目的:当前的研究应用生存分析来检查与未披露人类免疫缺陷病毒(HIV)血清状态相关的因素,这些母亲参与了一项认知行为干预措施,向其子女披露其HIV状态。
方法:在教学的干预组中利用MLH的数据,提高,并与孩子们交流(TRACK;Schulte等人,2021)试验侧重于四个时间点的血清状态披露/非披露(基线,3、9和15个月)。MLH(Mage=39.4)居住在加利福尼亚州或乔治亚州,被确定为拉丁裔(33%),黑色(54%)白色(5%)或多种族(8%)。Physical,心理健康,和来自3个月评估的心理社会措施被用于应用Cox回归生存分析预测未披露信息。
结果:未披露与MLH报告的身心健康状况有关,减少与孩子的冲突,更好的家庭凝聚力,更少的耻辱。与报告身体限制的MLH相比,报告更好的身体功能的MLH披露的可能性降低了58%(风险比[HR]=0.42)。那些报告披露自我效能水平较低的人比报告较高水平的人披露自我效能感低59%(HR=2.47);到研究进行67周,报告自我效能较低的患者的未披露率为56%,而报告自我效能较高的患者的未披露率为24%.
结论:解决不披露MLH何时感觉健康的倾向可能是纳入未来干预措施的一个方面。此外,将披露自我效能提高到较高的水平似乎是干预成功的关键组成部分。(PsycInfo数据库记录(c)2024APA,保留所有权利)。
OBJECTIVE: The current study applied survival analysis to examine factors associated with nondisclosure of human immunodeficiency virus (HIV) serostatus among mothers living with HIV (MLH) who had participated in a cognitive-behavioral intervention to disclose their HIV status to their children.
METHODS: Data were utilized from MLH in the intervention arm of the teaching, raising, and communicating with kids (TRACK; Schulte et al., 2021) trial focusing on serostatus disclosure/nondisclosure across four time points (baseline, 3, 9, and 15 months). MLH (Mage = 39.4) resided in California or Georgia and identified as Latina (33%), Black (54%), White (5%), or multiracial (8%). Physical, mental health, and psychosocial measures from the 3-month assessment were used to predict nondisclosure applying Cox regression survival analysis.
RESULTS: Nondisclosure was associated with MLH reporting better physical and mental health, less conflict with their child, better cohesion within their families, and less perceived stigma. MLH reporting better physical functioning were 58% less likely to disclose compared to those reporting physical limitations (hazard ratio [HR] = 0.42). Those reporting lower levels of disclosure self-efficacy were 59% less likely to disclose than those reporting higher levels (HR = 2.47); by 67 weeks into the study, the nondisclosure rate was 56% for those reporting lower self-efficacy compared to 24% for those reporting higher self-efficacy.
CONCLUSIONS: Addressing the inclination not to disclose when the MLH is feeling healthy may be an aspect to incorporate into future interventions. Furthermore, improving disclosure self-efficacy to a high level appears to be a critical component to intervention success. (PsycInfo Database Record (c) 2024 APA, all rights reserved).