中国临床心理学杂志

“告知还是不告知”：我国男同性恋HIV阳性者暴露现状和原因的质性研究

作者：张严¹ 蔺秀云² 福燕³

单位：1. 北京大学医学部公共教学部医学心理学教研室北京100191
2. 北京师范大学发展心理研究所北京100875
3. 首都医科大学附属佑安医院性病艾滋病科

分类号：R512.91

出版年,卷(期):页码：2011,19(5):628-632

摘要：

目的：探讨男同性恋HIV阳性者暴露/不暴露HIV阳性状态/性取向的现状和原因。方法：采用质性研究方法，选取2009年3月—2010年3月于北京佑安医院就诊的37名男同性恋HIV阳性者，实施深入访谈，对访谈资料进行编码，提炼出概念类属。结果：37名被试中，有31名向不同的对象暴露了自己HIV阳性状态/性取向的状况。选择暴露的原因主要有"责任"、"安全"、"获得支持"、"缓解结婚压力"；不暴露的原因主要有"担心家人无法接受"、"不想给家人增加压力"、"愧疚感"、"担心受歧视"。结论：医疗或相关心理从业者应考虑男同性恋HIV阳性者的双重身份，结合中国社会文化特点提供恰当的心理干预措施。

Objective:explore the status and causes of HIV positive gay men’s disclosure of their HIV-positive statusand sexual orientation to their parents,intimate partners and close friends.Methods:Individual in-depth interviewswith semi-structure interview guide were conducted in 37 HIV-positive gay men (aged 23-42 years) who received treatmentin Beijing You’an Hospital(from March,2009 to March,2010).Qualitative methods were used in analyzing interviewrecordings and notes.Results:There were 31 participants who disclosed their HIV-positive status and sexual orientationto others.The reasons for disclosure were due to “responsibility ”,“ensuring the security of their partners”,“concurrentneed for support” and “relieving the pressure of getting married”;on the other hand,reasons of not telling were because of“threat of stigma”,“feelings of shame”,“pressures on family members”.Conclusion:When providing psychological assistanceto HIV-positive gay men,medical doctors and psychologists should take their special identifies in context of theChinese culture and traditions into consideration.

基金项目：

第六轮中国全球基金艾滋病项目(LF-78)

作者简介：

参考文献：

[1] 中华人民共和国卫生部200;[9] 年中国艾滋病疫情估计工作报告.2010-5-3[1] http://www.moh.gov.cn/sofpro/cms/previewjspfile/mohjbyfkzj/cms_0000000000000000171_tpl.jsp?requestCode=48858&CategoryID=5531;
[2] 严谨,肖水源.艾滋歧视研究进展.中国临床心理学杂志,2007,15(1):102-105;
[3] Barroso J,Powell-CopeG.Metasynthesis of qualitative researchon living with HIV infection.Qualitative Health Research,2000,10:340-352;
[4] Derlega VJ,Winstead BA,Folk-Barron L.Reasons for andagainst disclosing HIV-sero-positive test results to an intimatepartner:A functional perspective.In Petronio S.Balancingthe secrets of pri vate disclosures.Mahwah,NJ:Lawrence Erlbaum Associates,2000.53-69;
[5] Annette B,Gloria AJT,et al.A model of HIV disclosure:Disclosure and types of social relationships.Journal of theAmerican of Nurse Practitions,2006,19:242-250;
[6] Hays R,McKusick L,Pollack L,Hilliard R,et al.DisclosingHIV ser-opositivity to signifcant others.AIDS,1993,7:425-431;
[7] Nehring WM,Lashley FR,Malm K.Disclosing the diagnosisof pediatric HIV infection:Mothers’ views.Journal of theSociety of Pediatric Nursing,2000,5:5-14;
[8] Therese WH.Adolescent homosexuality and concerns re-garding disclosure.Journal of School Health,2003,73:107-113;
[9] Consrance LS,et al.To tell or not to tell:Men’s disclosureof their HIV-positive status to their mothers.Family Relations,2005,54:184-196;
[10] Parsons JT,VanOra J,Missildine W,Purcell DW,GomezCA.Positive and negative consequences of HIV disclosureamong sero-positive injection drug users.AIDS Educationand Prevention,2004,16(5):459-475;
[11] Beth PB,Margaret SM.Calculating the risks and benefits ofdisclosure in African American women who have HIV.Clinical Studies,2002,31:688-699;
[12] 陈向明.扎根理论的思路和方法.教育研究与实验,1999,4:58-65;
[13] Holt R,Court P,Vedhara K,Nott KH,et al.The role ofdisclosure in coping with HIV infection.AIDS Care,1998,10(1):49-60;
[14] Derlega V,Winstead B,Greene K,Serovich J,Elwood WN.Perceived HIV-related stigma and HIV disclosure to relationshippartners after finding out about the seropositive diagnosis.Journal of Health Psychology,2002,7(4):415-432;
[15] Carr RL,Gramling LF.Stigma:A health barrier for womenwith HIV/AIDS.Journal of the Association of Nurses inAIDS Care,2004,15(5):30-39

服务与反馈：

【文章下载】【加入收藏】