在医疗保健环境中披露 HIV 状况：越南 HIV/AIDS 感染者妇女的做法和考虑因素。
Disclosure of HIV Status in Healthcare Settings: Practices and Considerations among Women Living with HIV/AIDS in Vietnam.
机构信息
Center for Training and Research on Substance Use & HIV, Hanoi Medical University, Hanoi, Vietnam.
David Geffen School of Medicine, University of California, Los Angeles, USA.
出版信息
J Int Assoc Provid AIDS Care. 2024 Jan-Dec;23:23259582241277655. doi: 10.1177/23259582241277655.
OBJECTIVE
This study investigated women living with HIV/AIDS (WLHA)'s practices and decision-making regarding disclosure of HIV status in healthcare settings in Vietnam. Disclosure of HIV status in healthcare settings is under-studied.
METHODS
We conducted in-depth interviews with 30 WLHA in Hanoi, Vietnam. Thematic analysis was conducted to investigate the patterns, considerations, and consequences of HIV disclosure. Most participants chose a selective disclosure strategy based on the type of procedure and healthcare setting. They considered several factors: concerns about stigma/discrimination, risks of confidentiality breach, relevance to healthcare provision, and altruism towards protecting providers and other patients. Selective disclosure or non-disclosure often prevented participants from accessing comprehensive care. The study underscores the need to prepare WLHA to make informed decisions regarding disclosure and provide them with service navigations and support. It also highlights the necessity of reducing stigma and enhancing confidentiality protection to ensure safe disclosure in healthcare settings.
目的
本研究调查了越南感染艾滋病病毒/艾滋病的妇女（WLHA）在医疗环境中披露 HIV 感染状况的实践和决策。在医疗环境中披露 HIV 感染状况的研究较少。
方法
我们对越南河内的 30 名 WLHA 进行了深入访谈。采用主题分析方法调查了 HIV 披露的模式、考虑因素和后果。大多数参与者根据程序类型和医疗环境选择了选择性披露策略。他们考虑了几个因素：对污名/歧视的担忧、保密泄露的风险、与医疗服务提供的相关性以及保护提供者和其他患者的利他主义。选择性披露或不披露常常使参与者无法获得全面的护理。本研究强调需要使 WLHA 做好知情决策的准备，并为他们提供服务导航和支持。它还强调了减少污名和加强保密性保护以确保在医疗环境中安全披露的必要性。
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