Davis Alissa, Roth Alexis, Brand Juanita Ebert, Zimet Gregory D, Van Der Pol Barbara
Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, IN, USA.
Department of Community Health & Prevention, Drexel University School of Public Health, Philadelphia, PA, USA.
Int J STD AIDS. 2016 Mar;27(3):207-12. doi: 10.1177/0956462415578955. Epub 2015 Mar 18.
This study focused on understanding the coping strategies and related behavioural changes of women who were recently diagnosed with herpes simplex virus type 2. In particular, we were interested in how coping strategies, condom use, and acyclovir uptake evolve over time. Twenty-eight women screening positive for herpes simplex virus type 2 were recruited through a public health STD clinic and the Indianapolis Community Court. Participants completed three semi-structured interviews with a woman researcher over a six-month period. The interviews focused on coping strategies for dealing with a diagnosis, frequency of condom use, suppressive and episodic acyclovir use, and the utilisation of herpes simplex virus type 2 support groups. Interview data were analysed using content analysis to identify and interpret concepts and themes that emerged from the interviews. Women employed a variety of coping strategies following an herpes simplex virus type 2 diagnosis. Of the women, 32% reported an increase in religious activities, 20% of women reported an increase in substance use, and 56% of women reported engaging in other coping activities. A total of 80% of women reported abstaining from sex immediately following the diagnosis, but 76% of women reported engaging in sex again by the six-month interview. Condom and medication use did not increase and herpes simplex virus type 2 support groups were not utilised by participants. All participants reported engaging in at least one coping mechanism after receiving their diagnosis. A positive diagnosis did not seem to result in increased use of condoms for the majority of participants and the use of acyclovir was low overall.
本研究聚焦于了解近期被诊断出感染2型单纯疱疹病毒的女性的应对策略及相关行为变化。具体而言，我们关注应对策略、避孕套使用情况以及阿昔洛韦的服用情况如何随时间演变。通过一家公共卫生性传播疾病诊所和印第安纳波利斯社区法庭招募了28名2型单纯疱疹病毒筛查呈阳性的女性。参与者在六个月的时间里与一名女性研究人员完成了三次半结构化访谈。访谈聚焦于应对诊断的策略、避孕套使用频率、阿昔洛韦的抑制性和发作性使用情况，以及2型单纯疱疹病毒支持小组的利用情况。使用内容分析法对访谈数据进行分析，以识别和解释访谈中出现的概念和主题。在被诊断出感染2型单纯疱疹病毒后，女性采用了多种应对策略。其中，32%的女性报告宗教活动增加，20%的女性报告物质使用增加，56%的女性报告参与了其他应对活动。共有80%的女性报告在诊断后立即 abstaining from sex，但76%的女性在六个月的访谈时报告再次开始性行为。避孕套和药物的使用并未增加，参与者也未利用2型单纯疱疹病毒支持小组。所有参与者均报告在接受诊断后至少采用了一种应对机制。对于大多数参与者来说，阳性诊断似乎并未导致避孕套使用增加，总体上阿昔洛韦的使用量较低。
