向感染 HIV 的中国妇女的子女披露其母亲 HIV 感染状况:计划行为理论的应用及各类规范的作用。

Disclosure of maternal HIV infection to children among Chinese women with HIV: The application of the Theory of Planned Behaviour and the role of various norms.

机构信息

Centre for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong, Sha Tin, Hong Kong.

The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China.

出版信息

Health Soc Care Community. 2019 Nov;27(6):1544-1554. doi: 10.1111/hsc.12825. Epub 2019 Aug 2.

Abstract

Maternal HIV disclosure to children has numerous benefits for both mothers and children. However, the prevalence of maternal HIV disclosure to children remains low in many countries. The present study examined factors associated with intention to disclose maternal HIV status to children among Chinese HIV+ women who have not disclosed their HIV status to their child. Factors from the Theory of Planned Behavior and various norms (injunctive, descriptive and moral norm) were examined. Findings from 179 HIV+ women revealed that only 16.8% intended to disclose their HIV status to their child in the future. Adjusted for significant background variables, all factors from the TPB and various norms (i.e. attitude, injunctive norm, descriptive norm, moral norm, perceived behavioural control) were associated with intention to disclose HIV status (adjusted odds ratios ranged from 3.22, 15.85). Stepwise logistic regression showed that attitude (ORm = 6.96) and injunctive norm (ORm = 6.81) were associated with intention to disclose HIV status. Interventions to promote maternal HIV disclosure were warranted to promote attitude, perceived behavioural control, and various norms associated with HIV disclosure.

摘要

向儿童披露母亲的 HIV 状况对母亲和儿童都有很多好处。然而,在许多国家,向儿童披露母亲 HIV 状况的比例仍然很低。本研究调查了尚未向子女透露 HIV 状况的中国 HIV 阳性妇女向子女披露其 HIV 状况的意图与哪些因素有关。研究考察了计划行为理论和各种规范(指令性、描述性和道德规范)的因素。对 179 名 HIV 阳性妇女的调查结果显示,仅有 16.8%的人打算在未来向子女透露其 HIV 状况。在调整了显著的背景变量后,计划行为理论和各种规范中的所有因素(即态度、指令性规范、描述性规范、道德规范、感知行为控制)都与披露 HIV 状况的意图有关(调整后的优势比范围为 3.22 至 15.85)。逐步逻辑回归显示,态度(ORm=6.96)和指令性规范(ORm=6.81)与披露 HIV 状况的意图有关。需要采取干预措施促进母亲 HIV 状况的披露,以促进与 HIV 状况披露相关的态度、感知行为控制和各种规范。

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