Cooper V, Buick D, Horne R, Lambert N, Gellaitry G, Leake H, Fisher M
Centre for Health Care Research, University of Brighton, UK.
AIDS Care. 2002 Jun;14(3):319-28. doi: 10.1080/09540120220123694.
As part of a prospective study of treatment decision making among people with HIV infection, we explored perceptions of HAART in a cohort who declined a treatment offer. This was a qualitative study in which 26 gay men were interviewed in relation to their views about HAART soon after treatment was recommended by their HIV physician. Fifteen themes were associated with the decision to decline HAART. These were grouped under three broad categories: doubts about personal necessity for HAART, concerns about potential adverse effects of taking HAART and satisfaction with the amount of personal control over the decision. These findings provide new insights into the type of beliefs that might inform people's evaluation of their perceived need for HAART and their concerns about HAART. Initiatives to support informed decisions should take account of these perceptions.
作为一项关于HIV感染者治疗决策的前瞻性研究的一部分,我们在一组拒绝治疗提议的人群中探讨了对高效抗逆转录病毒疗法(HAART)的看法。这是一项定性研究,在HIV医生建议治疗后不久,对26名男同性恋者就他们对HAART的看法进行了访谈。有15个主题与拒绝HAART的决定相关。这些主题被归为三大类:对个人是否需要HAART的怀疑、对服用HAART潜在不良反应的担忧以及对该决定个人掌控程度的满意度。这些发现为可能影响人们对自身认为的HAART需求评估及其对HAART担忧的信念类型提供了新的见解。支持明智决策的举措应考虑到这些看法。