Lee S-J, Li L, Jiraphongsa C, Iamsirithaworn S, Khumtong S, Rotheram-Borus M J
University of California, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA 90024, USA.
Int J STD AIDS. 2010 Mar;21(3):161-5. doi: 10.1258/ijsa.2009.009008. Epub 2010 Jan 13.
People living with HIV (PLH) in Thailand face tremendous challenges, including HIV disclosure. With the advent of antiretroviral (ARV) therapy in Thailand, the positive benefits of HIV disclosure are becoming more salient. However, there are regional variations in the levels of HIV disclosure in Thailand. We examined and compared the levels of HIV disclosure in Northern and Northeastern Thailand. PLH (N = 410) were recruited from four district hospitals in the North and the Northeast. More PLH in the North reported disclosing HIV status to at least one family member in the household. PLH in the Northeast reported significantly lower levels of HIV disclosure within family and outside of family. HIV disclosure remains a significant challenge in Thailand, especially in the Northeast. We propose future interventions focusing on HIV disclosure to address the specific concerns and barriers to HIV disclosure, taking into account the regional differences in HIV disclosure.
泰国的艾滋病病毒感染者面临着巨大挑战，包括披露感染艾滋病病毒的情况。随着泰国抗逆转录病毒疗法的出现，披露感染艾滋病病毒情况的积极益处日益凸显。然而，泰国在披露感染艾滋病病毒情况的程度上存在地区差异。我们对泰国北部和东北部披露感染艾滋病病毒的程度进行了调查和比较。从北部和东北部的四家区级医院招募了410名艾滋病病毒感染者。北部更多的艾滋病病毒感染者报告称已向家庭中的至少一名家庭成员披露了自己的艾滋病病毒感染状况。东北部的艾滋病病毒感染者报告称，在家庭内部和家庭外部披露感染艾滋病病毒情况的程度明显较低。在泰国，披露感染艾滋病病毒情况仍然是一项重大挑战，尤其是在东北部。我们建议未来的干预措施应侧重于披露感染艾滋病病毒情况，以解决与披露感染艾滋病病毒相关的具体问题和障碍，同时考虑到不同地区在披露感染艾滋病病毒情况方面的差异。
