Medical College of Wisconsin, Center for AIDS Intervention Research, 2071 N Summit Ave, Milwaukee, WI 53202, USA.
Am J Public Health. 2012 Nov;102(11):2135-40. doi: 10.2105/AJPH.2012.300664. Epub 2012 Sep 20.
We explored associations between awareness of New Jersey's HIV exposure law and the HIV-related attitudes, beliefs, and sexual and seropositive status disclosure behaviors of HIV-positive persons.
A statewide convenience sample (n = 479) completed anonymous written surveys during 2010. We recruited participants through networks of community-based organizations in the state's 9 health sectors. The survey assessed participants' awareness of New Jersey's HIV exposure law, their sexual and serostatus disclosure behavior in the past year, and their HIV-related attitudes and beliefs. We compared responses of participants who were and were not aware of the law through univariate analyses.
Fifty-one percent of participants knew about the HIV exposure law. This awareness was not associated with increased sexual abstinence, condom use with most recent partner, or seropositive status disclosure. Contrary to hypotheses, persons who were unaware of the law experienced greater stigma and were less comfortable with positive serostatus disclosure.
Criminializing nondisclosure of HIV serostatus does not reduce sexual risk behavior. Although the laws do not appear to increase stigma, they are also not likely to reduce HIV transmission.
我们探讨了艾滋病毒感染者对新泽西州艾滋病毒暴露法的认识与其艾滋病毒相关态度、信念,以及艾滋病毒阳性者的性和血清阳性状况披露行为之间的关系。
2010 年,我们采用全州便利抽样(n=479)方法完成了匿名书面调查。我们通过该州 9 个卫生部门的社区组织网络招募参与者。该调查评估了参与者对新泽西州艾滋病毒暴露法的认识,他们在过去一年中的性和血清状况披露行为,以及他们与艾滋病毒相关的态度和信念。我们通过单变量分析比较了知道和不知道该法律的参与者的回答。
51%的参与者了解艾滋病毒暴露法。这种认识与性行为的禁欲、与最近伴侣使用安全套,或血清阳性状况的披露均无关联。与假设相反的是,不知道该法律的人经历了更多的耻辱感,对阳性血清状况的披露也不那么自在。
将艾滋病毒血清状况的不披露定为犯罪并不能减少性风险行为。虽然这些法律似乎没有增加耻辱感,但也不太可能减少艾滋病毒的传播。