Iveniuk James, Calzavara Liviana, Bullock Sandra, Mendelsohn Joshua, Burchell Ann, Bisaillon Laura, Daftary Amrita, Lebouché Bertrand, Masching Renée, Thompson Tamara
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
CIHR Social Research Centre in HIV Prevention (SRC), University of Toronto, Toronto, ON, Canada.
SSM Popul Health. 2022 Mar 18;17:101056. doi: 10.1016/j.ssmph.2022.101056. eCollection 2022 Mar.
As people living with HIV are living longer lives, they have a correspondingly greater opportunity to enjoy long-term romantic and sexual partnerships, including with persons who do not live with HIV ("serodiscordant" relationships). In these dyads, asymmetries may emerge in access to social resources between partners. In this paper we examined how serodiscordant couples access informal (interpersonal, such as family and friends) and formal (practitioner, such as doctor or social worker) social resources for health. We recruited 540 participants in current serodiscordant relationships, working with 150 AIDS service organizations and HIV clinics across Canada from 2016 to 2018. Our findings demonstrate that partners with HIV have greater access to formal resources than their partners (through health care professionals, therapists/counselors/support workers), while both persons have similar access to resources through informal social relationships (family and friends). Furthermore, the findings indicated that HIV positive partners accessed more varied forms of support through formal ties, compared to HIV negative persons. We offer recommendations for changes to how HIV-negative partners in a serodiscordant relationship are served and cared for, and particularly, the importance of moving toward dyad-focused policies and practices.
随着感染艾滋病毒的人寿命延长，他们相应地有了更多机会享受长期的浪漫和性伴侣关系，包括与未感染艾滋病毒的人建立关系（“血清学不一致”关系）。在这些伴侣关系中，伴侣之间在获取社会资源方面可能会出现不对称情况。在本文中，我们研究了血清学不一致的伴侣如何获取用于健康的非正式（人际层面，如家人和朋友）和正式（从业者层面，如医生或社会工作者）社会资源。我们从2016年至2018年与加拿大各地150个艾滋病服务组织和艾滋病毒诊所合作，招募了540名处于当前血清学不一致关系中的参与者。我们的研究结果表明，感染艾滋病毒的伴侣比其伴侣（通过医疗保健专业人员、治疗师/顾问/支持工作者）有更多机会获取正式资源，而双方通过非正式社会关系（家人和朋友）获取资源的机会相似。此外，研究结果表明，与未感染艾滋病毒的人相比，感染艾滋病毒的阳性伴侣通过正式关系获得的支持形式更多样。我们就如何为血清学不一致关系中的未感染艾滋病毒的伴侣提供服务和护理提出了改进建议，特别是朝着以伴侣关系为重点的政策和做法转变的重要性。
