Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, United States of America.
Center for HIV/AIDS Nursing Research, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.
PLoS One. 2020 Jun 30;15(6):e0234697. doi: 10.1371/journal.pone.0234697. eCollection 2020.
Assisted HIV partner notification services provide a safe and effective way for people living with HIV (PLHIV) to inform their partners about the possibility of exposure and to offer them testing, treatment, and support. This study examined whether or not PLHIV in prison might be willing to participate in assisted HIV partner notification services and their reasons for and against disclosing their HIV-positive status to their partners. PLHIV (n = 150) recruited from Jakarta's two largest all-male prisons completed an interviewer-administered questionnaire collecting demographic and risk behavior data, and attitudes toward HIV disclosure and partner services. Among those who were sexually active and/or injecting drugs before incarceration, two-thirds (66.4%, 91/137) endorsed provider referral as an acceptable way to notify their sex partners, and nearly three quarters (72.4%, 89/123) endorsed provider referral to notify their drug-injecting partners. Only a quarter (25.1%) of participants reported that their main sex partner had ever received an HIV test. Participants with anticipated stigma were less likely to endorse provider referral for sex partners (adjusted odds ratio [aOR] = 0.58, 95% CI: 0.35, 0.96) and drug-injecting partners (aOR = 0.54, 95% CI: 0.29, 1.00). Relationship closeness was associated with higher odds of endorsing provider referral for drug-injecting partners (aOR = 2.08, 95% CI: 1.25, 3.45). Protecting partners from infection and a moral duty to inform were main reasons to disclose, while stigma and privacy concerns were main reasons not to disclose. Most incarcerated PLHIV have at-risk partners in the community who they would be willing to notify if provided with assistance. Assisted partner notification for prison populations offers a promising public health approach to accelerate diagnosis, treatment, and prevention of HIV infection in the community, particularly among women.
辅助艾滋病病毒伴侣通知服务为艾滋病病毒感染者（PLHIV）提供了一种安全有效的方式，让他们告知可能暴露的伴侣，并为他们提供检测、治疗和支持。本研究考察了监狱中的 PLHIV 是否愿意参与辅助艾滋病病毒伴侣通知服务，以及他们透露艾滋病病毒阳性状况给伴侣的理由和反对意见。从雅加达的两所最大的全男性监狱招募了 150 名 PLHIV，他们完成了一份由访谈者管理的问卷，收集人口统计学和风险行为数据，以及对艾滋病病毒披露和伴侣服务的态度。在那些在入狱前有过性行为和/或注射毒品的人中，三分之二（66.4%，91/137）赞成将提供者推荐作为通知性伴侣的可接受方式，近四分之三（72.4%，89/123）赞成将提供者推荐用于通知注射毒品的伴侣。只有四分之一（25.1%）的参与者报告说他们的主要性伴侣曾经接受过艾滋病毒检测。预计会受到耻辱感影响的参与者不太可能支持向性伴侣（调整后的优势比[aOR] = 0.58，95%可信区间[CI]：0.35，0.96）和注射毒品的伴侣（aOR = 0.54，95% CI：0.29，1.00）提供通知。关系亲密与支持向注射毒品的伴侣提供通知的可能性更高相关（aOR = 2.08，95% CI：1.25，3.45）。保护伴侣免受感染和告知的道德义务是透露的主要原因，而耻辱感和隐私问题是不透露的主要原因。大多数被监禁的 PLHIV 在社区中有处于危险中的伴侣，如果提供援助，他们愿意通知这些伴侣。为监狱人群提供辅助伴侣通知服务是一种有前途的公共卫生方法，可以加速社区中艾滋病病毒的诊断、治疗和预防，特别是在妇女中。
