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法国撒哈拉以南非洲移民在被诊断出感染艾滋病毒后婚姻关系破裂:披露艾滋病毒感染状况与维持婚姻关系有关。

Union break-up after HIV diagnosis among sub-Saharan African migrants in France: disclosing HIV status is linked with staying in union.

作者信息

Guen Mireille Le, Marsicano Élise, Bajos Nathalie, Desgrées du Loû Annabel

机构信息

a Institut de Recherche pour le Développement (IRD) - Center Population et Développement (Ceped) , UMR Université Paris Descartes-IRD, ERL INSERM U1244 , Paris , France.

b Institut National de Recherche Médicale (Inserm) - Center d'Étude en Santé des Populations (Cesp) U1018.

出版信息

AIDS Care. 2019 Jun;31(6):699-706. doi: 10.1080/09540121.2018.1554240. Epub 2018 Dec 4.

DOI:10.1080/09540121.2018.1554240
PMID:30512965
Abstract

Sub-Saharan African migrants living in France are particularly affected by HIV. Due to the fear of sexual transmission of the virus, those in a relationship could experience a union break-up after an HIV diagnosis. Based on data from the time-event ANRS-Parcours survey that was conducted among a representative sample of sub-Saharan migrants living with HIV (France, 2012-2013), we studied union break-ups after HIV diagnosis among people who were in a relationship at the time of their diagnosis. Women experienced a more rapid union break-up after HIV diagnosis than did men. The living conditions of men were not correlated to their risk of union break-up while among women, having a personal dwelling reduced the risk of union break-up. For both sexes, less established relationships were more likely to break up after HIV diagnosis. Having disclosed the HIV status to a partner was associated with a reduced risk of separation between partners, after adjustment on socio-economic conditions and migration characteristics.

摘要

生活在法国的撒哈拉以南非洲移民受艾滋病毒影响尤为严重。由于担心病毒的性传播,处于恋爱关系中的人在被诊断出感染艾滋病毒后可能会分手。基于对生活在法国的撒哈拉以南艾滋病毒感染者代表性样本进行的时间事件ANRS-Parcours调查(2012年至2013年)的数据,我们研究了在诊断时处于恋爱关系的人在艾滋病毒诊断后的分手情况。女性在艾滋病毒诊断后比男性经历了更快的分手。男性的生活条件与他们分手的风险无关,而在女性中,拥有个人住所降低了分手的风险。对于男女双方来说,关系不太稳定的人在艾滋病毒诊断后更有可能分手。在对社会经济状况和移民特征进行调整后,向伴侣披露艾滋病毒感染状况与伴侣之间分离风险的降低有关。

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