“守口如瓶”：南卡罗来纳州艾滋病毒感染者中曾遭受儿童期性虐待的老年艾滋病毒感染者的艾滋病毒披露观点定性研究。
"Keep It to Yourself": A Qualitative Study of HIV Disclosure Perspectives Among Older Adults Living With HIV in South Carolina Who Are Childhood Sexual Abuse Survivors.
机构信息
Monique J. Brown, PhD, MPH, Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA; South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA; Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA; Office for the Study on Aging, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA. Chigozie A. Nkwonta, PhD, MSN, RN, South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA. Titilayo James, MBBS, MPH, Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA. Amandeep Kaur, MPH, Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA. Mackenzie J. Hart, MA, Department of Psychology, College of Arts and Sciences, University of South Carolina, Columbia, South Carolina, USA. Prince Nii Ossah Addo, MPH, South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA. Oluwafemi A. Adeagbo, PhD, South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
出版信息
J Assoc Nurses AIDS Care. 2022;33(5):574-580. doi: 10.1097/JNC.0000000000000346. Epub 2022 Jun 17.
HIV disclosure is an important consideration for people living with HIV. The prevalence of childhood sexual abuse (CSA) may range from 16% to 22% among older adults living with HIV. There is a dearth of research on HIV disclosure among older CSA survivors. Therefore, the aim of this study was to qualitatively examine HIV disclosure among older CSA survivors living with HIV. Twenty-four CSA survivors living with HIV (aged 50-67 years) participated in in-depth, semistructured interviews. Data were analyzed thematically, and the iterative coding and analytic process included discussion of initial thoughts and key concepts, identification and reconciliation of codes, and naming of emergent themes. Four themes emerged: (a) secrecy/not planning to disclose HIV; (b) disclose HIV regardless; (c) disclose HIV depending on the person; and (d) disclose HIV depending on the circumstance. Lack of disclosure may be due to HIV-related stigma. HIV disclosure intervention programs may be beneficial for this population.
艾滋病毒披露是艾滋病毒感染者需要考虑的一个重要问题。在感染艾滋病毒的老年人中，儿童性虐待（CSA）的患病率可能在 16%到 22%之间。针对老年 CSA 幸存者中的艾滋病毒披露问题，相关研究极为匮乏。因此，本研究旨在对感染艾滋病毒的老年 CSA 幸存者中的艾滋病毒披露情况进行定性研究。24 名感染艾滋病毒的 CSA 幸存者（年龄在 50 至 67 岁之间）参与了深入的半结构化访谈。数据采用主题分析法进行分析，迭代编码和分析过程包括对初始想法和关键概念的讨论、对代码的识别和协调，以及对新出现主题的命名。研究结果共出现 4 个主题：（a）对艾滋病毒保密/不打算披露；（b）无论如何都披露艾滋病毒；（c）视情况披露艾滋病毒；（d）视人披露艾滋病毒。缺乏披露可能是由于艾滋病毒相关的耻辱感所致。艾滋病毒披露干预计划可能对这一人群有益。
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