Reasons for HIV disclosure/nondisclosure in close relationships: Testing a model of HIV-disclosure decision making
Reasons for HIV disclosure/nondisclosure in close relationships: Testing a model of HIV-disclosure decision making
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DOI：
10.1521/jscp.23.6.747.54804
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发表时间：
2004-12-01
影响因子：
1.7
通讯作者：
Elwood, WN
中科院分区：
文献类型：
--
作者：
Derlega, VJ;Winstead, BA;Elwood, WN
本研究探讨了艾滋病毒披露/不披露与朋友，亲密伴侣和父母的原因的相对重要性。参与者是145名艾滋病毒感染者。总的来说，宣泄，将责任/教育，并有一个密切的/支持性的关系被认可的原因，影响艾滋病毒的披露。隐私、自责、害怕被拒绝和保护他人被认为是影响保密的原因。男性和女性都认为测试对方的反应是向亲密伴侣透露更多信息的理由，而他们更倾向于将隐私作为不向朋友透露的理由。男性（大多数自认为是同性恋者或双性恋者），而不是女性（大多数自认为是异性恋者），赞同相似性是向朋友或亲密伴侣而不是父母透露更多信息的原因。结果是一致的艾滋病毒披露决策模型，表明如何文化的态度（艾滋病毒，亲密关系，自我披露）和上下文因素（关系，个人和时间因素）的影响原因和反对艾滋病毒披露。
This research examined the relative importance of reasons for HIV disclosure/nondisclosure with a friend, intimate partner, and parents. Participants were 145 men and women with HIV. Overall, catharsis, a will to duty/educate, and having a close/supportive relationship were endorsed as reasons that influence HIV disclosure. Privacy, self-blame, fear of rejection, and protecting the other were endorsed as reasons that influence nondisclosure. Both men and women endorsed testing the other's reaction as a reason for disclosing more for an intimate partner, whereas they endorsed privacy more as a reason for not disclosing to a friend. Men (mostly self-identified as homosexuals or bisexuals), but not women (mostly self-identified as heterosexuals), endorsed similarity as a reason for disclosing more to a friend or intimate partner than to a parent. The results are consistent with a Model of HIV-Disclosure Decision Making that indicates how cultural attitudes (about HIV, close relationships, and self-disclosure) and contextual factors (relational, individual, and temporal factors) influence reasons for and against HIV disclosure.