Factors Affecting Intention to Disclose HIV Status among Adult Population in Sarawak, Malaysia.
Factors Affecting Intention to Disclose HIV Status among Adult Population in Sarawak, Malaysia.
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DOI：
10.1155/2018/2194791
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发表时间：
2018
影响因子：
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通讯作者：
Pangarah CA
中科院分区：
文献类型：
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作者：
Lemin AS;Rahman MM;Pangarah CA
披露艾滋病毒阳性状况是预防和护理艾滋病毒/艾滋病患者以及解决社会中隐藏的流行病的必要先决条件。确定披露马来西亚沙捞越州成年人艾滋病毒/艾滋病状况的意图及其影响因素。本横断面社区研究是在马来西亚沙捞越18岁及以上的成年人口中进行的。采用性别分层的多阶段整群抽样方法进行调查。采用访谈计划对900名受访者进行了成功的面对面访谈。在SPSS 22.0版中拟合逐步二元logistic回归模型，以确定与HIV/AIDS状态披露相关的因素。p值小于0.05认为有统计学意义。男性和女性的平均（SD）年龄分别为41.57（13.45）岁和38.99（13.09）岁。男性和女性的HIV感染状况披露意愿差异有统计学意义（p < 0.05）。逐步二元logistic回归分析显示，年龄、职业、HIV传播知识和HIV/AIDS讨论内容是男性受访者披露HIV状况的潜在预测因素，而种族和HIV/AIDS讨论内容是女性受访者披露HIV状况的重要预测因素（p < 0.05）。虽然这项研究没有描述全国披露艾滋病毒/艾滋病状况的普遍情况，但研究结果将为方案干预、政策和今后的研究议程提供重要的基本资料。
Disclosure of HIV-positive status is an essential prerequisite for the prevention and care of person living with HIV/AIDS as well as to tackle hidden epidemic in the society. To determine the intention to disclose the HIV/AIDS status among adult population in Sarawak, Malaysia, and factors affecting thereof. This cross-sectional community-based study was conducted among adult population aged 18 years and above in Sarawak, Malaysia. A gender-stratified multistage cluster sampling technique was adopted to select the participants. A total of 900 respondents were successfully interviewed by face-to-face interview using interview schedule. Stepwise binary logistic regression models were fitted in SPSS version 22.0 to identify the factors associated with the disclosure of HIV/AIDS status. A p value less than 0.05 was considered as statistically significant. The mean (SD) age of male and female respondents was 41.57 (13.45) and 38.99 (13.09) years, respectively. A statistically significant difference of intention to disclosure of HIV status was found between males and females (p < 0.05). A stepwise binary logistic regression analysis revealed that age, occupation, knowledge on HIV transmission, and content of discussion about HIV/AIDS appeared to be potential predictors for male respondents to disclose HIV status, while ethnicity and content of discussion on HIV/AIDS were found to be important predictors among the female respondents (p < 0.05). Though the study did not depict the national prevalence of disclosure of HIV/AIDS status, the findings of the study would provide an important basic information for programme intervention, policy, and future research agenda.