...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>AIDS care. >HIV disclosure patterns, predictors, and psychosocial correlates among HIV positive women in Zimbabwe.
【24h】

HIV disclosure patterns, predictors, and psychosocial correlates among HIV positive women in Zimbabwe.

机译：津巴布韦的HIV阳性女性中HIV披露模式，预测因素和社会心理相关性。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Disclosure of positive HIV status in Sub-Saharan Africa has been associated with safer sexual practices and better antiretroviral therapy (ART) adherence, but associations with psychosocial function are unclear. We examined patterns and psychosocial correlates of disclosure in a Zimbabwean community. Two hundred HIV positive women at different stages of initiating ART participated in a cross-sectional study examining actual disclosures, disclosure beliefs, perceived stigma, self-esteem, depression, and quality of life. Ninety-seven percent of the women disclosed to at least one person, 78% disclosed to their current husband/partner, with an average disclosure of four persons per woman. The majority (85-98%) of disclosures occurred in a positive manner and 72-95% of the individuals reacted positively. Factors significantly correlated with HIV disclosure to partners included being married, later age at menses, longer duration of HIV since diagnosis, being on ART, being more symptomatic at baseline, ever having used condoms, and greater number of partners in the last year. In multivariate analysis, being married and age at menses predicted disclosure to partners. Positive disclosure beliefs, but not the total number of disclosures, significantly correlated with lower perceived stigma (ρ = 0.44 for personalized subscale and ρ = 0.51 for public subscale, both p<0.0001), higher self-esteem (ρ = 0.15, p=0.04), and fewer depressive symptoms (ρ = -0.14, p=0.05). In conclusion, disclosure of positive HIV status among Zimbabwean women is common and is frequently met with positive reactions. Moreover, positive disclosure beliefs correlate significantly with psychosocial measures, including lower perceived stigma, higher self-esteem, and lower depression.
机译：在撒哈拉以南非洲地区，HIV阳性的披露与更安全的性行为和更好的抗逆转录病毒疗法（ART）依从性相关，但与社会心理功能的相关性尚不清楚。我们研究了津巴布韦社区中披露的模式和社会心理相关性。在开始抗病毒治疗的不同阶段，有200名艾滋病毒阳性妇女参加了一项横断面研究，检查了实际的披露，披露的信仰，感知的污名，自尊，抑郁和生活质量。至少有一个人披露了97％的女性，现任丈夫/伴侣披露了78％的女性，每个女性平均披露了四个人。大部分（85-98％）的披露是积极的，而72-95％的个体则是积极的。与向伴侣透露艾滋病毒有显着相关的因素包括已婚，月经年龄增加，自诊断以来持续的艾滋病毒感染时间，接受抗逆转录病毒疗法，基线时有症状，曾经使用避孕套以及去年有更多的伴侣。在多变量分析中，已婚和月经年龄预测了对伴侣的披露。积极的披露信念，而不是披露的总数，与较低的感知耻辱感相关（个性化次级量表的ρ= 0.44，公共次级量表的ρ= 0.51，均为p <0.0001），较高的自尊（ρ= 0.15，p = 0.04）和更少的抑郁症状（ρ= -0.14，p = 0.05）。总之，在津巴布韦妇女中艾滋病毒呈阳性状态的披露很普遍，并且经常会出现阳性反应。此外，积极的披露信念与社会心理测验显着相关，包括较低的感知耻辱感，较高的自尊心和较低的沮丧感。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号