中文摘要：

目的 了解艾滋病单阳家庭配偶告知方式（感染者本人告知/由他人告知）的情况及可能的影响因素.方法 采用自行设计的调查问卷,以面对面的调查方式,对我国河南、云南、广西、四川地区的艾滋病单阳家庭进行调查,内容主要包括人口学信息、艾滋病相关知识与行为、配偶告知的方式等;并结合艾滋病综合防治数据信息系统的资料收集调查对象的感染途径等信息.结果 共调查艾滋病单阳家庭感染者及其配偶770对,其中414名感染者（53.77％）自报是本人将感染状况告知配偶,由医务人员告知的344人（44.68％）.影响告知方式的因素有性别、民族、文化程度和感染途径.女性、汉族、文化程度高者、既往采供血感染者,更倾向于由感染者本人进行配偶告知.结论 民族和传播途径是告知方式的重要影响因素,应重点加强以性传播和/或静脉注射吸毒传播为主的地区以及少数民族地区的配偶告知工作。

英文摘要：

Objective This study was aimed to investigate the ways of spousal notification and its associated factors among HIV discordant couples.Methods A face-to-face questionnaire survey was conducted in Henan,Yunnan,Sichuan provinces and Guangxi Zhuang Autonomous Region in China.Information including democratic characteristics,knowledge and behaviors correlated with HIV infections and ways of HIV infectious status notification was collected.‘Data information system’ on AIDS prevention and control was used to collect information on the transmission route.Results A total of 770 pairs of HIV discordant couples were studied,among which 414 （53.77%） HIV positive respondents reported as self-notification,with another 44.68% were notified by medical staff.Factors associated with ways of notification included gender,nation,transmission route,and education level.HIV positive respondents who were female,under Han nationality,being paid blood donors,having had higher education level,were more likely to inform their HIV negative spouse by themselves.Conclusion Nationality and HIV transmission route of the HIV positive individuals were found as significant factors associated with ways of spousal notification.Therefore,HIV discordant couples notification should be strengthened,especially in the Minority-living areas and areas where HIV transmission was predomint through sexual contact and/or via injected drug use.