Siegel K, Karus D, Raveis V H
Memorial Sloon-Kettering Cancer Center, New York, NY 10021, USA.
AIDS Care. 1997 Jun;9(3):297-309. doi: 10.1080/713613154.
Findings from a study of the testing and treatment behaviour and experiences of African-American (n = 31), Puerto Rican (n = 30) and non-Hispanic white (n = 23) HIV-infected women are reported. All women were 20-45 years of age and had not yet been diagnosed with AIDS. Data for the analyses presented were gathered through an interviewer-administered questionnaire completed before respondents participated in an unstructured interview. The analyses examine race/ethnic differences in women's delays in seeking testing and medical care, and in sources and types of HIV-treatment. Most significant for primary and secondary prevention efforts, the findings suggest that a significant proportion of women who suspect they are infected may delay being tested, and further, a substantial proportion who learn they are seropositive may delay seeking medical care. Thus important opportunities among HIV-infected women for secondary prevention through timely antiviral and prophylactic treatment, and for primary prevention through risk-reduction counselling may be being missed in many cases.
报告了一项针对非裔美国（n = 31）、波多黎各（n = 30）和非西班牙裔白人（n = 23）感染艾滋病毒女性的检测与治疗行为及经历的研究结果。所有女性年龄在20至45岁之间，且尚未被诊断出患有艾滋病。用于分析的数据是通过在受访者参与非结构化访谈之前由访员填写的问卷收集的。分析考察了女性在寻求检测和医疗护理方面的延迟以及艾滋病毒治疗的来源和类型上的种族/族裔差异。对一级和二级预防工作最为重要的是，研究结果表明，相当一部分怀疑自己感染的女性可能会延迟检测，而且，相当一部分得知自己血清呈阳性的女性可能会延迟寻求医疗护理。因此，在许多情况下，感染艾滋病毒的女性通过及时的抗病毒和预防性治疗进行二级预防以及通过降低风险咨询进行一级预防的重要机会可能会被错过。
