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Growing up and growing old with HIV”

HIV+ adolescents’ experiences of disclosing statuses to romantic partners in Bulawayo, Zimbabwe

Bibliographic Data

ID15456784
AuthorsPhilani Mlilo (0000-0002-1545-5564, Great Zimbabwe University, corresponding author), Cowen Dziva (0000-0001-6242-1693, Great Zimbabwe University), Vuyisile Precious Moyo (0000-0003-4305-5178, University of Zimbabwe), Nonhlanhla Ndondo (University of Cape Town), Zanele Ndlovu (Great Zimbabwe University), Nkosinathi Muyambo (0000-0001-7630-1393, University of KwaZulu-Natal)
Year2020
Volume19
Issue4
Pages312-322
Publication date2020-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAfrican Journal of AIDS Research (JOURNAL)
Journal identifiersISSN: 1608-5906 • E-ISSN: 1727-9445
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.2989/16085906.2020.1841011
PMID33337977
OpenAlexW3114212865
LanguageEN
Citations received4
References cited33

This article explores the experiences of HIV-positive adolescents disclosing their status to romantic partners in Bulawayo, Zimbabwe. Disclosure of HIV status continues to be one of the most pressing issues facing adolescents, especially those in relationships, yet health care workers have minimal tailored guidance on how to approach this except to encourage full disclosure. Motives for disclosure were: guilty conscience; legal and ethical obligations; preventing partners being infected; and supportive people, honesty and trust. Disclosure was done on a one-on-one basis in public spaces such as roadsides where the adolescents usually met, or in health care facilities through the help of health care workers, and through mobile phones using WhatsApp. Results revealed that disclosure was associated with negative and positive outcomes ranging from disruption of relationships, depression, breaches of confidential information and, in some instances, relationship and marriage assurance. However, results clearly showed that adolescents living with HIV struggle with disclosure because the process is complex and loaded with emotions and the outcomes can be unpredictable and difficult to handle. Optimism towards treatment, social support, rationalisation, and social comparison through attributing new meanings to the disease were employed to deal with negative outcomes of disclosure. Therefore, the development and implementation of evidence-based initiatives to raise awareness and train the youth to disclose is recommended. Through their experiences, we can learn what works well and what needs to be strengthened

Confidentiality · Health care · Honesty · Optimism · Political science · Public relations · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Law · Medicine · Psychology · Social Psychology

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Unique citing works4
Citations per year1
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2
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