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首页> 外文期刊>AIDS care. >'I will start treatment when I think the time is right': HIV-positive gay men talk about their decision not to access antiretroviral therapy.
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'I will start treatment when I think the time is right': HIV-positive gay men talk about their decision not to access antiretroviral therapy.

机译：“我会在适当的时候开始治疗”：艾滋病毒呈阳性的男同性恋者谈论他们决定不接受抗逆转录病毒疗法的决定。

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In a qualitative study, 20 HIV-infected Australian gay men were interviewed about their decision not to access antiretroviral drug therapy. The main reasons given for the decision were fear of side effects; fear of long-term damage to body organs; the inconvenience of the treatment regimens; belief that the regimen's demands would be a threat to morale; and belief that there was no reason to start therapy in the absence of AIDS-related symptoms. Actions taken by the men to monitor and maintain their health included seeing a doctor regularly; having regular T-cell and viral load tests; and trying to maintain a positive outlook by not letting HIV/AIDS 'take over' their lives. Almost half the men considered they had been subjected to unreasonable pressure to access therapy and there was considerable pride at having resisted this pressure. The findings suggest that the men disagreed with the biomedical model for managing HIV/AIDS only on the question of if and when to access therapy. They also suggest that underlying the men's dissent from the biomedical model was a different mode of thinking than is required by the model: while the model demands thinking that is abstract, the men focused strongly on factors close to the 'here and now' of immediate experience. The practical implications of the findings are explored.
机译：在一项定性研究中，采访了20名感染HIV的澳大利亚男同性恋者关于他们决定不接受抗逆转录病毒药物治疗的决定。做出该决定的主要原因是担心副作用。担心会长期损害人体器官;治疗方案的不便;相信该方案的要求将对士气构成威胁;并且相信没有艾滋病相关症状的情况下没有理由开始治疗。男性为监测和维持健康采取的措施包括定期看医生;定期进行T细胞和病毒载量测试;并通过不让艾滋病毒/艾滋病“接管”他们的生活来保持积极的看法。几乎一半的男人认为他们承受了不合理的压力才能接受治疗，而抵御这种压力感到非常自豪。研究结果表明，这些男性仅在是否以及何时接受治疗的问题上才不同意用于控制艾滋病毒/艾滋病的生物医学模型。他们还暗示，与生物医学模型不同的是，男性与生物医学模型的不同之处在于：该模型要求抽象的思维，而男性则强烈地关注与即刻“此时此地”相近的因素。经验。探索结果的实际意义。

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