Department of Obstetrics and Gynecology, Kabale Regional Hospital, Kabale, Uganda.
Int J Gynaecol Obstet. 2012 Jul;118(1):61-4. doi: 10.1016/j.ijgo.2012.02.008. Epub 2012 Apr 14.
To evaluate factors independently associated with disclosure of HIV serostatus in the era of widespread access to antiretroviral agents (ARVs) among individuals receiving HIV care in Uganda.
Between January 1 and August 31, 2009, 403 HIV-positive individuals attending Kabale Hospital in southwestern Uganda were interviewed about their sociodemographic characteristics; sexuality; contraceptive use and sexual behavior; and disclosure of HIV serostatus to sexual partners. Data regarding disclosure versus nondisclosure were analyzed to identify factors independently associated with disclosure of serostatus.
The study participants were predominantly female (74.0%). In all, 82.5% of the patients were receiving ARVs. Disclosure of HIV serostatus to regular sexual partners was reported by 50.9% of the participants, while 49.1% had chosen not to disclose their serostatus. Factors independently associated with nondisclosure were marital status; current use of ARVs; having children who had died (from any cause); being sexually active in the previous 6 months; and the number of sexual partners during the previous 6 months (P<0.05 for all associations). Fear of stigma was the main reason for nondisclosure of HIV serostatus.
Despite receiving treatment with ARVs, many of the study participants neither disclosed their own HIV serostatus nor knew the HIV serostatus of their sexual partners.
评估在乌干达接受艾滋病毒护理的个体在广泛获得抗逆转录病毒药物（ARV）的时代，与艾滋病毒血清学状况披露相关的独立因素。
2009 年 1 月 1 日至 8 月 31 日，对乌干达西南部卡巴莱医院的 403 名艾滋病毒阳性个体进行访谈，了解他们的社会人口统计学特征；性行为；避孕方法和性行为；以及向性伴侣披露艾滋病毒血清学状况。对披露与不披露的数据进行分析，以确定与血清学状况披露相关的独立因素。
研究参与者主要为女性（74.0%）。在所有患者中，82.5%正在接受 ARV 治疗。50.9%的参与者向固定性伴侣披露了艾滋病毒血清学状况，而 49.1%的参与者选择不披露其血清学状况。与不披露相关的独立因素包括婚姻状况；当前使用 ARV；有因任何原因而死亡的子女；在过去 6 个月中活跃的性行为；以及在过去 6 个月中的性伴侣数量（所有关联的 P<0.05）。对耻辱感的恐惧是不披露艾滋病毒血清学状况的主要原因。
尽管接受 ARV 治疗，但许多研究参与者既未披露自己的艾滋病毒血清学状况，也不了解其性伴侣的艾滋病毒血清学状况。
