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与儿童和青少年 HIV 感染者诊断告知反应相关的个人和网络因素。

Personal and Network-Related Factors Associated to Diagnosis Disclosure Reactions for Children and Adolescents Living with HIV.

机构信息

Department of Preventive Medicine, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

, Rio de Janeiro, Brazil.

出版信息

AIDS Behav. 2021 Feb;25(2):562-570. doi: 10.1007/s10461-020-03018-6.

Abstract

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.

摘要

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。

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