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Facilitating HIV Disclosure Across Diverse Settings

A Review

Bibliographic Data

ID14601475
AuthorsCarla Makhlouf Obermeyer (Carla Makhlouf Obermeyer is with the Department of HIV/AIDS, World Health Organization, Geneva, Switzerland. Parijat Baijal is with the Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland. Elisabetta Pegurri is with UNAIDS, Geneva, Switzerland.), Parijat Baijal (Carla Makhlouf Obermeyer is with the Department of HIV/AIDS, World Health Organization, Geneva, Switzerland. Parijat Baijal is with the Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland. Elisabetta Pegurri is with UNAIDS, Geneva, Switzerland.), Elisabetta Pegurri (Carla Makhlouf Obermeyer is with the Department of HIV/AIDS, World Health Organization, Geneva, Switzerland. Parijat Baijal is with the Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland. Elisabetta Pegurri is with UNAIDS, Geneva, Switzerland.)
Year2011
Volume101
Issue6
Pages1011-1023
Publication date2011-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2010.300102
PMID21493947
PMCIDPMC3093267
OpenAlexW2102484735
LanguageEN
Citations received127
References cited160

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

Business · Confidentiality · Family medicine · Full disclosure · Human immunodeficiency virus (HIV) · Meaning (existential) · Political science · Self-disclosure · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Law · Medicine · Psychology · Social Psychology

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  • Living with HIV

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  • Women's barriers to HIV-1 testing and disclosure

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  • Negotiating multiple barriers

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  • Intricacies and inter-relationships between HIV disclosure and Haart

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  • HIV disclosure and other factors that impact on adherence to antiretroviral therapy

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  • Disclosure experience and associated factors among HIV positive men and women clinical service users in southwest Ethiopia

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  • Women's Lives After an HIV-Positive Diagnosis

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  • The Role of HIV Serostatus Disclosure in Antiretroviral Medication Adherence

    Open Access•Michael J Stirratt, Robert H Remien et al.•AIDS and Behavior•2006

  • Predictors of Serostatus Disclosure to Partners Among Young People Living with HIV in the Pre- and Post-Haart Eras

    Open Access•Philip J Batterham, Philip Batterham et al.•AIDS and Behavior•2005

  • Disclosure of HIV Status and Psychological Well-Being Among Latino Gay and Bisexual Men

    Open Access•Mar a Cecilia Zea, Mar�a Cecilia Zea et al.•AIDS and Behavior•2005

  • HIV Disclosure Among Women of African Descent

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  • Motivations and Methods for Self-disclosure of HIV Seropositivity in Nairobi, Kenya

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  • High Rates and Positive Outcomes of HIV-Serostatus Disclosure to Sexual Partners

    Open Access•Suzanne Maman, Jessie Mbwambo et al.•AIDS and Behavior•2003

  • Disclosure of Maternal HIV-Infection in South Africa

    Open Access•Frances L Palin, Lisa Armistead et al.•AIDS and Behavior•2008

  • Processes and Outcomes of HIV Serostatus Disclosure to Sexual Partners among People Living with HIV in Uganda

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  • Reducing HIV Transmission Risk by Increasing Serostatus Disclosure

    Open Access•Steven D Pinkerton, Carol L Galletly•AIDS and Behavior•2006

  • Injection Drug Users' Disclosure of HIV Seropositive Status to Network Members

    Open Access•Carl A Latkin, Carl Latkin et al.•AIDS and Behavior•2001

  • Partner Awareness of the Serostatus of HIV-Seropositive Men Who Have Sex With Men

    Open Access•Trevor Hart, Richard J Wolitski et al.•AIDS and Behavior•2005

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  • Negotiating cultures

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  • The Utilization of Testing and Counseling for HIV

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  • The Relationship between HIV Disclosure and Adjustment

    Open Access•David Vance, David E Vance•Psychological Reports•2006

  • HIV‐infected African families living in Stockholm/Sweden

    Open Access•Ann‐Sofie Åsander, Erik Belfrage et al.•International Journal of Social…•2004

