研究目的：愛滋病毒感染者可藉由知會性伴侶，協助其及早檢測感染情況、獲得早期治療、減少高危險性行為發生，避免愛滋病毒感染傳播。因此本研究為建構愛滋病毒感染者知會性伴侶決策過程理論架構，並探討影響此過程因素。期望專業人員可透過了解決策過程，協助感染者克服困難，增加知會機率。
研究方法：本研究採紮根理論研究法。於南部某醫學中心感染科門診，以理論性抽樣選取13位於確認診斷前後擁有性伴侶，且曾與其發生危險性行為的愛滋病毒感染者為對象。以半結構式訪談大綱進行深度訪談，並以ATLAS.ti 5.0版進行持續比較分析法分析文本。
研究結果：感染者知會決策理論架構歸納為7個主軸編碼，其中「知會意向」為本研究核心編碼，「知會問題知覺」為此歷程先驅範疇。主軸編碼包含：(1)知會問題知覺；(2)知會意向評估：個人層次、伴侶層次與疾病脈絡層次；(3)知會意向；(4)行動策略評估：尋找知會對象、知會方式、內容、時間及所需協助；(5)知會行動；(6)知會後結果自我感受；(7)再評價。決策過程呈現感染者透過知會意向評估決定知會意向，以行動策略評估架構知會策略，而後再評估知會結果，修改後續知會意向及策略。
結論：伴侶特性及愛滋污名是影響知會意向及行動策略的關鍵。醫療人員可藉此協助感染者釐清知會過程恐懼，並針對伴侶關係、反應及不同知會階段提供個別協助。

Background: Individuals with HIV/AIDS should notify their sexual partners of their disease as a means to help sexual partners learn of their HIV status, gain early access to treatment, reduce risky sexual behaviors, and prevent transmissions of HIV. However, the experience and process of sexual partner notification has not been thoroughly examined in past research. Understanding the process of sexual partner notification would help health professionals to assist partner notification for people with HIV/AIDS.
Objectives: Construct the theoretical framework of the decision-making process of sexual partner notification among people living with HIV/AIDS.
Methods: Grounded theory was utilized to construct the theoretical framework of the process in sexual partner notification. Theoretical sampling was applied and a total of 13 participants who had risky sexual behaviors before and after the diagnosis of HIV were recruited. In-depth semi-structured interviews were conducted 1-2 times with each participant. The length of interviews ranged from 90-120 minutes. Interviews were tape recorded and transcribed verbatim. Data was analyzed using the constant comparative method by ATLAS.ti 5.0.
Results: This study surveyed the theoretical framework of the decision-making process of sexual partner notification among people living with HIV/AIDS which were further categorized into seven axial codes, including: (1) perception of partner notification; (2) assess the intention to notify; (3) the intention to notify; (4) assess notification strategies; (5) inform partner; (6) self-emotions for the consequence; (7) re-evaluation. Finally, a selecting code, “the intention to notify,” was established which linked and described the relationship between the axial codes, and illustrated the process of decision-making and factors that influenced the process.
Conclusions: The partner characteristics and stigma were two key factors that influenced the decision-making of partner notification. Based on the process of partner notification, health professionals can assist clients in accordance to their individual needs.

中文部份
丁雪茵、鄭伯壎、任金剛（1996）．質的研究中研究者的角色與主觀性．本土心理學研究，6，354-376。
白芸慧、柯乃熒（2008）．愛滋與性病感染者之知會伴侶．愛之關懷，64，37-46。
杜敏世（1997）．護理研究．台北：華杏。
高淑清（2008）．質性研究的18堂課：首航初探之旅．高雄：麗文文化。
衛生署疾病管制局（2010，5月31日）．HIV/AIDS統計月報表．2010年6月23日取自http://www.cdc.gov.tw/ct.asp?xItem=11234&CtNode=1095&mp=220
胡幼慧主編（2008）‧質性研究：理論、方法及本土女性研究實例‧台北：巨流。
徐宗國（1997）．質性研究概論．台北：巨流。
陳向明（2007）．社會科學質的研究．台北：五南。
嚴祥鸞主編（2006）．危險與秘密：研究倫理．台北：三民。
Cohen, A. (1997). 宋光宇（譯）‧權力結構與符號象徵‧台北：金楓。
Strauss, A., & Corbin, J. (1990/1997). Basics of qualitative research: Grounded theory procedures and techniques. 徐宗國（譯）‧質性研究概論‧台北：巨流。
Strauss, A., & Corbin, J. (1998/2001). Basics of qualitative research: Techniques and procedures for developing grounded theory. 吳芝儀、廖梅花（譯）‧紮根理論研究方法‧嘉義：濤石文化。

英文部分
Ahrens, K., Kent, C. K., Kohn, R. P., Nieri, G., Reynolds, A., Philip, S., et al. (2007). HIV partner notification outcomes for HIV-infected patients by duration of infection, San Francisco, 2004 to 2006. J Acquir Immune Defic Syndr, 46(4), 479-484.
