Serovich Julianne M, Lim Ji-Young, Mason Tina L
Department of Human Development and Family Science, Ohio State University, Columbus 43210, USA.
Health Soc Work. 2008 Feb;33(1):23-31. doi: 10.1093/hsw/33.1.23.
The purpose of this study was to evaluate the applicability of two theories of HIV disclosure previously tested with men. Participants included 125 HIV-positive women enrolled in a larger, longitudinal study of HIV disclosure and mental health. Structural equation modeling was used to analyze the proposed theoretical models. The disease progression model contained two single-indicator exogenous variables (disease progression) and one endogenous latent variable (disclosure). The original consequences model contained two single-indicator exogenous variables (disease progression), two single-indicator endogenous variables (consequences), and one endogenous latent variable (disclosure). The revised consequences model contained two single-indicator exogenous variables (consequences) and one endogenous latent variable (disclosure). The results of this study support the revised consequences theory and an earlier claim that disease progression may not be a direct predictor of HIV disclosure. This suggests that women may evaluate the consequences of disclosure to family and friends, particularly the reward, before the disclosure occurs.
本研究的目的是评估先前在男性中测试过的两种艾滋病病毒披露理论的适用性。参与者包括125名感染艾滋病病毒的女性，她们参与了一项关于艾滋病病毒披露与心理健康的规模更大的纵向研究。采用结构方程模型分析所提出的理论模型。疾病进展模型包含两个单指标外生变量（疾病进展）和一个内生潜变量（披露）。原始后果模型包含两个单指标外生变量（疾病进展）、两个单指标内生变量（后果）和一个内生潜变量（披露）。修订后的后果模型包含两个单指标外生变量（后果）和一个内生潜变量（披露）。本研究结果支持修订后的后果理论以及先前的一项主张，即疾病进展可能不是艾滋病病毒披露的直接预测因素。这表明女性在向家人和朋友披露之前，可能会评估披露的后果，尤其是回报。