  • Disclosure of HIV infection among Asian/Pacific Islander American women

    Denise Chin, Kendall Kroesen et al.•Cultural Diversity & Ethnic…•1999

  • Women living with HIV

    Open Access•Andrea C Gielen, Laurel Fogarty et al.•Journal of Urban Health•2000

  • Illness disclosure and mental health among women with HIV/Aids

    Open Access•Lisa K Comer, Barbara Henker et al.•Journal of Community & Applied…•2000

  • What if they ask how I got it?' Dilemmas of disclosing parental HIV status and testing children for HIV in Uganda

    Open Access•Jude T Rwemisisi, J Rwemisisi et al.•Health Policy and Planning•2007

  • Private practitioners' communications with patients around HIV testing in Pune, India

    Open Access•Vinita Datye•Health Policy and Planning•2006

  • Confidentiality and HIV status in Kwazulu-Natal, South Africa

    Open Access•Gill Seidel•Health Policy and Planning•1996

  • Disclosure of HIV‐Positive Status to Latino Gay Men's Social Networks

    Open Access•Maria Cecilia Zea, Carol A Reisen et al.•American Journal of Community…•2004

  • Factors Related to HIV Disclosure in 2 South African Communities

    Amy Norman, Mickey Chopra et al.•American Journal of Public Health•2007

  • What Is Community? An Evidence-Based Definition for Participatory Public Health

    Kathleen M Macqueen, Eleanor Mclellan et al.•American Journal of Public Health•2001

  • Sex Without Disclosure of Positive HIV Serostatus in a US Probability Sample of Persons Receiving Medical Care for HIV Infection

    Dan Ciccarone, Daniel H Ciccarone et al.•American Journal of Public Health•2003

  • Violence During Pregnancy Among Women With or at Risk for HIV Infection

    Linda J Koenig, Dulce Whitaker et al.•American Journal of Public Health•2002

  • The Sexual Ethics of HIV Testing and the Rights and Responsibilities of Partners

    Open Access•Ruth Dixon‐mueller•Studies in Family Planning•2007

  • Sexual Negotiation, HIV-Status Disclosure, and Sexual Risk Behavior Among Latino Men Who Use the Internet to Seek Sex with Other Men

    Open Access•Alex Carballo-Diéguez, Michael H Miner et al.•Archives of Sexual Behavior•2006

  • HIV disclosure and discussions about grief with Shona children

    Open Access•Anniek J De Baets, Sibongile Sifovo et al.•Social Science & Medicine•2007

  • The Incorporation of the HIV/Aids Identity Into the Self Over Time

    Open Access•Lisa M Baumgartner•Qualitative Health Research•2007

  • The relationship of acceptance or denial of HIV-status to antiretroviral adherence among adult HIV patients in urban Botswana

    Open Access•Sara L Nam, Katherine Fielding et al.•Social Science & Medicine•2008

  • HIV disclosure and unsafe sex among HIV-infected women in Cameroon

    Open Access•Sandrine Loubière, Patrick Peretti-Watel et al.•Social Science & Medicine•2009

  • Stigma, social inequality, and HIV risk disclosure among Dominican male sex workers

    Open Access•Mark Padilla, Daniela Castellanos et al.•Social Science & Medicine•2008

  • Advocating prevention over punishment

    Patrice Sanon, Simon Kaboré et al.•Reproductive Health Matters•2009

  • Hiv-Infected Mothers' Disclosure to their Uninfected Children

    Open Access•Eric W Schrimshaw, Karolynn Siegel•Journal of Social and Personal…•2002

  • Confidentiality or continuity? Family caregivers' experiences with care for HIV/Aids patients in home-based care in Lesotho

    Open Access•Mokhantšo Makoae, Ken Jubber•SAHARA-J Journal of Social…•2008

Unique citing works127
Citations per year9,07
Citation span2012 - 2026 (15)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 116

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Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae