Effects of multiple types of stigma on the probability of HIV disclosure to sex partners: a systematic review

被引:14
作者
Li, Haochu [1 ,2 ]
Li, Xiaoming [3 ]
Zhang, Lei [4 ,5 ,6 ]
Chow, Eric [5 ,6 ]
机构
[1] Shandong Univ, Sch Publ Hlth, 44 Wen Hua Xi Rd, Jinan 250012, Shandong, Peoples R China
[2] Univ N Carolina, Inst Global Hlth & Infect Dis, UNC Project China, Chapel Hill, NC 27514 USA
[3] Univ South Carolina, Arnold Sch Publ Hlth, 915 Greene St, Columbia, SC 29208 USA
[4] Tsinghua Univ, Sch Med, Res Ctr Publ Hlth, Beijing 100062, Peoples R China
[5] Monash Univ, Fac Med Nursing & Hlth Sci, Cent Clin Sch, Melbourne, Vic 3004, Australia
[6] Alfred Hlth, Melbourne Sexual Hlth Ctr, Melbourne, Vic 3053, Australia
关键词
people living with HIV/AIDS; AIDS-RELATED STIGMA; SEROSTATUS DISCLOSURE; POSITIVE MEN; INTERNALIZED STIGMA; SELF-DISCLOSURE; LATINO GAY; WOMEN; HEALTH; CONSEQUENCES; PERCEPTIONS;
D O I
10.1071/SH16089
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Previous review studies explored factors related to the process of HIV disclosure. However, none of these review studies specifically focused on the effects of stigma on HIV disclosure to sex partners. A comprehensive systematic review of empirical studies on the effects of stigma on HIV disclosure to sex partners was conducted until December 2014. Twenty-seven articles published in English-language journals were selected, and study characteristics and findings were evaluated. Inconsistent findings in the assessment of impacts of stigma on HIV disclosure to sex partners were documented. Three underlying plausible reasons were identified, and these included: (1) different types of stigma may have different effects on HIV disclosure to sex partners; (2) studies used different measurement strategies; and (3) varied personal backgrounds and health factors that can mitigate, facilitate or moderate the effect of stigma on HIV disclosure to sex partners. Studies with precise definition measurements of specific types of stigma used them appropriately in a matching context to provide more consistent research results. This review identifies the need for further investigation into how the HIV disclosure process is shaped by particular types of stigma, types of sex partners and demographic characteristics of people living with HIV/AIDS.
引用
收藏
页码:516 / 529
页数:14
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