DISCLOSING HIV SEROPOSITIVITY TO SIGNIFICANT OTHERS
DISCLOSING HIV SEROPOSITIVITY TO SIGNIFICANT OTHERS
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DOI：
10.1097/00002030-199303000-00019
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发表时间：
1993-03-01
期刊：
影响因子：
3.8
通讯作者：
COATES, TJ
中科院分区：
文献类型：
--
作者：
HAYS, RB;MCKUSICK, L;COATES, TJ
目的：研究男同性恋者向朋友、爱人、亲戚和同事自我披露艾滋病毒血清阳性的模式;评估披露的效果;并确定不向特定个体披露的原因。设计：男同性恋者纵向问卷调查。共有163名艾滋病毒阳性男子参加了艾滋病行为研究项目，这是一项对旧金山弗朗西斯科男同性恋者的纵向研究，完成问卷调查，他们的自我披露模式，健康状况，心理well-being.Results：HIV阳性的男性最有可能透露自己的状态，情人和最亲密的同性恋朋友。无症状的男性比有症状的男性更不可能向亲戚和同事透露。朋友和爱人被认为比亲戚和同事更乐于助人。那些认为自己的重要他人更乐于助人的男性在目前和一年后都不那么沮丧和焦虑。各种原因给出了不披露，包括不想担心别人，害怕歧视，害怕破坏关系，和情绪自我protection.Conclusion：虽然披露可以有好处的艾滋病毒阳性的个人和他们的重要他人，艾滋病毒阳性的个人必须得到保证，这样做的好处将超过潜在的成本。
Objectives: To examine gay men's patterns of self-disclosure of HIV seropositivity to friends, lovers, relatives and colleagues; to assess the effects of disclosure; and to identify reasons for not disclosing to particular individuals.Design: Longitudinal questionnaire survey of gay men.Methods: A total of 163 HIV-positive men participating in the AIDS Behavioral Research Project, a longitudinal study of San Francisco gay men, completed questionnaires about their self-disclosure patterns, health status, and psychological well-being.Results: HIV-positive men were most likely to disclose their status to lovers and closest gay friends. Asymptomatic men were less likely to disclose to relatives and colleagues than symptomatic men. Friends and lovers were rated as responding more helpfully than relatives and colleagues. Men who perceived their significant others as responding more helpfully were less depressed and anxious currently and 1 year later. A variety of reasons were given for not disclosing, including not wanting to worry others, fear of discrimination, fear of disrupting relationships, and emotional self-protection.Conclusion: While disclosure can have advantages for both HIV-positive individuals and their significant others, HIV-positive individuals must be assured that the benefits of doing so will outweigh the potential costs.