Department of Preventive Medicine, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
, Rio de Janeiro, Brazil.
AIDS Behav. 2021 Feb;25(2):562-570. doi: 10.1007/s10461-020-03018-6.
The process of human immunodeficiency virus (HIV) diagnosis disclosure for vertically infected young people living with HIV has proven decisive for acceptance/adherence to treatment. Herein, we present a cross-sectional study aiming at evaluating how individual and network related variables are associated with reactions to HIV disclosure among them. We used the egocentric approach with a structured questionnaire applied to individuals aged 15-25 years in an HIV referral center in Rio de Janeiro, Brazil. Outcome variable referred to adoption or not of risk behavior after diagnostic disclosure, was classified as "good"/"bad" reactions. Results showed that, of the 80 study participants, 25% reported a "bad reaction" to diagnostic disclosure, an outcome that was more common for patients with at least one friend in their social support network (OR 4.81; 95%CI [1.05-22.07]). In conclusion, a "bad reaction" to HIV serological disclosure may be associated with inadequate structure of the individual's social support network.
人类免疫缺陷病毒（HIV）诊断披露过程对于垂直感染的HIV 感染者接受/坚持治疗至关重要。在此，我们进行了一项横断面研究，旨在评估个体和网络相关变量与他们对 HIV 披露的反应之间的关系。我们使用了个体中心方法，对巴西里约热内卢的一个 HIV 转诊中心的 15-25 岁的个体进行了结构化问卷调查。将诊断披露后的风险行为的采纳与否作为反应的结果变量，分为“好”/“差”反应。结果表明，在 80 名研究参与者中，25%的人对诊断披露的反应“较差”，在社会支持网络中至少有一个朋友的患者更可能出现这种结果（OR 4.81；95%CI [1.05-22.07]）。总之，对 HIV 血清学披露的“较差”反应可能与个体社会支持网络结构不充分有关。
