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披露还是不披露?帮助孕妇向其男性伴侣披露她们的艾滋病毒感染状况。

To disclose or not? Enabling pregnant women to disclose their HIV status to their male partners.

作者信息

Seroto Mapula E, van Rensburg Elsie Janse

机构信息

Nursing Science, University of South Africa, Pretoria, South Africa.

Department of Health Studies, University of South Africa, Pretoria, South Africa.

出版信息

Afr J Reprod Health. 2021 Jun;25(3):30-40. doi: 10.29063/ajrh2021/v25i3.4.

Abstract

Disclosure of HIV status by pregnant women to their male partners is vital to prevent re-infections. The aim of this study was to apply the Health Belief Model (HBM) to enable pregnant women to disclose their HIV positive status to their male partners. The setting included three antiretroviral (ARV) clinics at three hospitals in Limpopo Province, South Africa. A quantitative design was used with non-probability, convenience sampling of 170 respondents aged 18-40 years. A questionnaire was used to collect data that was analysed with the SSPS version 24.0. Results indicated that 20% of respondents had not disclosed their HIV status to their male partners. Barriers included fear of rejection (47.5%), fear of violence from partner (17.5%), blame for HIV exposure by partner (10%) and stigmatisation (25%). The conclusion was that health care workers should address these barriers through disclosure education with pregnant women who are HIV positive to facilitate HIV status disclosure to their male partners.

摘要

孕妇向男性伴侣披露自身的艾滋病毒感染状况对于预防再次感染至关重要。本研究的目的是应用健康信念模式(HBM),使孕妇能够向其男性伴侣披露自己的艾滋病毒阳性状况。研究地点包括南非林波波省三家医院的三个抗逆转录病毒(ARV)诊所。采用定量设计,对170名年龄在18至40岁之间的受访者进行非概率便利抽样。使用问卷收集数据,并采用SSPS 24.0版本进行分析。结果表明,20%的受访者未向其男性伴侣披露自己的艾滋病毒感染状况。障碍包括害怕被拒绝(47.5%)、害怕伴侣暴力(17.5%)、伴侣对感染艾滋病毒的指责(10%)和污名化(25%)。结论是,医护人员应通过对艾滋病毒呈阳性的孕妇进行披露教育来消除这些障碍,以促进她们向男性伴侣披露艾滋病毒感染状况。

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