"Don't Tell Him You Have HIV Unless He's 'The One'": Romantic Relationships Among Adolescents and Young Adults with Perinatal HIV Infection
"Don't Tell Him You Have HIV Unless He's 'The One'": Romantic Relationships Among Adolescents and Young Adults with Perinatal HIV Infection
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DOI：
10.1089/apc.2012.0290
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发表时间：
2012-12-01
影响因子：
4.9
通讯作者：
Albright, Jamie
中科院分区：
文献类型：
--
作者：
Fair, Cynthia;Albright, Jamie
围产期感染艾滋病毒 (PHIV) 的个体能够存活到成年早期。之前的文献已经探讨过感染艾滋病毒的人的性行为。然而，他们对处理浪漫关系的看法并没有得到很好的理解。对从美国东南部两家儿科传染病诊所招募的 35 名感染 PHIV 的年轻人进行了半结构化访谈。大多数参与者是非裔美国人 (n = 27, 77.2%)、女性 (n = 23, 65.7%)，平均年龄为 20.7 岁（范围 15-30）。问题集中在约会和恋爱关系的经历以及对其他艾滋病毒感染者的关系建议。转录的采访是针对新兴主题进行编码的。定性分析显示，大多数参与者都曾在亲密关系中约会并与艾滋病毒感染状况作过斗争。大多数向过去的伴侣透露自己的艾滋病毒感染状况的人都经历过某种形式的拒绝。然而，一些参与者报告称在披露后获得了支持。有些人从未向恋人透露过，但通过推迟约会、终止关系和“慢慢来”来小心地管理亲密关系。建议分为两大类：“安全”，指的是对自己和伴侣的身体保护，以及情感上的保护，避免可能的拒绝。第二类建议是基本鼓励，强调感染艾滋病毒的年轻人希望自己能找到支持性伴侣并保持耐心的重要性。教育的重点不仅必须包括传播风险因素，还必须包括在高度污名化的疾病背景下发展和维持健康的关系。
Individuals with perinatally-acquired HIV (PHIV) are surviving into young adulthood. Previous literature has explored the sexual behavior of those with PHIV. However, their perspectives on navigating romantic relationships are not well understood. Semi-structured interviews were conducted with 35 young adults living with PHIV recruited from two pediatric infectious disease clinics in the southeast United States. The majority of participants were African American (n = 27, 77.2%), female (n = 23, 65.7%), and the mean age was 20.7 (range 15-30) years. Questions focused on experiences with dating and romantic relationships as well as relationship advice for others living with HIV. Transcribed interviews were coded for emergent themes. Qualitative analyses revealed that the majority of participants have dated and struggled with their HIV status in their intimate relationships. The majority of those who disclosed their HIV status to past partners had experienced some form of rejection. However, several participants reported receiving support upon disclosure. Some individuals had never disclosed to a romantic partner, but carefully managed intimacy by delaying dating, terminating relationships, and "taking it slow." Advice fell into two broad categories: "be safe" which referred to the physical protection of self and partners, as well as emotional protection from possible rejection. The second advice category was basic encouragement which stressed the importance for young adults living with HIV to have hope that they would find a supportive partner and to be patient. The focus of education must include not only transmission risk factors, but also developing and maintaining healthy relationships in the context of a highly stigmatized illness.