Department of Biobehavioral Health, Pennsylvania State University, University Park, 16802, USA.
Am J Public Health. 2010 Aug;100(8):1393-9. doi: 10.2105/AJPH.2009.168989. Epub 2010 Jun 17.
This qualitative study explored whether motherhood plays a role in influencing decisions to conceal or reveal knowledge of seropositive status among women living with HIV/AIDS in 2 South African communities: Gugulethu and Mitchell's Plain. Using the PEN-3 cultural model, we explored how HIV-positive women disclose their status to their mothers and how HIV-positive mothers make decisions about disclosure of their seropositive status. Our findings revealed 3 themes: the positive consequences of disclosing to mothers, how being a mother influences disclosure (existential role of motherhood), and the cost of disclosing to mothers (negative consequences). The findings highlight the importance of motherhood in shaping decisions to reveal or conceal knowledge of seropositive status. Implications for interventions on HIV/AIDS prevention, care, and support are discussed.
这项定性研究探讨了母亲身份是否会影响感染艾滋病毒/艾滋病的妇女在南非两个社区（古古勒图和米切尔平原）隐瞒或透露血清阳性状况的决定：古古勒图和米切尔平原。我们使用 PEN-3 文化模型探讨了艾滋病毒阳性妇女如何向母亲透露自己的状况，以及艾滋病毒阳性母亲如何决定透露自己的血清阳性状况。我们的研究结果揭示了 3 个主题：向母亲透露的积极后果、作为母亲如何影响透露（母亲身份的存在作用）以及向母亲透露的代价（负面后果）。研究结果强调了母亲身份在塑造透露或隐瞒血清阳性状况的决定方面的重要性。讨论了对艾滋病毒/艾滋病预防、护理和支持干预措施的影响。
