How reliable are self-reports of HIV status disclosure? Evidence from couples in Malawi
How reliable are self-reports of HIV status disclosure? Evidence from couples in Malawi
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DOI：
10.1016/j.socscimed.2015.09.007
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发表时间：
2015-11-01
影响因子：
5.4
通讯作者：
Wong, Lauren H.
中科院分区：
文献类型：
--
作者：
Conroy, Amy A.;Wong, Lauren H.
简介：大多数关于人类免疫缺陷病毒（HIV）披露的研究都是从单个个体的角度进行的，这在缺乏支持数据的情况下无法得到证实，例如来自主要伴侣的数据。目的：本研究的目的是评估：（1）自我报告的HIV披露在多大程度上得到主要伴侣的证实;（2）自我报告与确认披露的个人和关系水平预测因素;（3）与自我报告披露相比，确认披露是否是正确评估伴侣艾滋病毒状况的更强预测因素。作为2009年至2011年在马拉维南部进行的8波纵向研究的一部分，（183对夫妇）被采访了他们的主要关系（第3波），单独检测艾滋病毒（第4波），然后询问他们是否向他们的主要伴侣透露（第5波）。虽然93%的受访者报告说他们披露了，但只有64%的受访者证实了他们的伴侣的报告。与伴侣沟通艾滋病毒与自我报告的披露呈正相关;这种关联仍然显着，但在确认披露的模型中变得更加精确。确认的披露，而不是自我报告，是正确评估伴侣艾滋病毒状况的重要预测因素。作为男性，有较低的感知合作伙伴不忠，有较高的关系团结，并测试艾滋病毒阴性与正确的评估。来自两个合作伙伴的二元数据提供了一种改进的披露措施相比，一个人的自我报告，并可用于确定行为和生物医学的机会，以防止艾滋病毒在夫妇之间的传播。(C)2015爱思唯尔有限公司版权所有。
Introduction: The majority of research on human immunodeficiency virus (HIV) disclosure utilizes the perspective from a single individual, which cannot be substantiated in the absence of supporting data such as from a primary partner.Objectives: The objectives of this study were to evaluate: (1) the extent to which self-reported HIV disclosure was confirmed by a primary partner; (2) individual and relationship-level predictors of self-reported versus confirmed disclosure; and (3) whether confirmed disclosure was a stronger predictor of correctly assessing a partner's HIV status compared to self-reported disclosure.Methods: As part of an 8-wave longitudinal study from 2009 to 2011 in southern Malawi, 366 individuals (183 couples) were interviewed about their primary relationship (wave 3), individually tested for HIV (wave 4), and then asked whether they disclosed to their primary partner (wave 5).Results: While 93% of respondents reported that they disclosed, only 64% of respondents had confirmed reports from their partner. Having communicated with partner about HIV was positively associated with self-reported disclosure; this association remained significant but became more precise in the models for confirmed disclosure. Confirmed disclosure, but not self-report, was a significant predictor of correctly assessing a partner's HIV status. Being male, having lower perceived partner infidelity, having higher relationship unity, and testing HIV-negative were positively and significantly associated with correct assessment. Dyadic data from two partners provide an improved measure of disclosure as compared to a single individual's self-report and could be used to identify behavioral and biomedical opportunities to prevent HIV transmission within couples. (C) 2015 Elsevier Ltd. All rights reserved.