Self-disclosure of HIV serostatus in recently diagnosed patients with HIV in South Africa.
Self-disclosure of HIV serostatus in recently diagnosed patients with HIV in South Africa.
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DOI：
10.2307/3583180
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发表时间：
2004-08-01
影响因子：
1
通讯作者：
Stein, D J
中科院分区：
文献类型：
--
作者：
Olley, B O;Seedat, S;Stein, D J
艾滋病毒/艾滋病感染者如果不披露其艾滋病毒血清状况，可能会将其性伴侣置于危险之中。目前的研究调查了 69 名最近被诊断为 HIV 阳性的性活跃、异性恋、已婚 (62%) 或同居 (38%) 患者的 HIV 血清状况披露及其与危险性行为的关系。结果显示，78% 的人没有向性伴侣透露自己的 HIV 血清状况，46% 的人不知道其性伴侣的血清状况。与那些披露血清状况的人相比，那些未披露的人更有可能是男性（chi2 = 7.02，p = 0.00），在上次性行为中没有使用安全套（chi2 = 29.64，p = 0.000），在性行为前大量饮酒（chi2 = 6.79，p = 0.00），拥有多个性伴侣（t = 3.01，p = 0.00）。 0.05），并且在研究前六个月内性交更加频繁（t = 8.21，p = 0.00）。 Logistic 回归分析显示，处于已婚关系（OR = 0.86，95% CI = 0.65, 1.15）、男性（OR = 1.48，95% CI = 0.24, 1.99）、拥有两个以上多重伴侣（OR = 2.03，95% CI = 1.11, 3.68）以及上次性行为时未使用安全套（OR = 1.53, 95% CI = 0.83, 1.88) 与未披露 HIV 血清状态显着相关。 HIV 阳性患者的预防策略应强调自我表露的管理及其对安全性行为的重要性。
Failure of people living with HIV/AIDS to disclose their HIV serostatus can place their sexual partners at risk. The current study examined HIV serostatus disclosure and its relationship to risky sexual behaviours in 69 sexually active, heterosexual, married (62%) or cohabiting (38%) patients recently diagnosed as HIV positive. Results show that 78% had not disclosed their HIV serostatus to their sexual partners and 46% had no knowledge of their sexual partner's serostatus. Compared to those who disclosed their serostatus, those who did not disclose were more likely to be male (chi2 = 7.02, p = 0.00), to have not used a condom during their last sexual encounter (chi2 = 29.64, p = 0.000), to have used alcohol heavily before sex (chi2 = 6.79, p = 0.00), to have multiple sexual partners (t = 3.01, p = 0.05), and to have engaged more frequently in sexual intercourse in the six months preceding the study (t = 8.21, p = 0.00). Logistic regression analysis show that being in a married relationship (OR = 0.86, 95% CI = 0.65, 1.15), being male (OR = 1.48, 95% CI = 0.24, 1.99), having more than two multiple partners (OR = 2.03, 95% CI = 1.11, 3.68) and non-use of condom at last sex (OR = 1.53, 95% CI = 0.83, 1.88) were significantly associated with non-disclosure of HIV serostatus. Preventive strategies among HIV-positive patients should place emphasis on the management of self-disclosure and its importance in safe sexual behaviour.