Introduction HIV serostatus disclosure has become an entry criterion for prevention of sexual partners spread, so we aimed to examine the prevalence of disclosure and associated factors among people living with HIV / ...Introduction HIV serostatus disclosure has become an entry criterion for prevention of sexual partners spread, so we aimed to examine the prevalence of disclosure and associated factors among people living with HIV / AIDS( PLWHA) in Liuzhou City,Guangxi Zhuang Autonomous Region,southern China. Methods The PLWHA with marital or regular sexual relationship were eligible for our study,and a self-designed questionnaire was assigned to all the conveniently sampled participants. Determinants of disclosure were analyzed using chi-square test and binary Logistic regression. Results A total of 425 PLWHA were included in the present study. Two hundred and forty-five( 57. 6%) disclosed their HIV-positive status to their spouses / regular sexual partners,while 180( 42. 4%) did not. Among the 245 informed spouses / regular sexual partners,236( 96. 3%) had received the HIV testing and the positive rate was 50. 4%. While among the non-in-formed spouses / regular sexual partners,63( 35. 0%) had received the HIV testing and the positive rate was 3. 2%. Binary Logistic regression analysis indicated that age,area,monthly income,HIV / AIDS related knowledge and antiretroviral therapy( ART) were independently associated with HIV serostatus disclosure. Conclusions The disclosure rate was low in this study. As to its influencing factors,it is necessary to provide comprehensive disclosure consulting among PLWHA living in urban,the elderly or high monthly income and emphasize the propaganda on HIV / AIDS related knowledge,expand coverage for antiretroviral therapy, so as to provide scientific reference for promoting HIV disclosure and reducing the HIV incidence of spouses / regular sexual partners among PLWHA.展开更多
基金funded by Global Fund for AIDS Project in China(CSO-2012-project 21)project and supported by Liuzhou Center for Disease Control and Prevention,Guangxi Longtan hospital,The People's Hospital of Liuzhou city,Guangxi Zhuang Autonomous Region
文摘Introduction HIV serostatus disclosure has become an entry criterion for prevention of sexual partners spread, so we aimed to examine the prevalence of disclosure and associated factors among people living with HIV / AIDS( PLWHA) in Liuzhou City,Guangxi Zhuang Autonomous Region,southern China. Methods The PLWHA with marital or regular sexual relationship were eligible for our study,and a self-designed questionnaire was assigned to all the conveniently sampled participants. Determinants of disclosure were analyzed using chi-square test and binary Logistic regression. Results A total of 425 PLWHA were included in the present study. Two hundred and forty-five( 57. 6%) disclosed their HIV-positive status to their spouses / regular sexual partners,while 180( 42. 4%) did not. Among the 245 informed spouses / regular sexual partners,236( 96. 3%) had received the HIV testing and the positive rate was 50. 4%. While among the non-in-formed spouses / regular sexual partners,63( 35. 0%) had received the HIV testing and the positive rate was 3. 2%. Binary Logistic regression analysis indicated that age,area,monthly income,HIV / AIDS related knowledge and antiretroviral therapy( ART) were independently associated with HIV serostatus disclosure. Conclusions The disclosure rate was low in this study. As to its influencing factors,it is necessary to provide comprehensive disclosure consulting among PLWHA living in urban,the elderly or high monthly income and emphasize the propaganda on HIV / AIDS related knowledge,expand coverage for antiretroviral therapy, so as to provide scientific reference for promoting HIV disclosure and reducing the HIV incidence of spouses / regular sexual partners among PLWHA.
