Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA.
Qual Health Res. 2009 Dec;19(12):1744-54. doi: 10.1177/1049732309353417.
An HIV diagnosis is a life-changing event. Disclosure of HIV test results might be related to developing effective coping strategies. We conducted qualitative, in-depth interviews with 30 HIV-infected women in Uganda to explore links between HIV disclosure and coping strategies. Many women experienced an evolution in their ability to cope from initial shame to eventual acceptance. Factors that facilitated adaptive coping included being healthy, feeling responsible for children, support group participation, forming supportive relationships, and low perceived stigma and discrimination. HIV disclosure was often the first step in this coping process. Overall, 80% of the women had disclosed, with most reporting positive outcomes. Development of adaptive coping strategies and HIV serostatus disclosure are closely related, as they allow women to develop support networks and begin coming to terms with their diagnosis. Strategies are needed to safely support women who want to disclose their HIV test results.
艾滋病病毒诊断是一个改变生活的事件。艾滋病病毒检测结果的披露可能与制定有效的应对策略有关。我们在乌干达对 30 名感染艾滋病病毒的妇女进行了定性、深入的访谈，以探讨艾滋病病毒披露与应对策略之间的联系。许多妇女经历了从最初的羞耻感发展到最终的接受感的应对能力的演变。有助于适应性应对的因素包括身体健康、对子女负责、参加支持小组、建立支持性关系、以及较低的感知耻辱和歧视。艾滋病病毒的披露往往是应对过程的第一步。总的来说，80%的妇女已经披露了自己的艾滋病病毒状况，大多数报告的结果是积极的。适应性应对策略的发展和艾滋病病毒血清阳性状况的披露密切相关，因为它们使妇女能够发展支持网络，并开始接受自己的诊断。需要采取策略来安全地支持那些希望披露自己艾滋病病毒检测结果的妇女。
