Masculinity and HIV disclosure among heterosexual South African men

Implications for HIV/Aids intervention

Dados Bibliográficos

ID15099329
AutoresWenche Dageid (0009-0001-3276-6006, University of Oslo, autor correspondente), Kaymarlin Govender (0000-0002-9586-1510, University of KwaZulu-Natal), Sarah Frances Gordon (0000-0001-5131-8519, University of Cape Town)
Ano2012
Volume14
Fascículo8
Páginas925-940
Data de publicação2012-09-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2012.710337
PMID22943462
OpenAlexW2008801261
IdiomaEN
Citações recebidas38
Referências citadas25

Relationships and constructions of masculinity are central to understanding the process of male HIV disclosure, which is an important step towards accessing HIV-related services. Data from in-depth interviews and focus-group discussions with 23 HIV-positive, self-identified heterosexual, Black South African men were used to explore the disclosure process and how this process was negotiated in the context of constructions of masculinity. Of these men, 20 had disclosed to one or more persons, with partners and siblings being the preferred confidants. Disclosure was dependent on the acceptance of HIV status, perceived support and healthy relationships with others, HIV counselling and participation in educational and training activities. Non-disclosure was explained as a result of stigma, fear of rejection, discrimination, a lack of healthy relationships with others and lack of access to suitable disclosure strategies. Negative perceptions of HIV and hegemonic conceptions of masculinity hindered men from disclosing and seeking health services. Many men, however, managed to renegotiate their masculine identities to become responsible, knowledgeable HIV-positive individuals, protecting their families and becoming community educators. Findings suggest the need to consider gendered, contextual, skills-building/income-generating and guided interventions to promote male HIV disclosure and service uptake

Context (archaeology · Family medicine · Focus group · Hegemonic masculinity · Human immunodeficiency virus (HIV · Intervention (counseling · Masculinity · Psychiatry · Psychological intervention · Self-disclosure · Sociology · Stigma (botany · Adolescent Sexual and Reproductive Health · Gender Roles and Identity Studies · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology