King Rachel, Katuntu David, Lifshay Julie, Packel Laura, Batamwita Richard, Nakayiwa Sylvia, Abang Betty, Babirye Frances, Lindkvist Pille, Johansson Eva, Mermin Jonathan, Bunnell Rebecca
Global AIDS Program, CDC-Uganda, Kampala, Uganda.
AIDS Behav. 2008 Mar;12(2):232-43. doi: 10.1007/s10461-007-9307-7. Epub 2007 Sep 8.
Disclosure of HIV serostatus to sexual partners supports risk reduction and facilitates access to prevention and care services for people living with HIV/AIDS. To assess health and social predictors of disclosure as well as to explore and describe the process, experiences and outcomes related to disclosure of HIV-infected men and women in Eastern Uganda, we conducted a study among HIV-infected men and women who were clients of The AIDS Support Organization (TASO) in Jinja, Uganda. We enrolled TASO clients in a cross-sectional study on transmission risk behavior. Demographic and behavioral data and CD4 cell count measurements were collected. Among 1,092 participants, 42% were currently sexually active and 69% had disclosed their HIV serostatus to their most recent sexual partner. Multivariate logistic regression analysis showed that disclosure of HIV-status was associated with being married, having attended TASO for more than 2 years, increased condom use, and knowledge of partner's serostatus. From these clients, 45 men and women were purposefully selected and interviewed in-depth on disclosure issues. Positive outcomes included risk reduction behavior, partner testing, increased care-seeking behavior, anxiety relief, increased sexual communication, and motivation to plan for the future.
向性伴侣披露艾滋病毒血清状况有助于降低风险，并为艾滋病毒/艾滋病感染者提供预防和护理服务。为了评估披露行为的健康和社会预测因素，并探讨和描述乌干达东部艾滋病毒感染者披露行为的过程、经历和结果，我们对乌干达金贾市艾滋病支持组织（TASO）的艾滋病毒感染男女客户进行了一项研究。我们将TASO客户纳入了一项关于传播风险行为的横断面研究。收集了人口统计学和行为数据以及CD4细胞计数测量值。在1092名参与者中，42%目前有性行为，69%已向其最近的性伴侣披露了艾滋病毒血清状况。多因素逻辑回归分析表明，艾滋病毒状况的披露与已婚、在TASO接受服务超过2年、增加使用避孕套以及了解伴侣的血清状况有关。从这些客户中，有目的地挑选了45名男女就披露问题进行深入访谈。积极结果包括降低风险行为、伴侣检测、增加寻求护理行为、缓解焦虑、增加性交流以及规划未来的动力。
