Solomon L, Landrigan J, Flynn C, Benjamin G C
AIDS Administration, Maryland Department of Health and Mental Hygiene, Baltimore, USA.
AIDS Public Policy J. 1999 Winter;14(4):147-56.
The authors report that individuals who are at highest risk of contracting HIV indicated the greatest concern about confidentiality and the greatest knowledge of local reporting laws. Although concern about confidentiality may not be cited as the most common reason to delay or defer testing, it is an important consideration for a minority of individuals--the very segment who are at highest risk of contracting HIV and are the most important targets of campaigns to encourage HIV testing. The particular concerns of this critical segment of the population at risk must be directly and carefully addressed and not lost in a general assessment of population-wide attitudes/concerns about HIV testing. Studies that examine individuals' concerns about HIV testing and privacy and do not stratify by level of HIV risk may obscure the important and heightened concerns of this most important subpopulation.
作者报告称，感染艾滋病毒风险最高的个体对保密性表现出最大的担忧，并且对当地报告法律最为了解。虽然对保密性的担忧可能并非被提及为延迟或推迟检测的最常见原因，但对于少数个体而言，这是一个重要的考虑因素——正是这一群体感染艾滋病毒的风险最高，也是鼓励艾滋病毒检测运动的最重要目标人群。必须直接且谨慎地处理这一高危关键人群的特殊担忧，而不能在对全体人群对艾滋病毒检测的态度/担忧进行的总体评估中被忽视。那些研究个体对艾滋病毒检测和隐私的担忧但未按艾滋病毒风险水平进行分层的研究，可能会掩盖这一最重要亚人群的重要且更为强烈的担忧。