Andrus, J. K., Fleming, D. W., Harger, D. R., Chin, M. Y., Bennett, D. V., Horan, J. M., et al. (1990). Partner notification: can it control epidemic syphilis? Annals of Internal Medicine, 112(7), 539-543.
Bayer, R., & Toomey, K. E. (1992). HIV prevention and the two faces of partner notification. American Journal of Public Health, 82(8), 1158-1164.
Brewer, D. D. (2005). Case-finding effectiveness of partner notification and cluster investigation for sexually transmitted diseases/HIV. Sexually Transmitted Diseases, 32(2), 78-83.
Briss, P. A., Zaza, S., Pappaioanou, M., Fielding, J., Wright-De Agüero, L., Truman, B. I., et al. (2000). Developing an evidence-based Guide to Community Preventive Services-methods. American Journal of Preventive Medicine, 18(1S), 35-43.
CDC. (2007a). Advancing HIV prevention: New strategies for a changing epidemic. Retrieved March 1, 2008, from http://www.cdc.gov/hiv/topics/prev_prog/AHP
CDC. (2007b). Deciding on a PCRS Plan and Setting Priorities. Retrieved August 10, 2008, from http://www.cdc.gov/hiv/resources/guidelines/pcrs/pcrs_plan
CDC. (2007c). HIV partner counseling and referral services: Guidance. Retrieved August 10, 2008, from http://www.cdc.gov/hiv/resources/guidelines/pcrs
CDC. (2008). HIV, Hepatitis, STD and TB Partners--Partner Services. Retrieved November 16, 2008, from http://www.cdc.gov/nchhstp/partners/Partner-Services.html
Centers for Disease Control and Prevention. (2003). Internet use and early syphilis infection among men who have sex with men--San Francisco, California, 1999-2003. MMWR, 52(50), 1229-1232.
Centers for Disease Control and Prevention. (2004). Using the Internet for partner notification of sexually transmitted diseases--Los Angeles County, California, 2003. MMWR, 53(6), 129-131.
Chacko, M. R., Smith, P. B., & Kozinetz, C. A. (2000). Understanding partner notification (Patient self-referral method) by young women. Journal of Pediatric and Adolescent Gynecology, 13(1), 27-32.
Chervenak, J. L., & Weiss, S. H. (1989). Sexual partner notification: attitudes and actions of HIV-infected women. Paper presented at the International Conference on AIDS.
Cowan, F. M., French, R., & Johnson, A. M. (1996). The role and effectiveness of partner notification in STD control: a review. Genitourinary Medicine, 72(4), 247-252.
Crystal, S., Dengelegi, L., Beck, P., & Dejowski, E. (1990). AIDS contact notification: Initial program results in New Jersey. AIDS Education and Prevention, 2(4), 284-295.
Cunningham, S. D., Meyers, T., Kerrigan, D., & Ellen, J. M. (2007). Psychosocial factors influencing the disclosure of sexually transmissible infection diagnoses among female adolescents. Sexual Health, 4(1), 45-50.
Dixon-Mueller, R. (2007). The sexual ethics of HIV testing and the rights and responsibilities of partners. Studies in Family Planning, 38(4), 284-296.
Dooley, S. W. J., Douglas, J. M. J., & Janssen, R. S. (2007). Partner counseling and referral services for HIV infection: New endorsement of an old approach. American Journal of Preventive Medicine, 33(2S), S81-S83.
Fortenberry, J. D., Brizendine, E. J., Katz, B. P., & Orr, D. P. (2002). The role of self-efficacy and relationship quality in partner notification by adolescents with sexually transmitted infections. Archives of Pediatrics & Adolescent Medicine, 156(11), 1133-1137.
