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首页> 外文期刊>JAIDS: Journal of acquired immune deficiency syndromes >Test and tell: correlates and consequences of testing and disclosure of HIV status in South Africa (HPTN 043 Project Accept).
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Test and tell: correlates and consequences of testing and disclosure of HIV status in South Africa (HPTN 043 Project Accept).

机译：测试和讲述：南非测试和披露HIV状况的相关性和后果（HPTN 043项目接受）。

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BACKGROUND: As the numbers of HIV-positive diagnoses rise in South Africa, it is important to understand the determinants and consequences of HIV disclosure. METHODS: Cross-sectional survey from random community samples of men and women in urban and rural South Africa (n = 217 HIV-positive individuals, 89% female). RESULTS: Two thirds of all known HIV-infected adults in these communities had disclosed their status to sexual partner(s). On average, individuals who disclosed were 2 years older, higher in socioeconomic assets, and had known their HIV status 7 months longer than those who had not told their sexual partner(s). The "need for privacy" was the most cited reason (45%) for nondisclosure among those who had never disclosed. People who eventually disclosed their HIV status to sexual partner(s) were significantly more likely to report always or more frequently using condoms, reducing their number of sexual partners, and/or becoming monogamous. Among individuals who disclosed their HIV status, 77% reported increases in social support, with families providing the most support. CONCLUSIONS: Disclosure is associated with reports of consequent safer sexual behavior and greater social support. Interventions might be informed by the costs and benefits of disclosure and differences in disclosure to sexual partner vs. to one's social network.
机译：背景：随着南非艾滋病毒阳性诊断人数的增加，了解艾滋病毒披露的决定因素和后果非常重要。方法：从南非城市和乡村的男性和女性的随机社区样本中进行横断面调查（n = 217艾滋病毒阳性个体，女性89％）。结果：这些社区中所有已知的HIV感染成年人中有三分之二向性伴侣透露了自己的身份。平均而言，披露信息的人比未告知性伴侣的人大2岁，具有更高的社会经济资产，并且知道自己的HIV病情长7个月。在从未披露信息的人士中，“需要隐私”是未披露信息的最多人提及的理由（45％）。最终向性伴侣透露自己的艾滋病毒感染状况的人，使用安全套，总是减少或减少性伴侣的人数和/或一夫一妻制的发生的可能性更大或更频繁。在披露自己的艾滋病毒状况的个人中，有77％的人报告了社会支持的增加，其中家庭提供的支持最多。结论：披露与随之而来的更安全的性行为和更大的社会支持的报道有关。干预可能会通过披露的成本和收益以及向性伴侣和个人的社交网络披露的差异来告知。

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