Lee Sung-Jae, Li Li, Iamsirithaworn Sopon, Khumtong Siwaporn
UCLA, Semel Institute for Neuroscience, Center for Community Health, Los Angeles, CA, USA.
Int J Nurs Pract. 2013 Aug;19(4):374-80. doi: 10.1111/ijn.12084. Epub 2013 May 13.
One of the main challenges facing people living with HIV (PLH) in Thailand is HIV disclosure. The goal of this study was to examine HIV disclosure barriers and motivators in Northeastern Thailand. Focus groups were conducted with 40 PLH to explore the barriers and motivators. To confirm the themes identified in the focus groups, face-face interviews were conducted with 50 PLH. Focus group findings revealed barriers to HIV disclosure in three domains: perceived stigma, shame and fear of rejection. Motivators to HIV disclosure consisted of the following: coping with illness, seeking help and common experiences. Findings from the face-to-face interviews included the following barriers: fear of privacy breach, fear of rejection and communication difficulties. The motivators to HIV disclosure included seeking supportive relationship, duty to inform and catharsis. Based on these findings, we are currently developing family-focused HIV disclosure intervention in Northeastern Thailand.
泰国艾滋病病毒感染者（PLH）面临的主要挑战之一是艾滋病病毒的披露。本研究的目的是调查泰国东北部艾滋病病毒披露的障碍和动机。对40名艾滋病病毒感染者进行了焦点小组访谈，以探讨障碍和动机。为了确认焦点小组中确定的主题，对50名艾滋病病毒感染者进行了面对面访谈。焦点小组的调查结果揭示了艾滋病病毒披露在三个方面的障碍：感知到的耻辱感、羞耻感和对被拒绝的恐惧。艾滋病病毒披露的动机包括：应对疾病、寻求帮助和共同经历。面对面访谈的结果包括以下障碍：担心隐私泄露、害怕被拒绝和沟通困难。艾滋病病毒披露的动机包括寻求支持性的关系、告知的责任和宣泄。基于这些发现，我们目前正在泰国东北部开展以家庭为重点的艾滋病病毒披露干预措施。
