Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda
Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda
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DOI：
10.1007/s10461-007-9307-7
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发表时间：
2008-03-01
影响因子：
4.4
通讯作者：
Bunnell, Rebecca
中科院分区：
文献类型：
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作者：
King, Rachel;Katuntu, David;Bunnell, Rebecca
向性伴侣披露艾滋病毒血清状况有助于减少风险，并便利艾滋病毒/艾滋病感染者获得预防和护理服务。为了评估披露的健康和社会预测因素，以及探索和描述与乌干达东部艾滋病毒感染者的披露相关的过程、经验和结果，我们在乌干达金贾艾滋病支持组织（TASO）的艾滋病毒感染者中进行了一项研究。我们招募了TISO客户在传播风险行为的横断面研究。收集人口统计学和行为学数据以及CD 4细胞计数测量结果。在1 092名参与者中，42%目前性活跃，69%向最近的性伴侣透露了他们的艾滋病毒血清状况。多因素Logistic回归分析显示，披露艾滋病毒感染状况与已婚、参加TASO超过2年、增加安全套使用和了解伴侣的血清状况有关。从这些客户中，有目的地挑选了45名男女，就披露问题进行了深入访谈。积极的结果包括降低风险的行为，伴侣测试，增加寻求护理的行为，焦虑缓解，增加性交流，以及计划未来的动机。
Disclosure of HIV serostatus to sexual partners supports risk reduction and facilitates access to prevention and care services for people living with HIV/AIDS. To assess health and social predictors of disclosure as well as to explore and describe the process, experiences and outcomes related to disclosure of HIV-infected men and women in Eastern Uganda, we conducted a study among HIV-infected men and women who were clients of The AIDS Support Organization (TASO) in Jinja, Uganda. We enrolled TASO clients in a cross-sectional study on transmission risk behavior. Demographic and behavioral data and CD4 cell count measurements were collected. Among 1,092 participants, 42% were currently sexually active and 69% had disclosed their HIV serostatus to their most recent sexual partner. Multivariate logistic regression analysis showed that disclosure of HIV-status was associated with being married, having attended TASO for more than 2 years, increased condom use, and knowledge of partner's serostatus. From these clients, 45 men and women were purposefully selected and interviewed in-depth on disclosure issues. Positive outcomes included risk reduction behavior, partner testing, increased care-seeking behavior, anxiety relief, increased sexual communication, and motivation to plan for the future.