Giesecke, J., Ramstedt, K., Granath, F., Ripa, T., Rado, G., & Westrell, M. (1991). Efficacy of partner notification for HIV infection. Lancet, 338(8775), 1096-1100.
Golden, M. R., Hogben, M., Potterat, J. J., & Handsfield, H. H. (2004). HIV partner notification in the United States: A national survey of program coverage and outcomes. Sexually Transmitted Diseases, 31(12), 709-712.
Golden, M. R., Hopkins, S. G., Morris, M., Holmes, K. K., & Handsfield, H. H. (2003). Support among persons infected with HIV for routine health department contact for HIV partner notification. Journal of acquired immune deficiency syndromes, 32(2), 196-202.
Golub, S. A., & Indyk, D. (2006). HIV-infected individuals as partners in prevention: a redefinition of the partner notification process. Soc Work Health Care, 42(3-4), 225-235.
Gorbach, P. M., Aral, S. O., Celum, C., Stoner, B. P., Whittington, W. L. H., Galea, J., et al. (2000). To notify or not to notify: STD patients' perspectives of partner notification in Seattle. Sexually Transmitted Diseases, 27(4), 193-200.
Hays, R. B., McKusick, L., Pollack, L., Hilliard, R., Hoff, C., & Coates, T. J. (1993). Disclosing HIV seropositivity to significant others. AIDS, 7(3), 425-431.
Higgins, D. L., Galavotti, C., O'Reilly, K. R., Schnell, D. J., Moore, M., Rugg, D. L., et al. (1991). Evidence for the effects of HIV antibody counseling and testing on risk behaviors. JAMA, 266(17), 2419-2429.
Hodgens, J. B., Oh, M. K., Reynolds, J., Wallace, S. L., & Berman, S. (1994). Adolescent preference and beliefs regarding partner notification of sexually transmitted diseases. Sexually Transmitted Diseases, 21, S201.
Hoffman, R. E., Spencer, N. E., & Miller, L. A. (1995). Comparison of partner notification at anonymous and confidential HIV test sites in Colorado. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 8(4), 406-410.
Hogben, M., McNally, T., McPheeters, M., & Hutchinson, A. B. (2007). The effectiveness of HIV partner counseling and referral services in increasing identification of HIV-positive individuals a systematic review. American Journal of Preventive Medicine 33(2 Suppl), S89-100.
Hogben, M., McNally, T., McPheeters, M., & Hutchinson, A. B. (2007). The effectiveness of HIV partner counseling and referral services in increasing identification of HIV-positive individuals. A systematic review. American Journal of Preventive Medicine, 33(2S), S89-100.
Hoxworth, T., Spencer, N. E., Peterman, T. A., Craig, T., Johnson, S., & Maher, J. E. (2003). Changes in partnerships and HIV risk behaviors after partner notification. Sexually Transmitted Diseases, 30(1), 83-88.
Jones, J. L., Wykoff, R. F., Hollis, S. L., Longshore, S. T., Gamble, W. B. J., & Gunn, R. A. (1990). Partner acceptance of health department notification of HIV exposure, South Carolina. JAMA, 264(10), 1284-1286.
Kamenga, M., Ryder, R. W., Jingu, M., Mbuyi, N., Mbu, L., Behets, F., et al. (1991). Evidence of marked sexual behavior change associated with low HIV-1 seroconversion in 149 married couples with discordant HIV-1 serostatus: experience at an HIV counselling center in Zaire. AIDS, 5(1), 61-67.
Kissinger, P., & Malebranche, D. (2007). Partner notification: A promising approach to addressing the HIV/AIDS racial disparity in the United States. American Journal of Preventive Medicine, 33(2S), S86-S87.
Kissinger, P. J., Niccolai, L. M., Magnus, M., Farley, T. A., Maher, J. E., Richardson-Alston, G., et al. (2003). Partner notification for HIV and syphilis: Effects on sexual behaviors and relationship stability. Sexually Transmitted Diseases, 30(1), 75-82.
Klausner, J. D., Wolf, W., Fischer-Ponce, L., Zolt, I., & Katz, M. H. (2000). Tracing a syphilis outbreak through cyberspace. JAMA, 284(4), 447-449.
Knapper, C. M., Roderick, J., Smith, J., Temple, M., & Birley, H. (2008). Investigation of a HIV transmission cluster centred in South Wales. Sexually Transmitted Infections.
