ASSESSMENT OF SELF-DISCLOSURE AMONG PATIENTS WITH AIDS

目前由NIMH资助，我们对诊断信息披露的纵向研究 由艾滋病、ARC或HIV+/最轻微症状的个人产生 关于性行为盛行的极其重要的发现 在艾滋病毒携带者和未披露感染情况的人中。约50%的 接受采访的人性生活活跃，45%的男性参与 在接受诊断后的性行为没有显示出他们的艾滋病毒 一个或多个合作伙伴的状态。延续的目的是为了 从盎格鲁人、西班牙人和黑人男女那里获得更多信息 对感染艾滋病毒的不同社会经济水平进行评估 我们初步结果的概括性，并执行详细的分析 激励或阻碍披露诊断结果的因素 性伴侣、重要的其他人和不重要的其他人(雇主、 医疗提供者、房东)。这项研究的其他目的包括检查 向性伴侣披露与特定类型的性行为有关的信息 所进行的活动并更好地了解我们的 初步发现，关于披露的后果的预期 一个人对父母、朋友和恋人的诊断往往更负面 而不是披露的实际后果(由参与者评级)。这个 研究将在三个地点进行：(1)洛杉矶艾滋病诊所 县-南加州大学医疗中心(我们目前的网站)，主要由 社会经济地位较低的拉美裔(65%)、盎格鲁人(25%)和黑人(10%)； Kaiser Permanente Edgeont设施，主要由受雇人员使用， 中产阶级盎格鲁人(60%)、黑人(25%)和西班牙裔(15%)；以及(3)西部 好莱坞诊所，由中产阶级和中上阶层的盎格鲁人使用 (65%)、西班牙裔(20%)和黑人(15%)。在每个地点，新的个人 被诊断为(至少12周但不超过6个月)患有艾滋病、ARC或 HIV+/最轻微的症状将被纳入这项研究。数据将是 通过使用小组设计的机密调查问卷收集 由三个测量组组成，参与者被随机分为三个测量组 在招聘时分配的。整个小组讨论小组的参与者 将在八个月内完成三份调查问卷。二 设计中包括了控制组。其中一项允许对 调查的反应性，以及其他许可评估的影响 关于答复的调查问卷代码。

Currently funded by NIMH, our longitudinal study of disclosure of diagnosis by individuals with AIDS, ARC, or HIV+/minimal symptoms has generated extremely important findings regarding the prevalence of sexual activity among persons with HIV and nondisclosure of infection. Approximately 50% of those interviewed were sexually active, and 45% of the men who engaged in sexual activity after receiving their diagnosis did not reveal their HIV status to one or more partners. The purpose of the continuation is to obtain additional information from Anglo, Hispanic, and Black men and women of different socioeconomic levels infected with HIV to assess the generalizability of our initial results, and to perform detailed analyses of factors that motivate or act as barriers to disclosure of diagnosis to sexual partners, significant others, and nonsignificant others (employers, medical providers, landlords). Other aims of the study include examining disclosure to sexual partners in relation to the specific types of sexual activities performed and achieving a better understanding of our preliminary finding that expectancies about the consequences of revealing one's diagnosis to parents, friends, and lovers are often more negative than the actual consequences of disclosure (rated by the participants). The study will be conducted at three sites: (1) AIDS Clinic of the Los Angeles County-USC Medical Center (our current site), which is used primarily by lower SES Hispanics (65%), Anglos (25%) and Blacks (10%); (2) HIV Clinic of Kaiser Permanente Edgemont Facility, which is used mainly by employed, middle class Anglos (60%), Blacks (25%) and Hispanics (15%); and (3) West Hollywood Clinic, which is used by middle and upper-middle class Anglos (65%), Hispanics (20%) and Blacks (15%). At each site, individuals newly diagnosed (at least 12 weeks but not more than 6 months) with AIDS, ARC, or HIV+/minimal symptoms will be recruited onto the study. Data will be collected with confidential questionnaires using a panel design that consists of three measurement groups to which participants are randomly assigned at the time of recruitment. Participants in the full panel group will complete three questionnaires during an eight month period. Two control groups are included in the design. One permits examination of the reactivity of the survey, and the other permits assessment of the effect of a questionnaire code on responses.