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HIV 感染者对 HIV 状态披露的负面反应与心理社会结局之间的关系。

The relationship between negative responses to HIV status disclosure and psychosocial outcomes among people living with HIV.

机构信息

University of New South Wales, Australia.

Utrecht University, The Netherlands.

出版信息

J Health Psychol. 2020 Mar;25(4):538-544. doi: 10.1177/1359105317722404. Epub 2017 Jul 25.

Abstract

This report examines rates of HIV status disclosure and negative responses to disclosure among people living with HIV in Australia. Among 697 people living with HIV, most (>90%) had disclosed their status to friends, sexual partners and health providers. Almost a third had not disclosed to family, and half had not told any work colleagues. Negative responses to disclosure (e.g. blame, rejection) by all groups were associated with increased HIV-related stigma, psychological distress and diminished social support and health satisfaction. These results shed light on rates of disclosure among people living with HIV in Australia and the adverse health impacts of negative responses to disclosure.

摘要

本报告考察了澳大利亚 HIV 感染者的 HIV 状况披露率和对披露的负面反应。在 697 名 HIV 感染者中,大多数(>90%)向朋友、性伴侣和医疗保健提供者披露了自己的状况。近三分之一的人没有向家人透露,一半的人没有告诉任何同事。所有群体对披露的负面反应(例如责备、拒绝)都与增加的 HIV 相关耻辱感、心理困扰以及社会支持和健康满意度下降有关。这些结果揭示了澳大利亚 HIV 感染者的披露率以及对披露的负面反应对健康的不利影响。

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