ANOTHER WAY TO TALK: EXPLORING PHOTOVOICE AS A STRATEGY TO SUPPORT SAFE DISCLOSURE AMONG MEN AND WOMEN WITH HIV
ANOTHER WAY TO TALK: EXPLORING PHOTOVOICE AS A STRATEGY TO SUPPORT SAFE DISCLOSURE AMONG MEN AND WOMEN WITH HIV
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DOI：
10.1521/aeap.2016.28.1.43
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发表时间：
2016-02-01
影响因子：
1.8
通讯作者：
Gerkovich, Mary
中科院分区：
文献类型：
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作者：
Teti, Michelle;Conserve, Donaldson;Gerkovich, Mary
披露艾滋病毒感染状况可以减少耻辱感，促进艾滋病毒感染者的药物依从性和安全性行为。然而，有效的信息披露干预是有限的，因此有必要采取新的策略。我们在美国中西部和东北部的四个城市与38所公立医院开展了一个基于photovoice的试点项目，并探讨了该项目如何影响信息披露的观点和经验。参与者参加了三组Photovoice会议，一个个人会议和一个可选的照片展览。对照片和会议记录的主题和叙事分析的定性策略显示，参与者讨论了三类对他人的披露：恐惧、不情愿和开放。该项目支持所有类型的披露，帮助害怕的参与者管理自己的情绪，不愿意的参与者计划更有效的披露，开放的参与者分享他们的艾滋病毒状况。试点结果表明，应进一步开发和研究Photovoice，将其作为一种安全而有力的策略，以改善PLH的信息披露和随后的健康和预防结果。
HIV status disclosure can reduce stigma and facilitate medication adherence and safer sex among people living with HIV (PLH). Effective disclosure interventions are limited, however, and new strategies are necessary. We conducted a pilot Photovoice-based project with 38 PLH in four cities in the Midwest and Northeast U.S. and explored how the project affected disclosure perspectives and experiences. Participants attended three group Photovoice sessions, one individual session, and an optional photo exhibit. Qualitative strategies of theme and narrative analysis of photos and session transcripts revealed that participants discussed three categories of disclosures to others: fearful, reluctant, and open. The project supported all disclosure types, helping fearful participants manage their emotions, reluctant participants plan for more effective disclosures, and open participants share their HIV status. Pilot findings suggest that Photovoice should be further developed and studied as a safe and powerful strategy to improve disclosure and subsequent health and prevention outcomes among PLH.