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Disclosure of HIV among black African men and women attending a London HIV clinic.

机译:在伦敦艾滋病毒诊所就诊的非洲黑人男女中艾滋病毒的披露。

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Little research has focused specifically on disclosure among HIV+ Black Africans living in the UK; however, the available evidence suggests that this population may be reluctant to disclose to significant others. Forty-five HIV+ Black African men and women were recruited from a London HIV clinic. Semi-structured interviews gathered information on: disclosure, social support, mental and physical health, medication adherence, acculturation and the perceived prevalence of stigma. Both qualitative and quantitative analyses were conducted. The majority of the participants had disclosed to one significant other and there was an inverse association between perceived stigma and disclosure. Disclosure could not be predicted by any of the respondent characteristics identified in the study; rather, disclosure decisions were reasoned, interpersonal in nature and many of the motivations were specific to the individual. There was little evidence to suggest that those who disclosed to more than one other gained additional benefits in physical or mental well-being. Clinicians seeking to assist members of this population to disclose need to assess the specific reasons for and barriers against disclosure for that individual.
机译:很少有研究专门针对在英国居住的HIV +黑人非洲人中进行披露。但是,现有证据表明该人群可能不愿透露给其他重要人群。从伦敦的一家艾滋病诊所招募了四十五名HIV +黑色非洲男人和女人。半结构化的访谈收集了以下信息:披露,社会支持,心理和身体健康,药物依从性,适应性和被认为的污名流行。进行了定性和定量分析。大多数参与者向一个重要的其他人披露了信息,并且被认为的污名和披露之间存在反比关系。研究中确定的任何受访者特征都无法预测披露。相反,披露决定是有理由的,是人际关系,许多动机是针对个人的。几乎没有证据表明那些向彼此透露更多信息的人在身心健康方面获得了更多好处。寻求协助该人群成员进行公开的临床医生需要评估该个人进行公开的具体原因和障碍。

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