The Disclosure Dilemma: Willingness to Disclose a Positive HIV Status Among Individuals Preparing for HIV Testing During Antenatal Care in Tanzania.
The Disclosure Dilemma: Willingness to Disclose a Positive HIV Status Among Individuals Preparing for HIV Testing During Antenatal Care in Tanzania.
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披露困境：坦桑尼亚产前护理期间准备进行艾滋病毒检测的个人是否愿意披露艾滋病毒阳性状态。
DOI：
10.1007/s10461-020-03058-y
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发表时间：
2021-03
影响因子：
4.4
通讯作者：
Watt MH
中科院分区：
文献类型：
--
作者：
Mwamba RN;Sao SS;Knettel BA;Minja LM;Osaki H;Mmbaga BT;Watt MH
披露艾滋病毒状况可以降低传播风险，提高护理参与度。甚至在诊断之前，个人就可能对艾滋病毒的披露有强烈的感受。我们评估了在坦桑尼亚产前护理期间等待常规艾滋病毒检测的孕妇及其男性伴侣(n=939)披露艾滋病毒阳性状态的意愿。Logistic回归模型被用来检验在被诊断为艾滋病毒的情况下，与愿意向内部圈子(伴侣/家人)和外部圈子(朋友/邻居)透露信息的相关因素。几乎所有人(93%)都愿意向至少一个人透露信息；参与者更愿意向他们的核心圈子(91%)透露，而不是外部圈子(52%)。从事某种形式的工作、对艾滋病患者的社会疏远态度更污名化、预期的艾滋病病毒污名更大、获得更多社会支持以及以前与艾滋病病毒携带者有过接触的人更有可能向其核心圈子透露信息。年龄较大、男性、获得社会支持程度较高的人更愿意向其外部圈子透露信息。这些发现增加了对影响艾滋病毒披露决定的内部和人际因素的理解。需要量身定做的艾滋病毒检测前和检测后咨询，以促进社会支持，并克服披露障碍，如果他们的艾滋病毒检测呈阳性。
HIV status disclosure can reduce transmission risks and improve care engagement. Individuals may have strong feelings about HIV disclosure even prior to diagnosis. We assessed willingness to disclose a positive HIV status among pregnant women and their male partners awaiting routine HIV testing during antenatal care in Tanzania (n=939). Logistic regression models were used to examine factors associated with willingness to disclose to one’s inner circle (partner/family member) and outer circle (friend/neighbor) in the event of an HIV diagnosis. Almost all (93%) were willing to disclose to at least one person; participants were more willing to disclose to their inner circle (91%) vs. outer circle (52%). Individuals with some form of employment, more stigmatizing attitudes of social distancing of PLWH, greater anticipated HIV stigma, more perceived social support, and prior contact with someone living with HIV were more likely to disclose to their inner circles. Individuals who were older, male, and who had higher levels of perceived social support were more willing to disclose to their outer circle. These findings increase the understanding of the intra- and interpersonal factors that influence HIV disclosure decisions. Tailored pre- and post- HIV test counseling are needed to facilitate social support and overcome barriers to disclosure if they test positive for HIV.
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影响因子：
--
作者：
Lemin AS;Rahman MM;Pangarah CA
通讯作者：
Pangarah CA
影响因子：
4.5
作者：
Kiula ES;Damian DJ;Msuya SE
通讯作者：
Msuya SE
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。
影响因子：
4.4
作者：
Conserve, Donaldson F.;Groves, Allison K.;Maman, Suzanne
通讯作者：
Maman, Suzanne
影响因子：
2.8
作者：
Atuyambe LM;Ssegujja E;Ssali S;Tumwine C;Nekesa N;Nannungi A;Ryan G;Wagner G
通讯作者：
Wagner G
影响因子：
4.4
作者：
King, Rachel;Katuntu, David;Bunnell, Rebecca
通讯作者：
Bunnell, Rebecca