HIV/AIDS status disclosure increases support, behavioural change and, HIV prevention in the long term: a case for an Urban Clinic, Kampala, Uganda.
HIV/AIDS status disclosure increases support, behavioural change and, HIV prevention in the long term: a case for an Urban Clinic, Kampala, Uganda.
复制标题
DOI：
10.1186/1472-6963-14-276
复制
发表时间：
2014-06-21
影响因子：
2.8
通讯作者：
Wagner G
中科院分区：
文献类型：
--
作者：
Atuyambe LM;Ssegujja E;Ssali S;Tumwine C;Nekesa N;Nannungi A;Ryan G;Wagner G
披露艾滋病毒状况有助于减少风险，并促进获得预防和护理服务，但可能因担心负面影响而受到抑制。我们探讨了在乌干达的一个城市艾滋病诊所就诊的客户中披露的短期和长期结果。定性半结构化的访谈进行了有目的的样本40成人艾滋病毒客户，按性别分层。收集的信息包括他们的生活经历和短期和长期的披露结果。使用文本数据管理软件（ATLAS.ti）进行数据分析。将代码导出到MS Excel和数据透视表中，并进行代码计数以生成统计数据。在关于披露事件的访谈中得到的134个短期答复中，大多数答复是支持性的，包括关于艾滋病毒护理和治疗的鼓励、建议和支持。结果表明，向配偶透露信息，对配偶的信任度更高，使用安全套预防艾滋病的比例更高。只有三分之一是消极的反应，如情绪冲击和痛苦的感觉。短期内对配偶的负面反应包括拒绝、震惊和痛苦。即使在那时，这些事件也没有导致像离婚这样的剧烈变化。其他答复反映了艾滋病毒预防，呼吁改变行为，建议改变性行为，接受者寻求艾滋病毒检测或护理。与男子相比，妇女报告了更多的鼓励反应。男子报告的预防行为多于妇女。在披露过程中引出的137个长期结果中，四分之三是积极的，其次是行为改变和预防，然后是消极的反应。与女性向女性透露相比，男性在向男性同胞透露时报告了更多的关心和支持。女性向女性披露时，关系的变化比女性向男性披露时更好或没有变化。绝大多数人都支持披露自己的艾滋病毒状况，特别是从长期来看。此外，性别似乎会影响对艾滋病毒披露的反应，突出表明需要有针对性别的披露支助战略。
Disclosure of HIV status supports risk reduction and facilitates access to prevention and care services, but can be inhibited by the fear of negative repercussions. We explored the short and long-term outcomes of disclosure among clients attending an urban HIV clinic in Uganda. Qualitative semi-structured interviews were administered to a purposeful sample of 40 adult HIV clients that was stratified by gender. The information elicited included their lived experiences and outcomes of disclosure in the short and long term. A text data management software (ATLAS.ti) was used for data analysis. Codes were exported to MS Excel and pivot tables, and code counts made to generate statistical data. Of the 134 short-term responses elicited during the interview regarding disclosure events, most responses were supportive including encouragement, advice and support regarding HIV care and treatment. The results show on-disclosing to spouse, there was more trust, and use of condoms for HIV prevention. Only one third were negative responses, like emotional shock and feeling of distress. The negative reactions to the spouses included rejection, shock and distress in the short term. Even then, none of these events led to drastic change such as divorce. Other responses reflected HIV prevention and call for behavioural change and advice to change sexual behaviour, recipient seeking HIV testing or care. Women reported more responses of encouragement compared to men. Men reported more preventive behaviour compared to women. Of the 137 long-term outcomes elicited during disclosure, three quarters were positive followed by behavioral change and prevention, and then negative responses. Men reported increased care and support when they disclosed to fellow men compared to when women disclosed to women. There was better or not change in relationship when women disclosed to women than when women disclosed to men. There is overwhelming support to individuals that disclose their HIV status, especially in the long term. Besides, gender appears to influence responses to HIV disclosure, highlighting the need for gender specific disclosure support strategies.
登录
查看更多内容
影响因子：
1.7
作者：
Przybyla SM;Golin CE;Widman L;Grodensky CA;Earp JA;Suchindran C
通讯作者：
Suchindran C
影响因子：
5
作者：
FOLKMAN, S;LAZARUS, RS
通讯作者：
LAZARUS, RS
影响因子：
3.2
作者：
Medley, Amy M.;Kennedy, Caitlin E.;Sweat, Michael D.
通讯作者：
Sweat, Michael D.
影响因子：
1.6
作者：
Hosseinzadeh, Hassan;Hossain, Syeda Zakia;Bazargan-Hejazi, Shahrzad
通讯作者：
Bazargan-Hejazi, Shahrzad
影响因子：
4.5
作者：
Deribe K;Woldemichael K;Wondafrash M;Haile A;Amberbir A
通讯作者：
Amberbir A