Electronic Adherence Monitoring May Facilitate Intentional HIV Status Disclosure Among People Living with HIV in Rural Southwestern Uganda.
Electronic Adherence Monitoring May Facilitate Intentional HIV Status Disclosure Among People Living with HIV in Rural Southwestern Uganda.
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DOI：
10.1007/s10461-020-03143-2
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发表时间：
2021-07
影响因子：
4.4
通讯作者：
Haberer JE
中科院分区：
文献类型：
--
作者：
Musiimenta A;Campbell JI;Tumuhimbise W;Burns B;Atukunda EC;Eyal N;Haberer JE
披露艾滋病毒感染状况仍然是有效预防艾滋病毒的主要挑战之一。鉴于披露的复杂性和低披露率，需要新的创新战略。由于电子依从性监测（EAM）是独特的移动的设备，在传输数据时会亮起，因此看到它们的人通常希望了解更多有关它们的信息，这可能导致艾滋病毒状态泄露。我们进行了一项定性研究，以探讨乌干达患者使用EAM进行抗逆转录病毒治疗（ART）的经验，目的是了解潜在的伦理问题，包括披露。出乎意料的是，一些参与者报告故意使用EAM来促进向他人披露艾滋病毒状况，以获得社会支持，鼓励艾滋病毒检测，并提高对艾滋病毒的认识。虽然研究人员和临床医生需要注意通过使用EAM意外披露HIV状态的可能性，但他们也应该认识到这种方法支持预期披露的潜力。
HIV status disclosure remains one of the major challenges to effective HIV prevention. Given the complexities and low rates of disclosure, new innovative strategies are needed. Since electronic adherence monitoring (EAM) are unique mobile devices that light up when transmitting data, those who see them often want to know more about them, which can potentially result in HIV status disclosure. We conducted a qualitative study to explore patient experiences with EAM for antiretroviral therapy (ART) in Uganda with a goal of understanding potential ethical concerns, including disclosure. Unexpectedly, several participants reported intentionally using EAM to facilitate HIV status disclosure to others in order to get social support, encourage HIV testing, and create awareness about HIV. Although researchers and clinicians need to be mindful of the potential for unintended HIV status disclosure through the use of EAM, they should also recognize the potential of this approach to support intended disclosure.
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