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Facilitating HIV disclosure across diverse settings: A review

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  • Obermeyer, C.M.
  • Baijal, P.
  • Pegurri, E.

Abstract

HIV status disclosure is central to debates about HIV because of its potential for HIV prevention and its links to privacy and confidentiality as human-rights issues. Our review of the HIV-disclosure literature found that few people keep their status completely secret; disclosure tends to be iterative and to be higher in high-income countries; gender shapes disclosure motivations and reactions; involuntary disclosure and low levels of partner disclosure highlight the difficulties faced by health workers; the meaning and process of disclosure differ across settings; stigmatization increases fears of disclosure; and the ethical dilemmas resulting from competing values concerning confidentiality influence the extent to which disclosure can be facilitated. Our results suggest that structural changes, including making more services available, could facilitate HIV disclosure as much as individual approaches and counseling do.

Suggested Citation

  • Obermeyer, C.M. & Baijal, P. & Pegurri, E., 2011. "Facilitating HIV disclosure across diverse settings: A review," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 1011-1023.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.300102_3
    DOI: 10.2105/AJPH.2010.300102
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    Cited by:

    1. Bach Xuan Tran & Long Hoang Nguyen & Tung Thanh Tran & Carl A Latkin, 2018. "Social and structural barriers for adherence to methadone maintenance treatment among Vietnamese opioid dependence patients," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-13, January.
    2. Dima, Alexandra L. & Stutterheim, Sarah E. & Lyimo, Ramsey & de Bruin, Marijn, 2014. "Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent," Social Science & Medicine, Elsevier, vol. 108(C), pages 166-174.
    3. Maria Letícia Santos Cruz & Claudete A. Araújo Cardoso & Mariana Q. Darmont & Paulo Dickstein & Francisco I. Bastos & Edvaldo Souza & Solange D. Andrade & Marcia D’All Fabbro & Rosana Fonseca & Simone, 2016. "Children and Adolescents with Perinatal HIV-1 Infection: Factors Associated with Adherence to Treatment in the Brazilian Context," IJERPH, MDPI, vol. 13(6), pages 1-12, June.
    4. Tseng, Hsiao-Ting & Ibrahim, Fahad & Hajli, Nick & Nisar, Tahir M. & Shabbir, Haseeb, 2022. "Effect of privacy concerns and engagement on social support behaviour in online health community platforms," Technological Forecasting and Social Change, Elsevier, vol. 178(C).
    5. Henry Wasosa & Lornah Irene Ayako, 2023. "Assessment of HIV Status Disclosure of People Living with HIV in Harare, Zimbabwe," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 7(4), pages 1219-1231, April.
    6. Préau, Marie & Beaulieu-Prévost, Dominic & Henry, Emilie & Bernier, Adeline & Veillette-Bourbeau, Ludivine & Otis, Joanne, 2015. "HIV serostatus disclosure: development and validation of indicators considering target and modality. Results from a community-based research in 5 countries," Social Science & Medicine, Elsevier, vol. 146(C), pages 137-146.
    7. Conroy, Amy A. & Wong, Lauren H., 2015. "How reliable are self-reports of HIV status disclosure? Evidence from couples in Malawi," Social Science & Medicine, Elsevier, vol. 144(C), pages 28-37.
    8. Gabriele Prati & Bruna Zani & Luca Pietrantoni & Diego Scudiero & Patrizia Perone & Lella Cosmaro & Alessandra Cerioli & Massimo Oldrini, 2016. "The role of knowing someone living with HIV/AIDS and HIV disclosure in the HIV stigma framework: a Bayesian mediation analysis," Quality & Quantity: International Journal of Methodology, Springer, vol. 50(2), pages 637-651, March.
    9. Chia-Hui Yu & Chu-Yu Huang & Nai-Ying Ko & Heng-Hsin Tung & Hui-Man Huang & Su-Fen Cheng, 2021. "The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    10. Wangnan Cao & Hai Ming Wong & Chun Chang & Emeka Pascal Agudile & Anna Mia Ekström, 2019. "Behavioral interventions promoting HIV serostatus disclosure to sex partners among HIV-positive men who have sex with men: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(7), pages 985-998, September.

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