Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Dominion Towers Suite 404, 1400 NW 10th Avenue, Miami, FL, 33136, USA.
University of Miami Miller School of Medicine, Miami, USA.
AIDS Behav. 2021 Feb;25(2):604-614. doi: 10.1007/s10461-020-03021-x.
Disclosure of HIV serostatus is beneficial for women, their partners, and their infants as it enables women to actively participate in preventative care (Hodgson et al. in PLoS ONE 9(11):e111421, 2014; Odiachi et al. in Reprod Health 15(1):36, 2018). Therefore, it is important that interventions addressing HIV prevention include elements that foster disclosure of HIV to partners. This study conducted in South Africa utilizes the "Protect Your Family" (PYF) behavioral intervention and compares Prevention of Mother to Child Transmission (PMTCT) among women participating in the program versus those in a control program. Within both groups, male partners were either present or not present for the intervention. The purpose of this study was to examine differential disclosure over time for individuals in the different conditions and partner involvement. A firth logistic regression revealed an interaction in the experimental condition with male partners participating (b = - 2.84, SE = 1.56, p = .012), in which female participants were less likely to disclose their HIV status over time. Findings from this study illustrate that additional efforts are needed to empower women to disclose their HIV status.
艾滋病毒血清状况的披露对妇女及其伴侣和婴儿都有益，因为这使妇女能够积极参与预防护理（Hodgson 等人，PLoS ONE 9(11):e111421, 2014；Odiachi 等人，Reprod Health 15(1):36, 2018）。因此，重要的是，解决艾滋病毒预防问题的干预措施应包括促进向伴侣披露艾滋病毒状况的内容。本研究在南非进行，利用了“保护你的家庭”（PYF）行为干预措施，并比较了参加该项目的妇女与参加对照项目的妇女之间的预防母婴传播（PMTCT）情况。在这两个组中，男性伴侣要么在场，要么不在场接受干预。本研究的目的是研究不同条件下个体的差异披露和伴侣参与情况。第四次逻辑回归显示，有男性伴侣参与的实验组存在交互作用（b=-2.84，SE=1.56，p=0.012），女性参与者随着时间的推移更不可能披露其艾滋病毒状况。本研究的结果表明，需要做出更多努力来增强妇女披露其艾滋病毒状况的能力。