Ko, N. Y., Lee, H. C., Hsu, S. T., Wang, W. L., Huang, M. C., & Ko, W. C. (2007). Differences in HIV disclosure by modes of transmission in Taiwanese families. AIDS Care, 19(6), 791-798.
Landau, G., & York, A. S. (2004). Keeping and disclosing a secret among people with HIV in Israel. Health and Social Work, 29(2), 116-126.
Landis, S. E., Schoenbach, V. J., Weber, D. J., Mittal, M., Krishan, B., Lewis, K., et al. (1992). Results of a randomized trial of partner notification in cases of HIV infection in North Carolina. The New England Journal of Medicine, 326(2), 101-106.
Landis, S. E., Schoenbach, V. J., Weber, D. J., Mittal, M., Krishan, B., Lewis, K., et al. (1992). Results of a randomized trial of partner notification in cases of HIV infection in North Carolina. The New England Journal of Medicine, 326(2), 101-106.
Levy, J. A., & Fox, S. E. (1998). The outreach-assisted model of partner notification with IDUs. Public Health Reports, 113(1S), 160-169.
Macke, B. A., & Maher, J. E. (1999). Partner notification in the United States: An evidence-based review. American Journal of Preventive Medicine, 17(3), 230-242.
Maher, J. E., Peterson, J., Hastings, K., Dahlberg, L. L., Seals, B., Shelley, G., et al. (2000). Partner violence, partner notification, and women's decisions to have an HIV test. Journal of acquired immune deficiency syndromes, 25(3), 276-282.
Maman, S., Mbwambo, J., Hogan, N. M., Kilonzo, G. P., & Sweat, M. (2001). Women's barriers to HIV-1 testing and disclosure: Challenges for HIV-1 voluntary counselling and testing. AIDS Care, 13(5), 595-603.
Marks, G., Crepaz, N., Senterfitt, J. W., & Janssen, R. S. (2005). Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: Implications for HIV prevention programs. Journal of Acquired Immune Deficiency Syndromes, 39(4), 446-453.
Marks, G., Richardson, J. L., Ruiz, M. S., & Maldonado, N. (1992). HIV-infected men's practices in notifying past sexual partners of infection risk. Public Health Rep, 107(1), 100-105.
Mathews, C., Coetzee, N., Zwarenstein, M., Lombard, C., Guttmacher, S., Oxman, A., et al. (2002). A systematic review of strategies for partner notification for sexually transmitted diseases, including HIV/AIDS. International Journal of STD & AIDS, 13(5), 285-300.
Montesinos, L., Frisch, L. E., Greene, B. F., & Hamilton, M. (1990). An analysis of and intervention in the sexual transmission of disease. Journal of Applied Behavior Analysis, 23(3), 275-284.
O'Brien, M. E., Richardson-Alston, G., Ayoub, M., Magnus, M., Peterman, T. A., & Kissinger, P. (2003). Prevalence and correlates of HIV serostatus disclosure. Sex Transm Dis, 30(9), 731-735.
Oh, M. K., Boker, J. R., Genuardi, F. J., Cloud, G. A., Reynolds, J., & Hodgens, J. B. (1996). Sexual contact tracing outcome in adolescent chlamydial and gonococcal cervicitis cases. Journal of Adolescent Health, 18, 4-9.
Oxman, A. D., Scott, E. A., Sellors, J. W., Clarke, J. H., Millson, M. E., Rasooly, I., et al. (1994). Partner notification for sexually transmitted diseases: an overview of the evidence. Canadian Journal of Public Health, 85 Suppl 1, S41-47.
Passin, W. F., Kim, A. S., Hutchinson, A. B., Crepaz, N., Herbst, J. H., & Lyles, C. M. (2006). A systematic review of HIV partner counseling and referral services: Client and provider attitudes, preferences, practices, and experiences. Sexually transmitted diseases, 33(5), 320-328.
Pealer, L. N., & Peterman, T. A. (2003). When it comes to contact notification, HIV is not TB. Int J Tuberc Lung Dis, 7(12 Suppl 3), S337-341.
Perry, S. W., Card, C. A., Moffatt, M., Jr., Ashman, T., Fishman, B., & Jacobsberg, L. B. (1994). Self-disclosure of HIV infection to sexual partners after repeated counseling. AIDS Educ Prev, 6(5), 403-411.
