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首页> 外文期刊>AIDS care. >Effect of antiretroviral treatment and counselling on disclosure of HIV-serostatus in Johannesburg, South Africa.
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Effect of antiretroviral treatment and counselling on disclosure of HIV-serostatus in Johannesburg, South Africa.

机译：南非约翰内斯堡抗逆转录病毒治疗和咨询对HIV血清状态披露的影响。

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摘要

This prospective non-randomized study of clinic attendees, compares self-reported HIV disclosure patterns in relation to access to antiretroviral access and counselling. It was carried out in public sector hospital HIV clinics in Johannesburg, South Africa, and 144 HIV-positive men and women attending the HIV clinics participated in the study.The results showed that there was no correlation between being on antiretroviral therapy and disclosure of HIV status. There was also no correlation between disclosure of HIV status and with different levels of counselling and access to support groups. Disclosure levels were high (92% told at least one person), however, there was a high level of delayed (15% greater than a year) or non-disclosure (21%) to partners. Family members and partners provided most moral support after disclosure. Having access to antiretroviral therapy and support groups and available counselling did not seem to affect disclosure patterns. It is possible that a patients beliefs about theirtreatment plays a more important role for disclosure than the actual treatment itself. Other factors are also likely important for disclosure, such as the patient's social network especially with their families, and knowledge of the disease.
机译：这项针对临床参与者的前瞻性非随机研究比较了自我报告的HIV披露方式与获得抗逆转录病毒途径和咨询的关系。该研究在南非约翰内斯堡的公立医院HIV诊所进行，有144位参加HIV诊所的HIV阳性男性和女性参与了研究，结果表明抗逆转录病毒疗法与HIV披露之间没有相关性。状态。艾滋病毒状况的披露与不同程度的咨询和获得支持团体之间也没有关联。披露水平很高（92％告知至少一个人），但是，对合作伙伴的延迟程度很高（比一年多15％）或未披露程度（21％）。披露后，家庭成员和伴侣提供了最道德的支持。获得抗逆转录病毒治疗和支持小组以及可用的咨询服务似乎并未影响披露模式。与实际治疗本身相比，患者对治疗的信念可能在披露方面起着更为重要的作用。其他因素对于信息披露也可能很重要，例如患者的社交网络（尤其是与家人的社交网络）以及对疾病的了解。

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