HIV testing and disclosure
A qualitative analysis of TB patients in South Africa
Bibliographic Data
| ID | 19441579 |
|---|---|
| Authors | Amrita Daftary (0000-0003-2275-3540, Toronto Public Health), Nesri Padayatchi (0000-0003-2543-9071, Centre for the AIDS Programme of Research in South Africa), Mark Padilla (0000-0002-2532-6280, Michigan Department of Health and Human Services) |
| Year | 2007 |
| Volume | 19 |
| Issue | 4 |
| Pages | 572-577 |
| Publication date | 2007-04-01 |
| Peer Reviewed | Yes |
| 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 | 10.1080/09540120701203931 |
| PMID | 17453600 |
| OpenAlex | W1970649600 |
| Language | EN |
| Citations received | 25 |
| References cited | 21 |
In South Africa, more than 60% of TB patients have HIV co-infection. Voluntary counseling and testing (VCT) is critical to effective HIV prevention, and TB facilities are optimal venues for delivery of these services. This study employed qualitative research methods to explore the decision-making processes for HIV testing and serostatus disclosure by 21 patients hospitalized with multi/extensively-drug resistant TB (M/XDR-TB) in Durban, KwaZulu Natal. Data collected from in-depth interviews characterized 3 broad themes: HIV testing history, experiences and perceptions of stigma and disclosure, and the relationship between TB and HIV/AIDS. Fear of AIDS-related stigma, the singular stress of TB infection, the absence of partner's consent, asymptomatic or incurable disease, and uncertainty about subsequent eligibility for antiretroviral treatment while still receiving TB treatment were identified as potential barriers to the uptake of VCT. HIV serostatus disclosure was impeded by the felt stigma of a 'discreditable' infection, manifested by social rejection and discrimination. The public disclosure of TB illness helped relieve some co-infected patients' overall burden of stigma through a process of 'covering'. HIV prevention [corrected] measures such as VCTare likely to be more effective within TB facilities if greater sensitivity is paid to TB patients' specific social issues and perceptions. These patients are not only at greater risk for HIV co-infection but also for experiencing the double stigma of TB and HIV/AIDS
Family medicine · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Psychology · Tuberculosis Research and Epidemiology · Virology
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Revealing Truth through Diagnostics
Disclosure of HIV status
Scaling up stigma? The effects of antiretroviral roll-out on stigma and HIV testing. Early evidence from rural Tanzania
Education and vulnerability
HIV Stigma and Missed Medications in HIV-Positive People in Five African Countries
A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa
Knowledge of tuberculosis (TB) and human immunodeficiency virus (HIV) and perception about provider initiated HIV testing and counselling among TB patients attending health facilities in Harar town, Eastern Ethiopia
Stigma associated with tuberculosis in a time of HIV/ Aids
TB/HIV-related training, knowledge and attitudes of community health workers in the Free State province, South Africa
Delays in presenting for tuberculosis treatment associated with fear of learning one is HIV-positive
Stigma and Time
Identity management in the face of HIV and intersecting stigmas
“I was scared dating… who would take me with my status?”—Living with HIV in the era of UTT and U = U
How patients navigate the diagnostic ecosystem in a fragmented health system
"Just like fever"
Disclosure of HIV status between spouses in rural Malawi
Social constraints to TB/HIV healthcare
Prevalence, patterns, and correlates of HIV disclosure among TB-HIV patients initiating antiretroviral therapy in Lesotho
Optimism, well-being, and perceived stigma in individuals living with HIV
Tuberculosis and human immunodeficiency virus
“I did not see a need to get tested before, everything was going well with my health”
Drinking, Smoking, and Morality
When I get better I will do the test
HIV and tuberculosis
The Growing Burden of Tuberculosis
Stigma and disease
HIV testing attitudes, Aids stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa
Stigma
Voluntary HIV Counseling and Testing
Knowledge and acceptability of Haart among TB patients in Durban, South Africa
Traditional beliefs about the cause of Aids and Aids-related stigma in South Africa
Introduction of voluntary counselling and rapid testing for HIV in rural South Africa
Attitudes to HIV voluntary counselling and testing among mineworkers in South Africa
Doubting the existence of Aids
HIV/Aids and ‘othering’ in South Africa
I Have an Evil Child at My House”
Conducting Focus Groups in Developing Countries
Tuberculosis in the Western Cape health region of South Africa
Three Approaches to Qualitative Content Analysis
| Unique citing works | 25 |
|---|---|
| Citations per year | 1,32 |
| Citation span | 2007 - 2025 (19) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 22 |