University of Alabama, Tuscaloosa, AL 35487, USA.
Am J Mens Health. 2012 Nov;6(6):442-52. doi: 10.1177/1557988312439405. Epub 2012 Mar 8.
The purpose of this study was to identify and describe the process of HIV disclosure for rural African American men-a population disproportionately affected by HIV/AIDS. Forty men were interviewed about their experience of making an HIV disclosure. Grounded theory methodology guided data collection and analysis. The core category or variable that emerged from the data was a process-Making Decisions: The Process of HIV Disclosure. Five categories accounted for variations in disclosures: (a) beliefs and knowledge about HIV/AIDS, (b) influencing factors, (c) disclosure decisions, (d) disclosure efficacy, and (e) outcomes of disclosure. Most of the men had disclosed to others; however, the disclosures were selective, and the decisions were iterative. The majority of the men did not disclose their diagnosis for several months to several years. The findings provide a framework of the many factors related to HIV disclosure that can guide health care providers in counseling persons living with HIV/AIDS in making disclosure decisions.
本研究旨在识别和描述农村非裔美国男性的 HIV 披露过程——这一人群受到 HIV/AIDS 的不成比例影响。对 40 名男性进行了采访，了解他们的 HIV 披露经历。扎根理论方法指导了数据收集和分析。从数据中出现的核心类别或变量是一个过程——做出决定：HIV 披露的过程。五个类别解释了披露的变化：(a)对 HIV/AIDS 的信仰和知识，(b)影响因素，(c)披露决定，(d)披露效果，和 (e)披露的结果。大多数男性已经向他人透露了病情；然而，这些披露是有选择性的，而且决定是迭代的。大多数男性在几个月到几年的时间里没有透露他们的诊断结果。这些发现提供了一个与 HIV 披露相关的许多因素的框架，可以指导医疗保健提供者在咨询 HIV/AIDS 感染者做出披露决定时提供指导。
