ABSTRACT

Communication of sexually transmitted infections (STI) and Human Immunodeficiency Virus (HIV)/AIDS serostatus can motivate people to get tested and receive care, while also risk being stigmatized. Using the communication management theory, this study used the Demographic and Health Surveys (DHS) - Kenya (2014/2015) to assess factors influencing the willingness of 5265 married or cohabitating Kenyan couples to communicate their STI and serostatus. Chi-square and logistic regression models show women are more likely to inform their partner about being tested for HIV [χ²(1) = 4.511 p < 0.05]; they are also more willing to care for relatives with HIV [χ²(2)=12.488, p < 0.01], and are more protective of serostatus information boundaries. The findings suggest that men and women manage their STI and HIV communication differently. Understanding gender differences in sexual health communication management can better help health practitioners assist in treatment-adherence and prevention. More in-depth studies and structural understandings of communication of HIV/STI are recommended.

摘要

性传播感染 (STI) 和人类免疫缺陷病毒 (HIV)/艾滋病血清状况的传播可以促使人们接受检测和接受护理，同时也有被污名化的风险。本研究使用传播管理理论，使用人口与健康调查 (DHS) - 肯尼亚 (2014/2015) 评估影响 5265 名已婚或同居肯尼亚夫妇交流其 STI 和血清状况的意愿的因素。卡方和逻辑回归模型显示，女性更有可能告知伴侣接受 HIV 检测 [ χ ² (1) = 4.511 p  < 0.05]；他们也更愿意照顾感染艾滋病毒的亲属 [ χ ² (2)=12.488, p < 0.01]，并且更能保护血清状态信息边界。研究结果表明，男性和女性以不同方式管理他们的 STI 和 HIV 传播。了解性健康沟通管理中的性别差异可以更好地帮助健康从业者协助治疗依从性和预防。建议对 HIV/STI 的传播进行更深入的研究和结构理解。