Perry S W, Card C A, Moffatt M, Ashman T, Fishman B, Jacobsberg L B
HIV Clinical Research Program, Cornell University Medical College, New York, NY 10021.
AIDS Educ Prev. 1994 Oct;6(5):403-11.
This study, with the objective of examining voluntary self-disclosure of HIV infection after repeated counseling, was conducted in a private setting, and designed to operate in conjunction with HIV testing. Counseling was provided at entry, and then at 3 months, 6 months, and every six months thereafter. The study was conducted among 129 HIV-positive adults; the primary risk factor was history of: males having sex with males (n = 104); injection drug use (n = 19); or heterosexual contact (n = 6). Results showed that after a mean of 2.3 years since initial HIV-positive notification, 29 percent of subjects had not disclosed the HIV infection to any present partner, and 30 percent to any past sex partner. Casual sex and lower perceived social support were significantly associated with nondisclosure. The authors conclude that even after repeated individual counseling and at least several months to inform others, about one-third of the sexually active subjects did not disclose their HIV infection to any present sex partner. Clinical and public health implications are covered.
本研究旨在探讨在反复咨询后艾滋病病毒（HIV）感染者的自愿自我披露情况，研究在私人环境中进行，并与HIV检测相结合。在入组时提供咨询，之后在3个月、6个月时提供咨询，此后每6个月提供一次咨询。该研究在129名HIV阳性成年人中开展；主要危险因素为以下病史：男性与男性发生性行为（n = 104）；注射吸毒（n = 19）；或异性接触（n = 6）。结果显示，自最初被告知HIV阳性起平均2.3年后，29%的受试者未向任何现任伴侣披露其HIV感染情况，30%的受试者未向任何过去的性伴侣披露。随意性行为和较低的社会支持感与未披露显著相关。作者得出结论，即使经过反复的个体咨询以及至少数月时间告知他人，仍有三分之一的性活跃受试者未向任何现任性伴侣披露其HIV感染情况。文中涵盖了临床和公共卫生方面的影响。
