Alex Gabagambi Alexander, Michael Relf, Hayden B Bosworth, Blandina T Mmbaga, Charles Muiruri
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引用次数: 0
Abstract
Abstract: HIV status nondisclosure to sexual partners remains a major challenge in Tanzania's health system. This hospital-based, descriptive, cross-sectional study design recruited 380 people living with HIV (PLWH) to assess voluntary HIV status disclosure to sexual partners, the associated factors, and outcomes among PLWH in Tanzania. Approximately 78% ( n = 297) of the study participants reported disclosing their HIV status to their sexual partners. Adjusted multivariable logistic regression analysis revealed that HIV status disclosure to sexual partners was significantly associated with living with a sexual partner (adjusted odds ratio [AOR] = 3.91, 95% CI [1.43-10.72]), knowledge of HIV disclosure (AOR = 11.71, 95% CI [2.88-47.63]), known serostatus of the sexual partner (AOR = 40.20, 95% CI [15.31-105.56]), and HIV disclosure-related stigma (AOR = 0.92, 95% CI [0.85-0.99]). Addressing these significant factors will maximize the magnitude of voluntary disclosure to sexual partners.
摘要:不向性伴侣公开艾滋病病毒感染状况仍然是坦桑尼亚卫生系统面临的一大挑战。这项以医院为基础的横断面描述性研究招募了 380 名艾滋病病毒感染者(PLWH),以评估坦桑尼亚艾滋病病毒感染者自愿向性伴侣公开艾滋病病毒感染状况的情况、相关因素以及结果。约 78% 的研究参与者(n = 297)表示向其性伴侣公开了自己的 HIV 感染状况。调整后的多变量逻辑回归分析显示,向性伴侣公开艾滋病病毒感染状况与性伴侣同居(调整后的几率比 [AOR] = 3.91,95% CI [1。43-10.72])、对 HIV 披露的了解程度(AOR = 11.71,95% CI [2.88-47.63])、已知性伴侣的血清状态(AOR = 40.20,95% CI [15.31-105.56])以及与 HIV 披露相关的污名化(AOR = 0.92,95% CI [0.85-0.99])。解决这些重要因素将最大限度地提高向性伴侣自愿披露信息的程度。
期刊介绍:
The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.