Variations in the Role of Social Support on Disclosure Among Newly Diagnosed HIV-Infected People Who Inject Drugs in Vietnam.
Variations in the Role of Social Support on Disclosure Among Newly Diagnosed HIV-Infected People Who Inject Drugs in Vietnam.
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DOI：
10.1007/s10461-015-1063-5
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发表时间：
2016-01
影响因子：
4.4
通讯作者：
Quan VM
中科院分区：
文献类型：
--
作者：
Go VF;Latkin C;Le Minh N;Frangakis C;Ha TV;Sripaipan T;Mo TT;Davis WW;Vu PT;Quan VM
污名和感知的社会支持可以影响披露艾滋病毒阳性状态的决定，特别是对于注射毒品的人（PWID）。在这项分析中，社会支持和艾滋病毒披露之间的关联进行了评估，在北方越南的336个新诊断的艾滋病毒感染者PWID。34.8%的患者在确诊后1个月内未向任何人透露。向任何人披露，特别是向家庭成员披露，与积极互动和监禁史形式的基线社会支持有关。在过去3个月内有过无保护措施性行为的人中，向家庭成员透露的可能性较小。向注射伴侣披露的可能性更大的是那些有药物治疗计划史的人，他们认识接受抗逆转录病毒治疗的人，并相信抗逆转录病毒治疗是安全的。这些数据表明，社会支持可能有助于家庭成员，包括配偶之间的披露，而披露给注射的合作伙伴更大时，PWID知道抗逆转录病毒疗法是一个安全和可行的选择。
Stigma and perceived social support can influence the decision to disclose HIV positive status, especially for people who inject drugs (PWID). In this analysis, the association between social support and HIV disclosure among 336 newly diagnosed HIV-infected PWID in Northern Vietnam was assessed. One month after diagnosis, 34.8% of participants had not disclosed to anyone. Disclosure to anyone and to a family member specifically, was associated with baseline social support in the form of positive interactions and a history of incarceration. Disclosing to a family member was less likely among those who had unprotected sex in the previous 3 months. Disclosure to an injecting partner was more likely among those with a history of being in a drug treatment program, knowing someone on ART and believing that ART is safe. These data suggest that social support may facilitate disclosure among family members, including spouses, while disclosure to injecting partners is greater when PWID know that ART is a safe and viable option.