Serovich Julianne M, Craft Shonda M, Yoon Hae-Jin
Department of Human Development and Family Science, The Ohio State University, Columbus, Ohio 43210, USA.
AIDS Patient Care STDS. 2007 Dec;21(12):970-80. doi: 10.1089/apc.2007.0038.
Previous researchers have comprehensively documented rates of HIV disclosure to family at discrete time periods yet none have taken a dynamic approach to this phenomenon. The purpose of this study is to address the trajectory of HIV serostatus disclosure to family members over time. Time to disclosure was analyzed from data provided by 125 primarily single (48.8%), HIV-positive African American (68%) adult women. Data collection occurred between 2001 and 2006. Results indicated that women were most likely to disclose their HIV status within the first seven years after diagnosis, and mothers and sisters were most likely to be told. Rates of disclosure were not significantly impacted by indicators of disease progression, frequency of contact, physical proximity, or relationship satisfaction. The results of this study are discussed in comparison to previous disclosure research, and clinical implications are provided.
以往的研究人员已经全面记录了在特定时间段内向家人披露艾滋病毒感染情况的比率，但没有人采用动态方法来研究这一现象。本研究的目的是探讨随着时间推移向家庭成员披露艾滋病毒血清学状态的轨迹。从125名主要为单身（48.8%）、艾滋病毒呈阳性的非裔美国成年女性（68%）提供的数据中分析了披露时间。数据收集于2001年至2006年期间进行。结果表明，女性在诊断后的头七年里最有可能披露自己的艾滋病毒感染状况，而母亲和姐妹最有可能被告知。疾病进展指标、接触频率、身体距离或关系满意度对披露率没有显著影响。本研究结果与以往的披露研究进行了比较，并提供了临床意义。
