中国湖南省 HIV 感染者对性伴通知的认知促进因素和阻碍因素：一项来自患者视角的定性研究。

Perceived Facilitators and Barriers regarding Partner Notification in People Living With HIV in Hunan, China: A Qualitative Study From the Patient Perspective.

机构信息

Kaili Zhang, MSN, RN, is a Doctoral Student, Xiangya Nursing School of Central South University, Changsha, Hunan, China, and is an Associate Professor, Xuzhou Medical University, Xuzhou, Jiangsu, China. Junshi Zhao, MD, MPH, is a Deputy Chief Physician, Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan, China. Xianhong Li, PhD, RN, is an Associate Professor, Xiangya Nursing School of Central South University, Changsha, Hunan, China. Xi Chen, MD, is a Professor, Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan, China. Honghong Wang, PhD, RN, is a Professor, Xiangya Nursing School of Central South University, Changsha, Hunan, China. Ann Bartley Williams, EdD, RNC, FAAN, is a Professor, Yale School of Nursing, New Haven, Connecticut, USA. Kristopher P. Fennie, PhD, MPH, is an Associate Professor, Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA.

出版信息

J Assoc Nurses AIDS Care. 2019 Nov-Dec;30(6):658-667. doi: 10.1097/JNC.0000000000000093.

DOI:10.1097/JNC.0000000000000093

PMID:31574528

Abstract

Consensus has been reached about the important role of partner notification (PN) for HIV prevention and control programs. We used a qualitative study to explore facilitators of and barriers to PN to understand reasons for disclosure and nondisclosure by people living with HIV in China. Our main goal was to identify information related to PN that may be unique to the Chinese cultural context. Of 41 participants who were interviewed, 33 had disclosed their HIV status to sexual partners. Facilitators for PN included preserving the integrity of the partnership, social support, and potential benefits of notification; barriers included perceived discrimination/stigma, possible negative consequences, and safety concerns. Participant physical health conditions, strength of the relationship, and concordant identification were found to be conditional factors of PN. Our findings provide information for a better understanding of PN in Chinese culture and offer a reference for developing more specific strategies to facilitate PN.

摘要

对于 HIV 预防和控制项目来说，性伴通知（PN）的重要作用已经达成共识。我们采用定性研究来探索 PN 的促进因素和障碍，以了解中国 HIV 感染者披露和不披露的原因。我们的主要目标是确定与 PN 相关的信息，这些信息可能是中国文化背景所特有的。在接受访谈的 41 名参与者中，有 33 名向性伴侣透露了 HIV 状况。PN 的促进因素包括维护伴侣关系的完整性、社会支持以及通知的潜在好处；障碍包括感知到的歧视/耻辱感、可能的负面后果和安全问题。参与者的身体健康状况、关系的强弱以及一致性识别被发现是 PN 的条件因素。我们的研究结果为更好地了解中国文化中的 PN 提供了信息，并为制定更具体的促进 PN 的策略提供了参考。