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首页> 外文期刊>AIDS care. >HIV disclosure in rural China: predictors and relationship to access to care.
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HIV disclosure in rural China: predictors and relationship to access to care.

机译：中国农村地区的艾滋病毒披露：预测因素和获得医疗服务的关系。

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摘要

This study examined the main reasons and predictors of HIV disclosure and its relationship to access to care among people living with HIV (PLH) in a rural area of China. A sample of 88 PLH from three counties was interviewed in 2009. In our sample, the rates of disclosure were higher within and outside family. Trust (31%), needing help (28%), and close relationships (26%) were the three main reasons of selecting the person to disclose by a PLH. Using a multivariate analysis, level of HIV disclosure to partners and members within the community was only significantly associated with use of antiretroviral treatment (ART) (beta = 2.76; 95% Confidence Interval (CI): 0.77, 4.74). After adjusting for demographics, time since HIV diagnosis and ART, we found HIV disclosure (beta = 0.07; 95% CI: 0.01, 0.13) was a significant predictor for access to care. In order to improve PLHs' access to health services and care, future intervention programs should consider both the potential benefits and risks associated with HIV disclosure (intentional and unintentional), and assist PLHs to prepare for HIV disclosure and reduce potential negative impacts that come with it.
机译：这项研究调查了中国农村地区艾滋病毒披露的主要原因和预测因素，以及与艾滋病毒感染者之间获得护理的关系。 2009年对来自三个县的88个PLH进行了抽样调查。在我们的样本中，家庭内部和外部的披露率更高。信任（31％），需要帮助（28％）和亲密关系（26％）是选择由PLH披露个人的三个主要原因。使用多变量分析，向社区内的伴侣和成员披露的艾滋病毒水平仅与使用抗逆转录病毒治疗（ART）显着相关（β= 2.76; 95％可信区间（CI）：0.77，4.74）。在调整了人口统计资料，自HIV诊断和接受抗逆转录病毒治疗以来的时间之后，我们发现HIV披露（β= 0.07; 95％CI：0.01、0.13）是获得医疗服务的重要预测指标。为了改善公共卫生机构获得卫生服务和保健的机会，未来的干预计划应考虑与艾滋病毒披露相关的潜在利益和风险（有意和无意），并协助公共卫生人员为艾滋病毒披露做准备并减少随之而来的潜在负面影响它。

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