乌干达中部接受抗逆转录病毒疗法的性活跃青年向性伴侣披露 HIV 阳性血清状态的相关因素。

IF 1.5 Q4 INFECTIOUS DISEASES HIV AIDS-Research and Palliative Care Pub Date : 2023-06-08 eCollection Date: 2023-01-01 DOI:10.2147/HIV.S407535
David Kavuma, Venantius Bbaale Kirwana, Mary Taani
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摘要

导言:公开 HIV 血清状态是一项基本的 HIV 预防和护理策略,但相关文献却很少。本研究探讨了 15-24 岁接受抗逆转录病毒疗法(ART)的年轻人向性伴侣公开 HIV 血清状态的相关因素:这项解释性顺序研究利用了乌干达中部 7 个地区 238 名接受抗逆转录病毒疗法超过 12 个月、性行为活跃至少 6 个月的年轻人的定量数据。在α=0.05的条件下,采用皮尔逊卡方和多项式逻辑回归分析来确定研究参与者中与血清状态披露相关的因素。使用深度访谈指南收集了 18 名年轻人的定性数据,并进行了专题分析:结果:未披露者占 26.9%,单向披露者占 24.4%,双向披露者占 48.7%。与围产期感染者相比,从伴侣处感染艾滋病毒的参与者单向披露的可能性是不披露的三倍(RRR=2.752;95% CI:1.100-6.888)。与围产期感染者相比,从伴侣处感染艾滋病毒的参与者进行双向披露的可能性是不披露的两倍(RRR=2.357;95% CI:1.065-5.214)。与留在父母身边的参与者相比,与伴侣在一起的参与者进行双向披露的可能性是不披露的四倍(RRR=3.869;95% CI:1.146-13.060)。年轻人披露是因为他们厌倦了保密并希望坚持治疗,而不披露则是因为害怕耻辱和失去伴侣的支持:结论:许多接受抗逆转录病毒疗法的性行为活跃的年轻人没有向性伴侣公开自己的艾滋病病毒呈阳性的状况,主要是因为贫穷、有多个性伴侣和耻辱感。应加强干预措施,消除接受抗逆转录病毒疗法的性活跃青年中的耻辱感、多重性关系和贫困。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Factors Associated with HIV Positive Serostatus Disclosure to Sexual Partners Among Sexually Active Young People on Anti-Retroviral Therapy in Central Uganda.

Introduction: HIV serostatus disclosure is a fundamental HIV prevention and care strategy yet with a paucity of literature. This study comprehended the factors associated with HIV serostatus disclosure to sexual partners among young people aged 15-24 years on anti-retroviral therapy (ART).

Methods: This explanatory sequential study utilized quantitative data from 238 young people who had been on ART for over 12 months and were sexually active for at least 6 months in seven districts of Central Uganda. Pearson's Chi-square and multinomial logistic regression analysis at α=0.05 was used to determine the factors associated with serostatus disclosure among study participants. Qualitative data from 18 young people were collected using an in-depth interview guide and analyzed thematically.

Results: Non-disclosure was at 26.9%, one-way disclosure was at 24.4%, and two-way disclosure was at 48.7%. Participants who contracted HIV from their partners were three times more likely (RRR=2.752; 95% CI: 1.100-6.888) to have one-way disclosure than non-disclosure, compared to those who had a perinatal infection. Those who contracted HIV from their partners were twice more likely (RRR=2.357; 95% CI: 1.065-5.214) to have two-way disclosure than non-disclosure, compared to those who had a perinatal infection. Participants who stayed with their partners were four times more likely (RRR=3.869; 95% CI: 1.146-13.060) to have two-way disclosure than non-disclosure, compared to those who stayed with their parents. Young people disclosed because they were tired of secrecy and desired treatment adherence and did not disclose due to fear of stigma and losing their partners' support.

Conclusion: Many sexually active young people on ART did not disclose their HIV-positive status to sexual partners mainly due to poverty, having multiple-sexual partners, and stigma. Interventions fighting stigma, multiple-sexual relationships, and poverty among sexually active young people on ART should be strengthened.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
期刊最新文献
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