Niccolai L M, Dorst D, Myers L, Kissinger P J
HIV Outpatient Program, Louisiana State University Medical Center, New Orleans 70112, USA.
Sex Transm Dis. 1999 May;26(5):281-5. doi: 10.1097/00007435-199905000-00008.
Failure to disclose human immunodeficiency virus (HIV) infection to sexual partners interferes with risk reduction.
The purpose of this study was to identify factors associated with disclosure and failure to disclose HIV infection to sexual partners and to describe condom use with nondisclosure.
A longitudinal survey study of HIV seropositive persons recruited at a public STD clinic.
Approximately 76% of the study population (n = 147) reported disclosing their HIV status to their last sex partner at baseline. Predictors of disclosure included consistent condom use and being in a monogamous relationship. Twenty-two percent of those who disclosed at baseline reported nondisclosure during follow-up. Approximately 23% reported not using a condom with a person to whom their status was not disclosed.
These results suggest that ongoing partner notification may be necessary to increase disclosure of HIV status to sex partners over time.
未向性伴侣披露人类免疫缺陷病毒(HIV)感染情况会妨碍风险降低。
本研究的目的是确定与向性伴侣披露和未披露HIV感染情况相关的因素,并描述未披露感染情况时的避孕套使用情况。
对在一家公共性传播疾病诊所招募的HIV血清阳性者进行纵向调查研究。
在基线时,约76%的研究人群(n = 147)报告已向其最后一位性伴侣披露了自己的HIV感染状况。披露的预测因素包括始终坚持使用避孕套以及处于一夫一妻制关系中。在基线时披露感染状况的人中有22%报告在随访期间未披露。约23%的人报告未向其隐瞒感染状况的人使用避孕套。
这些结果表明,随着时间的推移,持续进行性伴侣通知对于增加向性伴侣披露HIV感染状况可能是必要的。