Chengdu Blood Center, Chengdu, Sichuan, China.
Changde Center for Diseases Prevention and Control, Changde, Hunan, China.
AIDS Care. 2022 Jan;34(1):127-134. doi: 10.1080/09540121.2021.2008859. Epub 2022 Jan 9.
Disclosure of HIV status can encourage spouses of people diagnosed with HIV to prioritize HIV prevention. However, few studies have reported the HIV disclosure status of married men who have sex with men (MSM) and their female spouses. The purpose of this study was to describe the prevalence of HIV disclosure, and whether it was associated with spouses' HIV testing uptake and unprotected vaginal intercourse within marriage for MSM living with HIV (HIV + MSM) in China. A cross-sectional study was conducted in three Chinese cities. Of 309 participants, only 31.1% of men had disclosed their HIV status to spouses. About 80% of participants reported that their spouses had been tested for HIV. A small proportion of men (9.1%) had unprotected sex with their spouse after HIV diagnosis. Multivariate analyses indicated HIV disclosure was positively associated with HIV testing uptake of spouses, but there was no significant association between HIV disclosure and unprotected marital sexual behaviors for HIV + MSM. The findings indicated that HIV disclosure to spouses is uncommon among married HIV + MSM in China, and HIV disclosure is associated with increased uptake of HIV testing among spouses of MSM, but it does not decrease the unprotected sexual behaviors in marriage.
披露 HIV 感染状况可以鼓励 HIV 感染者的配偶优先考虑 HIV 预防。然而，很少有研究报告过与已婚男男性行为者（MSM）及其女性配偶相关的 HIV 披露状况。本研究旨在描述 HIV 披露的流行情况，以及在中国 HIV 阳性 MSM 中，这种披露状况是否与配偶的 HIV 检测率和婚内无保护性行为有关。本研究在中国三个城市进行了一项横断面研究。在 309 名参与者中，仅有 31.1%的男性向配偶披露了 HIV 状况。约 80%的参与者报告说他们的配偶已经接受了 HIV 检测。一小部分男性（9.1%）在 HIV 诊断后与配偶发生了无保护的性行为。多变量分析表明，HIV 披露与配偶 HIV 检测率呈正相关，但 HIV 披露与 HIV 阳性 MSM 婚内无保护性行为之间无显著关联。研究结果表明，在中国，已婚 HIV 阳性 MSM 中向配偶披露 HIV 感染状况并不常见，HIV 披露与配偶 HIV 检测率的提高有关，但并未降低婚姻中的无保护性行为。
