Strategies and Outcomes of HIV Status Disclosure in HIV-Positive Young Women with Abuse Histories
Strategies and Outcomes of HIV Status Disclosure in HIV-Positive Young Women with Abuse Histories
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DOI：
10.1089/apc.2012.0441
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发表时间：
2013-03-01
影响因子：
4.9
通讯作者：
Ellen, Jonathan M.
中科院分区：
文献类型：
--
作者：
Clum, Gretchen A.;Czaplicki, Lauren;Ellen, Jonathan M.
感染艾滋病毒且童年时期有身体和/或性虐待历史的年轻女性可能很难向性伴侣透露。儿童期的虐待在艾滋病毒阳性妇女中非常普遍，与沟通不良、自信心低、自我价值低以及性行为和其他风险行为的风险增加有关，这些行为增加了艾滋病毒二次传播的风险。艾滋病毒披露可能是虐待和性风险行为之间的重要联系。定性访谈40艾滋病毒呈阳性的年轻妇女与儿童的身体和/或性虐待进行;一些妇女也经历了成年受害者。结果表明，艾滋病毒阳性的妇女与虐待历史使用的主机的策略来处理艾滋病毒状况的披露，包括延迟披露，评估假设的反应的合作伙伴，并确定适当的阶段，在关系中披露。污名化是与披露有关的一个重要主题。我们讨论了这些披露过程如何影响性行为和关系，并根据我们的研究结果讨论了干预机会。
Young women with HIV and histories of physical and/or sexual abuse in childhood may be vulnerable to difficulties with disclosure to sexual partners. Abuse in childhood is highly prevalent in HIV-positive women, and has been associated with poorer communication, low assertiveness, low self worth, and increased risk for sexual and other risk behaviors that increase the risk of secondary transmission of HIV. HIV disclosure may be an important link between abuse and sexual risk behaviors. Qualitative interviews with 40 HIV-positive young women with childhood physical and/or sexual abuse were conducted; some women had also experienced adult victimization. Results suggest that HIV-positive women with abuse histories use a host of strategies to deal with disclosure of HIV status, including delaying disclosure, assessing hypothetical responses of partners, and determining appropriate stages in a relationship to disclose. Stigma was an important theme related to disclosure. We discuss how these disclosure processes impact sexual behavior and relationships and discuss intervention opportunities based on our findings.