Potterat, J. J. (2003). Partner notification for HIV: running out of excuses. Sex Transm Dis, 30(1), 89-90.
Potterat, J. J., Spencer, N. E., Woodhouse, D. E., & Muth, J. B. (1989). Partner notification in the control of human immunodeficiency virus infection. American Journal of Public Health, 79(7), 874-876.
Rogers, S. J., Tross, S., Doino-Ingersol, J., & Weisfuse, I. (1998). Partner notification with HIV-infected drug users: Results of formative research AIDS Care, 10(4), 415-429.
Rutherford, G. W., Woo, J. M., Neal, D. P., Rauch, K. J., Geoghegan, C., McKinney, K. C., et al. (1991). Partner notification and the control of human immunodeficiency virus infection. Two years of experience in San Francisco. Sex Transm Dis, 18(2), 107-110.
Solomon, M. Z., & DeJong, W. (1988). The impact of a clinic-based educational videotape on knowledge and treatment behavior of men with gonorrhea. Sexually Transmitted Diseases, 15(3), 127-132.
Spencer, N. E., Hoffman, R. E., Raevsky, C. A., Wolf, F. C., & Vernon, T. M. (1993). Partner notification for human immunodeficiency virus infection in Colorado: results across index case groups and costs. Int J STD AIDS, 4(1), 26-32.
Stein, M. D., Freedberg, K. A., Sullivan, L. M., Savetsky, J., Suzette, M., Hingson, R., et al. (1998). Sexual ethics: Disclosure of HIV-positive status to partners. Archives of Internal Medicine, 158(3), 253-257.
Task Force on Community Preventive Services. (2007). Recommendations to increase testing and identification of HIV-positive individuals through partner counseling and referral services. American Journal of Preventive Medicine, 33(2S), S88.
Tomnay, J. E., Hatch, B. A., Pitts, M. K., Carter, T. R., & Fairley, C. K. (2004). HIV partner notification: a 2002 Victorian audit. International Journal of STD & AIDS, 15(9), 629-631.
van Duynhoven, Y. T., Schop, W. A., van der Meijden, W. I., & van de Laar, M. J. (1998). Patient referral outcome in gonorrhoea and chlamydial infections. Sex Transm Infect, 74(5), 323-330.
VanDevanter, N., Thacker, A. S., Bass, G., & Arnold, M. (1999). Heterosexual couples confronting the challenges of HIV infection. AIDS Care, 11(2), 181-193.
Varghese, B., & Peterman, T. A. (2001). Cost-effectiveness of HIV counseling and testing in US prisons. J Urban Health, 78(2), 304-312.
Varghese, B., Peterman, T. A., & Holtgrave, D. R. (1999). Cost-effectiveness of counseling and testing and partner notification: A decision analysis. AIDS, 13(13), 1745-1751.
Warszawski, J., & Meyer, L. (2002). Sex difference in partner notification: Results from three population based surveys in France Sexually Transmitted Infections, 78, 45-49.
West, G. R., & Stark, K. A. (1997). Partner notification for HIV prevention: A critical reexamination. AIDS Education and Prevention, 9(3S), 68-78.
White, E., Katz, M. H., & McFarland, W. (1999). Whom does partner notification for HIV infection serve in San Francisco? A review of counseling and testing data from 1995-1997. AIDS and Behavior, 3(3), 205-211.
Whittington, W. L., Collis, T., Dithmer-Schreck, D., Handsfield, H. H., Shalit, P., Wood, R. W., et al. (2002). Sexually transmitted diseases and human immunodeficiency virus-discordant partnerships among men who have sex with men. Clin Infect Dis, 35(8), 1010-1017.
WHO & UNAIDS. (2009). AIDS epidemic update. Retrieved June 23, 2010, from http://data.unaids.org/pub/Report/2009/JC1700_Epi_Update_2009_en.pdf
Wykoff, R. F., Heath, C. W. J., Hollis, S. L., Leonard, S. T., Quiller, C. B., Jones, J. L., et al. (1988). Contact tracing to identify human immunodeficiency virus infection in a rural community. JAMA, 259(24), 3563-3566.
Yoshioka, M. R., & Schustack, A. (2001). Disclosure of HIV status: Cultural issues of Asian patients. AIDS Patient Care and STDs, 15(2), 77-82.