Positive and negative consequences of HIV disclosure among seropositive injection drug users
Positive and negative consequences of HIV disclosure among seropositive injection drug users
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DOI：
10.1521/aeap.16.5.459.48741
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发表时间：
2004-10-01
影响因子：
1.8
通讯作者：
G贸mez, CA
中科院分区：
文献类型：
--
作者：
Parsons, JT;VanOra, J;G贸mez, CA
本研究探讨了艾滋病毒状态披露的艾滋病毒血清阳性注射吸毒者（IDUs）从纽约市和弗朗西斯科的种族多样性样本。对158名参与者进行了定性访谈。分析表明，向性伴侣透露血清状况会产生一些消极和积极的后果。消极后果包括耻辱、遭到性伴侣和其他人的拒绝、失去亲密关系以及对个人福祉的威胁。披露信息带来的积极回报包括增加社会支持和与伴侣的亲密关系，重申自我意识，以及有机会与性伴侣分享个人经历和感受。责任在影响披露和不披露方面的作用揭示了不同的模式，这种结构如何影响披露和由此产生的行为与性伴侣。一些参与者使用特定的策略，例如参与血清一致性关系或尽量减少亲密关系，以对抗披露的潜在负面结果。对其他人来说，积极的奖励被认为是重要的，足以承担负面后果的风险。对艾滋病毒阳性注射吸毒者的干预措施进行了讨论。
This study examines HIV status disclosure in an ethnically diverse sample of HIV-seropositive injection drug users (IDUs) from New York City and San Francisco. Qualitative interviews were conducted with 158 participants. Analyses revealed a number of negative and positive consequences of disclosing serostatus to sexual partners. Negative consequences included stigma, rejection by sexual partners and others, loss of intimacy, and threats to personal well-being. Positive rewards resulting from disclosure included increased social support and intimacy with partners, reaffirmation of one's sense of self, and the opportunity to share personal experiences and feelings with sexual partners. The role of responsibility in impacting disclosure and nondisclosure revealed varied patterns in terms of how this construct impacts disclosure and resulting behaviors with sexual partners. Some participants used particular strategies, such as getting involved in seroconcordant relationships or minimizing intimacy in relationships, in order to combat potential negative outcomes of disclosure. For others, positive rewards were viewed as important enough to risk negative consequences. Interventions for HIV-positive IDUs are discussed.