Management of HIV-related stigma and adherence to Haart

Evidence from a large representative sample of outpatients attending French hospitals (ANRS-EN12-Vespa 2003)

Bibliographic Data

ID19039779
AuthorsPatrick Peretti-Watel (0000-0002-4675-0478, Institut Paoli-Calmettes, corresponding author), Bruno Spire (0000-0002-3546-8020, Institut Paoli-Calmettes), Janine Pierret (Centre de Recherche Médecine, Sciences, Santé, Santé Mentale, Société), F Lert (d Health and Medical Research National Institute, Research Unit 88 , Paris , France), Yolande Obadia (Institut Paoli-Calmettes), The VESPA Group
Year2006
Volume18
Issue3
Pages254-261
Publication date2006-03-21
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/09540120500456193
PMID16546787
OpenAlexW2088245598
LanguageEN
Citations received29
References cited22

This study investigated patterns of HIV disclosure to significant others (parents, siblings, children, other relatives, friends and colleagues) and describe them in terms of socio-demographic background and other characteristics, including experiences of AIDS-related discrimination. It also assessed the relationship between disclosure patterns and adherence to HAART. We used a cross-sectional survey conducted among a national representative sample of 2,932 HIV-infected people recruited in French hospitals. HIV disclosure patterns were both selective and cumulative: disclosure was more frequent for friends and siblings, while concealment prevailed concerning children, other relatives, and colleagues; but patients who disclosed their seropositivity to one significant other were also more likely to disclose it to other significant others. Patients reporting experiences of discrimination from sexual partners were less likely to be highly adherent, and we also found a significant relationship between uncontrolled disclosure and non-adherence. Patients who have opted for concealment probably consider non-adherence and uncontrolled disclosure as competing risks, but among them a significant minority loses on both counts. Counselling provided to HIV-infected people should not separate the adherence and disclosure issues, and adherence interventions should seek to help patients to manage concurrently disclosure/concealment of their seropositivity and its consequences

Family medicine · Psychiatry · HIV-related health complications and treatments · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine

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