Managing the risk of intimacy: accounts of disclosure and responsiveness among people with HIV and intimate partners of people with HIV.

Managing the risk of intimacy: accounts of disclosure and responsiveness among people with HIV and intimate partners of people with HIV.
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管理亲密的风险:艾滋病毒患者和亲密伴侣的披露和响应能力的解释。

DOI:
10.1080/13691058.2018.1479535
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发表时间:
2018-10
期刊:
Culture, health & sexuality
影响因子:
--
通讯作者:
Garcia N
Garcia N
中科院分区:
其他
文献类型:
--
作者:
Green HD;Weeks MR;Berman M;Mosher HI;Abbott M;Garcia N

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众所周知,在建立了承诺和信任的亲密关系中,人们对性风险的担忧往往会减少。在艾滋病毒传播风险增加的关系背景下,涉及披露和伴侣反应的互动是维持亲密关系和人身安全的关键。本文通过对30名艾滋病病毒携带者及其亲密关系伴侣的社区抽样调查,探讨了风险和性亲密的概念。数据揭示了在艾滋病毒诊断被披露后亲密关系动态的变化,亲密关系在管理一方或双方艾滋病毒护理方面的重要性,以及对艾滋病毒预防新进展的反应。研究结果表明,参与者的自我表露和伴侣反应的经历通常会增加来自伴侣和对伴侣的保护感。这表明,促进健康的信息应该更多地与亲密伴侣的交流和相互支持相关。
It is well known that concerns about sexual risk tend to decline among people in intimate relationships where there is established commitment and trust. In the context of relationships at increased risk for HIV transmission, interactions involving disclosure and partner responsiveness are key to maintaining intimacy and physical safety. This article explores concepts of risk and sexual intimacy articulated by a community sample of 30 people living with HIV and their intimate relationship partners. Data revealed the shifts in intimate relationship dynamics upon the disclosure of an HIV diagnosis, the importance of intimacy in the context of managing one or both partners’ HIV care, and responses to new advances in HIV prophylaxis. Findings suggest that participants’ experiences of self-disclosure and partner responsiveness most often resulted in an increased sense of protectiveness from and for partners. This suggests that health-promoting messaging should be adapted to be more relevant to intimate couple communication and mutual support.
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