BEHAVIORAL SEQUELAE OF HIV TESTING

描述(摘自摘要)：公众艾滋病毒检测和 疾控中心支持的咨询服务是联邦最大的艾滋病 干预计划。接受测试和缺乏的主要原因 了解自己的血清状态是防止病毒传播的愿望 并寻求早期保健，以延缓艾滋病的发病-- 相关症状和疾病，如果被感染，并采取进一步 预防措施，如行为改正，如果没有感染。 因此，测试和咨询不仅用于确定 个人的血清状况，还帮助人们评估他们的 风险，鼓励行为改变，并加强 维持这种行为的改变，并转介感染者 到临床护理。因此，评估艾滋病毒是否- 检测和了解自己的血清状态，以及咨询 是否会对行为改变产生任何影响 目前，维护至关重要。该计划的总体目标 拟议的研究是检查艾滋病毒前后的性行为和 个人的预防性行为，并将这些行为与 没有接受艾滋病毒检测的个人。在 在这一广泛目标的框架下，研究人员的具体目标是： (1)进行描述性分析，以(A)记录分发情况 接受测试的个体在测试前后的行为 艾滋病毒抗体，(B)对比艾滋病毒检测后的行为 个人在艾滋病毒检测前的行为，以及(C)对照 具有以下行为的个体在测试前后的行为： 未进行艾滋病毒检测的个人；(2)进行多变量 分析(A)确定与测试后行为相关的因素 改变和估计这些因素对后测的相对影响 行为，以及(B)估计艾滋病毒检测对 后续行为，扣除下列其他因素的影响 对行为改变的影响；以及(3)基于 在上述具体目标1和2中确定的关系，以确定 干预的目标人群并确定特定人群 可用作基础的决定因素和关联 加强艾滋病毒检测和咨询的影响的干预措施 行为矫正。这些目标将通过使用来自 全国男性调查(NSM)和全国女性调查(NSW) 这两项调查都是在1991年进行的，样本为3321份具有全国代表性的样本 年龄20-39岁的男性和20-37岁的1,669名女性。

DESCRIPTION (adapted from the Abstract): The public HIV testing and counseling services supported by CDC is the largest federal AIDS intervention program. The principal reason for being tested and wanting to know one's serostatus is the desire to prevent the spread of virus to partners and to seek early health care to delay the onset of AIDS- related symptoms and illnesses if infected, and to take further preventive measures, such as behavior modification, if not infected. Therefore, testing and counseling is used not only to determine the serostatus of individuals, but also to assist people to assess their risks, to encourage behavior modification, and to reinforce the maintenance of such behavior changes, and to refer infected individuals to clinical care. Consequently, the assessment of whether or not HIV- testing and knowledge of one's own serostatus, and the counseling that accompanies the HIV test have any effect on behavior change and maintenance is critical at this time. The broad objective of the proposed study is to examine the pre- and post-HIV test sexual and preventive behaviors of individuals and compare these behaviors to those of the individuals who have not been tested for HIV. Within the framework of this broad objective the researchers' specific aims are: (1) to conduct descriptive analyses that (a) document the distribution of pre- and post-test behavior of individuals who have been tested for HIV antibodies, (b) contrast the post-test behaviors of HIV-tested individuals with their behaviors prior to the HIV test, and (c) contrast the pre- and post-test behavior of the individuals with the behavior of individuals who have not been tested for HIV; (2) to conduct multivariate analyses that (a) identify the factors associated with post-test behavior change and estimate the relative influence of these factors on post-test behaviors, and (b) estimate the relative power of HIV-testing on subsequent behavior, net of the effects of other factors identified as influential on behavior change; and (3) on the basis of the relationships ascertained in Specific Aims 1 and 2 above, to identify target populations for interventions and to identify population specific determinants and correlates that can be used as the basis for interventions to increase the impact of HIV testing and counseling on behavior modification. These aims will be accomplished using data from the National Survey of Men (NSM) and the National Survey of Women (NSW) both conducted in 1991 with nationally representative samples of 3,321 men aged 20-39 years and 1,669 women age 20-37 years.