负相关关系。披露不能通过研究中确定的任何受访者特征来预测；相反，披露决定是理性的、人际性质的，许多动机是特定于个人的。几乎没有证据表明，那些向不止一个人透露信息的人在身体或精神健康方面获得了额外的好处。寻求帮助这一人群成员披露的临床医生需要评估该个人披露的具体原因和障碍。
Little research has focused specifically on disclosure among HIV Black Africans living in the UK; however, the available evidence suggests that this population may be reluctant to disclose to significant others. Forty-five HIV + Black African men and women were recruited from a London HIV clinic. Semi-structured interviews gathered information on: disclosure, social support, mental and physical health, medication adherence, acculturation and the perceived prevalence of stigma. Both qualitative and quantitative analyses were conducted. The majority of the participants had disclosed to one significant other and there was an inverse association between perceived stigma and disclosure. Disclosure could not be predicted by any of the respondent characteristics identified in the study; rather, disclosure decisions were reasoned, interpersonal in nature and many of the motivations were specific to the individual. There was little evidence to suggest that those who disclosed to more than one other gained additional benefits in physical or mental well-being. Clinicians seeking to assist members of this population to disclose need to assess the specific reasons for and barriers against disclosure for that individual.