Determinants of HIV serostatus disclosure to sexual partner among HIV-positive alcohol users in Haiti.
Determinants of HIV serostatus disclosure to sexual partner among HIV-positive alcohol users in Haiti.
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DOI：
10.1007/s10461-013-0685-8
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发表时间：
2014-06
影响因子：
4.4
通讯作者：
Malow R
中科院分区：
文献类型：
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作者：
Conserve DF;King G;Dévieux JG;Jean-Gilles M;Malow R
在258名HIV阳性的海地酒精使用者中，这项研究考察了抗逆转录病毒治疗的使用、参与者对伴侣艾滋病毒血清状态的了解、性伴侣数量、感知的传染性和向主要性伴侣披露艾滋病毒之间的关系。只有38.6%的人向性伴侣披露了他们的艾滋病毒血清状况。Logistic回归分析显示，与自我报告有HIV阳性伴侣的参与者相比，自我报告有HIV阴性伴侣(OR=0.36，95%CI为0.13~0.97)或HIV状况不明的参与者(OR=0.09，95%CI为0.04~0.22)披露其HIV血清状态的可能性较小。在过去3个月内有一个以上性伴的参与者(OR=0.41，95%CI 0.19-0.90)也比只有一个性伴的参与者更不可能透露。这些发现表明，需要以夫妇为基础的计划，帮助艾滋病毒携带者(PLWH)进行披露过程，特别是在有一个以上性伴侣和/或处于血清不协调关系中的PLWH。
This study examined the relationship between antiretroviral therapy use, participants’ knowledge of partner’s HIV serostatus, number of sex partners, perceived infectivity and HIV disclosure to a main sexual partner among 258 HIV-positive Haitian alcohol users. Only 38.6 % had disclosed their HIV serostatus to sexual partners. Logistic regression analyses revealed that participants who self-reported having an HIV-negative partner (OR = 0.36, 95 % CI 0.13–0.97) or a partner of unknown HIV status (OR = 0.09, 95 % CI 0.04–0.22) were less likely to disclose their HIV serostatus than participants who self-reported having an HIV-positive partner. Participants who had more than one sexual partner in the past 3 months (OR = 0.41, 95 % CI 0.19–0.90) were also less likely to disclose than participants who had one partner. These findings suggest the need for couples-based programs to assist people living with HIV (PLWH) with the disclosure process, especially among PLWH who have more than one sexual partner and/or are in serodiscordant relationships.