Raveis V H, Siegel K, Gorey E
Columbia University, School of Public Health, Division of Sociomedical Sciences, New York, NY 10032, USA.
AIDS Care. 1998 Oct;10(5):549-62. doi: 10.1080/09540129848415.
Data from an investigation of HIV-infected African-American, Puerto Rican and non-Hispanic white women's treatment behaviour and decision-making are presented. Findings are based on a thematic analysis of the narrative accounts of 31 women who exhibited significant delay in seeing a physician about their HIV infection after testing positive for HIV antibodies. Analysis of the women's qualitative interview data indicated that a variety of barriers impeded them from actively pursuing treatment. The women's psychological responses to learning their serostatus were the most pervasive factors associated with delaying seeking care. Implications of the analysis for informing the design of secondary prevention efforts to move women into treatment earlier are discussed, such as the need to develop interventions or supportive services designed to assist women in coming to terms with their infected status.
本文呈现了一项针对感染艾滋病毒的非裔美国女性、波多黎各女性和非西班牙裔白人女性的治疗行为及决策的调查数据。研究结果基于对31名女性叙述性记录的主题分析，这些女性在艾滋病毒抗体检测呈阳性后，在就医治疗艾滋感染方面出现了显著延迟。对这些女性定性访谈数据的分析表明，多种障碍阻碍了她们积极寻求治疗。女性得知自身血清学状态后的心理反应是与延迟就医最相关的普遍因素。文中讨论了该分析对为二级预防工作设计提供信息以促使女性更早接受治疗的意义，比如需要开发旨在帮助女性接受自身感染状况的干预措施或支持性服务。
