Women's barriers to HIV-1 testing and disclosure: challenges for HIV-1 voluntary counselling and testing
Women's barriers to HIV-1 testing and disclosure: challenges for HIV-1 voluntary counselling and testing
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DOI：
10.1080/09540120120063223
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发表时间：
2001-10-01
影响因子：
1.7
通讯作者：
Sweat, M
中科院分区：
文献类型：
--
作者：
Maman, S;Mbwambo, J;Sweat, M
鉴于撒哈拉以南非洲地区艾滋病毒/艾滋病疫情日益严重，扩大HIV-1自愿咨询和检测（VCT）作为预防战略和医学研究的组成部分既是现实，也是迫切需要。随着 HIV-1 VCT 可用性的增长，需要解决两个限制，即：向性伴侣披露 HIV-1 血清状况的比率较低，以及披露血清状况的负面结果。本文介绍了坦桑尼亚达累斯萨拉姆 HIV-1 VCT 诊所对男性、女性和夫妇进行的一项研究结果。描述了影响 HIV-1 检测决定以及与伴侣分享检测结果的个人、关系和环境因素。女性描述的 HIV-1 检测和血清状况披露的最显着障碍包括对伴侣反应的恐惧、伴侣之间的决策和沟通模式以及伴侣对 HIV-1 检测的态度。对 HIV-1 个人风险的认识是推动女性克服 HIV-1 检测障碍的主要因素。讨论了研究结果对促进 HIV-1 VCT 计划、实施合作伙伴通知政策和开发检测后支持服务的影响。
In view of the ever-increasing HIV/AIDS epidemic in sub-Saharan Africa, the expansion of HIV-1 voluntary counselling and testing (VCT) as an integral part of prevention strategies and medical research is both a reality and an urgent need. As the availability of HIV-1 VCT grows two limitations need to be addressed, namely: low rates of HIV-1 serostatus disclosure to sexual partners and negative outcomes of serostatus disclosure. Results from a study among men, women and couples at an HIV-1 VCT clinic in Dar es Salaam, Tanzania are presented. The individual, relational and environmental factors that influence the decision to test for HIV-1 and to share test results with partners are described. The most salient barriers to HIV-1 testing and serostatus disclosure described by women include fear of partners' reaction, decision-making and communication patterns between partners, and partners' attitudes towards HIV-1 testing. Perception of personal risk for HIV-1 is the major factor driving women to overcome barriers to HIV-1 testing. The implications of findings for the promotion of HIV-1 VCT programmes, the implementation of partner notification policies and the development of Post-test support services are discussed.