UCLA Semel Institute for Neuroscience and Human Behavior and Center for Community Health, University of California-Los Angeles, Los Angeles, CA, USA.
AIDS Behav. 2009 Dec;13(6):1253-61. doi: 10.1007/s10461-009-9554-x. Epub 2009 Apr 9.
Women's disclosure of their HIV serostatus across social network ties was examined in a sample of women living in Los Angeles (n = 234), using multivariate random intercept logistic regressions. Women with disclosure-averse attitudes were less likely to disclose, while women with higher CD4+ counts were significantly more likely to disclose, regardless of relationship type. Relative to all other types of relationships, spouses/romantic partners were greater than four times more likely to be the targets of disclosure. Women were more than 2.5 times more likely to disclose to a given network member if that target provided the woman with social support. Social network members whom women believed to be HIV-positive were more than 10 times more likely to be the targets of disclosure. The implications for how social roles and social identities are manifest in these results are discussed, including the implications such an interpretation has for future prevention research.
本研究采用多变量随机截距逻辑回归分析方法，对洛杉矶 234 名女性进行了研究，调查了其在社会网络关系中披露 HIV 阳性状态的情况。具有回避披露态度的女性不太可能披露，而 CD4+计数较高的女性则无论关系类型如何，都更有可能披露。与所有其他类型的关系相比，配偶/浪漫伴侣成为披露对象的可能性是其他关系的四倍多。如果目标为女性提供社会支持，那么女性向特定网络成员披露的可能性就会增加两倍以上。女性认为 HIV 阳性的社会网络成员成为披露对象的可能性是其他成员的 10 倍以上。讨论了这些结果中社会角色和社会身份是如何体现的，包括这种解释对未来预防研究的意义。
