University of Tennessee, Knoxville, Tennessee, USA.
Qual Health Res. 2013 Aug;23(8):1125-37. doi: 10.1177/1049732313495327. Epub 2013 Jun 17.
In this article we examine how members of fishing communities on the shores of Lake Victoria in Uganda respond to HIV diagnosis in terms of disclosure to sexual partners. We then explore the subsequent changes in sexual behavior and relationships. To access this information, we collected life history data from 78 HIV-positive individuals in five fishing communities. We found that the strength of the sexual relationships shaped how and why individuals disclosed to partners, and that these relationships tended to be stronger when partners shared familial responsibility. Those who perceived their current sexual partnership to be weak sought to conceal their status by maintaining prediagnosis patterns of sexual behavior. The majority of the study's participants rarely changed their sexual behavior following HIV diagnosis, regardless of their relationship's strength. These findings elucidate barriers to disclosure and behavior change, and suggest that a life-course approach might enhance individual-level counseling so that counselors can provide tailored support to individuals regarding disclosure decisions and outcomes.
在本文中，我们研究了乌干达维多利亚湖沿岸的渔业社区成员在向性伴侣披露艾滋病毒诊断结果方面的反应，然后探讨了随后性行为和关系的变化。为了获取这些信息，我们从五个渔业社区的 78 名 HIV 阳性个体收集了生活史数据。我们发现，性关系的强弱影响了个人向伴侣披露的方式和原因，而当伴侣共同承担家庭责任时，这种关系往往更牢固。那些认为自己当前性关系薄弱的人试图通过维持诊断前的性行为模式来隐瞒自己的病情。研究中的大多数参与者在艾滋病毒诊断后很少改变性行为，无论其关系的强弱如何。这些发现阐明了披露和行为改变的障碍，并表明，一种生命周期的方法可能会增强个人层面的咨询，以便顾问可以针对披露决定和结果为个人提供量身定制的支持。
