The dimensionality of disclosure of HIV status amongst post-partum women in Cape Town, South Africa
Bibliographic Data
| ID | 15456985 |
|---|---|
| Authors | Jo Hunter‐Adams (University of Cape Town, corresponding author), Allison Zerbe (0000-0002-3372-6882, Columbia University), Tamsin K Philips (University of Cape Town), Zanele Rini (University of Cape Town), Landon Myers (0000-0002-8106-7658, University of Cape Town), Gregory Petro (0000-0003-4529-2820, University of Cape Town), Elaine J Abrams (0000-0001-7938-8981, Columbia University) |
| Year | 2017 |
| Volume | 16 |
| Issue | 2 |
| Pages | 101-107 |
| Publication date | 2017-04-03 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | African Journal of AIDS Research (JOURNAL) |
| Journal identifiers | ISSN: 1608-5906 • E-ISSN: 1727-9445 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.2989/16085906.2017.1311932 |
| PMID | 28565973 |
| OpenAlex | W2620926685 |
| Language | EN |
| Citations received | 1 |
| References cited | 26 |
Disclosure of HIV status to sexual partners and others has been presented as positive health behaviour and is widely encouraged by antiretroviral treatment (ART) programmes, providers and policies. However, disclosure is also highly contextual and its positive effects are not universal. We explore the dimensions of disclosure amongst post-partum women who initiated ART during pregnancy in Cape Town, South Africa. Forty-seven semi-structured interviews with post-partum women were conducted as part of the Maternal Child Health-Antiretroviral Therapy (MCH-ART) study. Primary elements of disclosure were coded and interpreted according to dominant themes and subthemes. Disclosure was commonplace in the sample, ranging from widely disclosing status (rare); to disclosing to some family, friends and partners; to tacit disclosure, where participants took medication in front of others without explicitly discussing their status. Women described reasons for non-disclosure in terms of not being ready, fear of negative reactions (including violence and loss of financial support), and fear of their status being widely known. Self-reported adherence was uniformly high throughout the range of disclosure. Even those who made special efforts to avoid disclosure, such as attending clinics distant from their homes, reported good adherence. Those who disclosed experienced a range of responses to their disclosure, from support to shunning. Despite access to ART, stigma remained a persistent feature in descriptions of disclosure, particularly in relation to partner disclosure. Our findings suggest that disclosure is not always positive and adherence can be maintained within a wide range of disclosure behaviours. It is important that clinic settings allow women to retain control over their disclosure process
Family medicine · Psychiatry · Self-disclosure · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology
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| Unique citing works | 1 |
|---|---|
| Citations per year | 0,14 |
| Citation span | 2019 - 2019 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |