A mixed methods exploration of HIV and drug use disclosure in healthcare settings among HIV-positive women who inject drugs in Ukraine
Bibliographic Data
| ID | 19439211 |
|---|---|
| Authors | Julia Burlaka (0000-0002-7053-8178, Johns Hopkins Bloomberg School of Public Health, corresponding author), Shannon Fuller (0000-0001-6070-8172, Johns Hopkins Bloomberg School of Public Health), Karin Tobin (0000-0003-1000-979X, Johns Hopkins Bloomberg School of Public Health), Melissa Davey-Rothwell (0000-0002-8483-9297, Johns Hopkins Bloomberg School of Public Health), Tetiana Kiriazova (0000-0002-8480-6591, Ukrainian Institute of Public Health Policy), J Owczarzak (0000-0003-2380-5533, Johns Hopkins Bloomberg School of Public Health) |
| Year | 2025 |
| Volume | 37 |
| Issue | 2 |
| Pages | 218-225 |
| Publication date | 2025-02-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2024.2414068 |
| PMID | 39715457 |
| OpenAlex | W4405711170 |
| Language | EN |
| Citations received | 1 |
| References cited | 30 |
Disclosing one's HIV status or drug use in healthcare settings has significant implications for public and individual health. It is related to reduced occupational risk of infection for medical providers, improved care, reduction in disease transmission, and other clinical benefits for patients. However, disclosure can be challenging and problematic due to its discrediting aspects. We explored HIV and drug use disclosure experiences in clinical settings among Ukrainian women who live with HIV (WLWH) and inject drugs. This study was conducted in Kyiv, Ukraine. 309 surveys were completed between December 2019 and November 2020, followed by qualitative in-depth interviews with 18 participants. Some women in our study believed that disclosing their status ensured optimal medical care and necessary precautions by providers (e.g., sterilizing equipment). Other participants said they did not disclose after experiencing mistreatment in healthcare settings in the past. Still others utilized alternative strategies to disclose, such as using indirect language or cautiously informing about a less stigmatizing condition such as hepatitis. Clinical implications include training women who live with HIV to use communication skills to support disclosure in healthcare settings, taking into consideration consequences of disclosure to medical professionals to increase women's self-efficacy around this process
Family medicine · Health care · Qualitative research · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Sex work and related issues
Basics of qualitative research
Perceptions of Stigma and Discrimination in Health Care Settings Towards Sub-Saharan African Migrant Women Living With Hiv/Aids in Belgium
Strategies used by people who inject drugs to avoid stigma in healthcare settings
Using the framework method for the analysis of qualitative data in multi-disciplinary health research
Managing identity impacts associated with disclosure of HIV status
HIV disclosure in rural China
HIV disclosure among adults living with HIV
HIV Stigma Mechanisms and Well-Being Among PLWH
The Relationship Between Intersectional Drug Use and HIV Stigma and HIV Care Engagement Among Women Living with HIV in Ukraine
Factors Associated with Non-disclosure of HIV Status in a Cohort of Childbearing HIV-Positive Women in Ukraine
Non-disclosure of drug use in outpatient health care settings
Facilitating HIV Disclosure Across Diverse Settings
Dentistry and HIV/Aids related stigma
Intercoder Agreement in Analysis of Responses to Open-Ended Interview Questions
Research Design
You're nobody without a piece of paper
| Citations per year | 1 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |