Calin T, Green J, Hetherton J, Brook G
Royal Holloway University, London.
AIDS Care. 2007 Mar;19(3):385-91. doi: 10.1080/09540120600971224.
Little research has focused specifically on disclosure among HIV+ Black Africans living in the UK; however, the available evidence suggests that this population may be reluctant to disclose to significant others. Forty-five HIV+ Black African men and women were recruited from a London HIV clinic. Semi-structured interviews gathered information on: disclosure, social support, mental and physical health, medication adherence, acculturation and the perceived prevalence of stigma. Both qualitative and quantitative analyses were conducted. The majority of the participants had disclosed to one significant other and there was an inverse association between perceived stigma and disclosure. Disclosure could not be predicted by any of the respondent characteristics identified in the study; rather, disclosure decisions were reasoned, interpersonal in nature and many of the motivations were specific to the individual. There was little evidence to suggest that those who disclosed to more than one other gained additional benefits in physical or mental well-being. Clinicians seeking to assist members of this population to disclose need to assess the specific reasons for and barriers against disclosure for that individual.
很少有研究专门关注生活在英国的携带艾滋病毒的非洲黑人之间的信息披露情况；然而，现有证据表明，这一人群可能不愿向重要他人透露病情。从伦敦一家艾滋病毒诊所招募了45名携带艾滋病毒的非洲黑人男性和女性。通过半结构化访谈收集了以下方面的信息：信息披露、社会支持、身心健康、药物依从性、文化适应以及感知到的耻辱感普遍性。同时进行了定性和定量分析。大多数参与者已向一位重要他人透露了病情，并且感知到的耻辱感与信息披露之间存在负相关。研究中所确定的任何受访者特征都无法预测信息披露情况；相反，信息披露决策是经过思考的，本质上是人际层面的，而且许多动机都是因人而异的。几乎没有证据表明向不止一人透露病情的人在身心健康方面获得了额外益处。试图帮助这一人群成员进行信息披露的临床医生需要评估该个体信息披露的具体原因和障碍。
