ASSESSMENT OF SELF-DISCLOSURE AMONG PATIENTS WITH AIDS

目前由NIMH资助，我们的诊断披露纵向研究 由艾滋病、ARC或HIV+/轻微症状的个体产生 关于性活动普遍性的重要发现 艾滋病毒感染者和不披露感染情况。大约50%的 这些受访者性活跃，45%的男性谁从事 在接受诊断后的性活动并没有揭示他们的艾滋病毒 一个或多个合作伙伴的状态。延续的目的是 从盎格鲁人、西班牙人和黑人男性和女性那里获得更多信息 不同社会经济水平的艾滋病毒感染者， 我们的初步结果的普遍性，并进行详细的分析 的因素，激励或作为障碍，披露诊断， 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）。研究的其他目的包括： 向性伴侣披露与特定类型的性行为有关的信息 开展的活动，并更好地了解我们的 初步发现，对暴露后果的预期 一个人对父母、朋友和爱人的诊断往往更消极 而不是披露的实际后果（由参与者评定）。的 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），主要用于 社会经济地位较低的西班牙裔（65%），盎格鲁人（25%）和黑人（10%）;（2）艾滋病毒诊所 Kaiser Permanente Edgemont设施主要由雇员使用， 中产阶级盎格鲁人（60%），黑人（25%）和西班牙裔（15%）;和（3）西方 好莱坞诊所，这是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%）。在每一个站点， 诊断（至少12周但不超过6个月）患有艾滋病，ARC，或 HIV+/轻微症状将被招募到研究中。数据将 采用小组设计， 由三个测量组组成，参与者随机 在招聘的时候，全体小组成员 将在八个月内完成三份问卷。两 在设计中包括对照组。一个允许检查 调查的反应性，另一个允许评估的影响， 关于答复的调查表代码。

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.