Secrets and Silence
Agency of Young Women Managing HIV Disclosure
Bibliographic Data
| ID | 4564478 |
|---|---|
| Authors | Constance R Smackworth-Young (0000-0002-9725-7931, Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK, corresponding author), Virginia Bond (0000-0002-6815-4239, Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK), Alison Wringe (0000-0001-6939-3461, Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK) |
| Year | 2020 |
| Volume | 39 |
| Issue | 8 |
| Pages | 720-734 |
| Publication date | 2020-11-16 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Anthropology (JOURNAL) |
| Journal identifiers | ISSN: 0145-9740 • E-ISSN: 1545-5882 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/01459740.2020.1764551 |
| PMID | 32469242 |
| OpenAlex | W3007324201 |
| Language | EN |
| Citations received | 14 |
| References cited | 48 |
Drawing on a 12-month ethnography with young women living with HIV in Zambia, we explore their everyday strategies to avoid unintentional disclosure of their HIV status. Young women practiced secrecy with sexual partners, through hiding their antiretroviral therapy and using veiled language around HIV. Whilst remaining silent about their HIV status enabled them to maintain identities beyond HIV, this secrecy triggered feelings of guilt and anxiety, suggesting that their agency was "bounded" by the context of persistent stigma. These strategies to hide their HIV status question public health narratives urging disclosure, and support disclosure-counseling approaches that champions choice
Silence · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Homelessness and Social Issues
“Nothing is ever going to change if we don't start advocating for our child.”
Nurturing inclusivity among Durban University of Technology students through reflective writing
Living in the shadows
“Sick but active, tired but healthy”. Narratives of body and self living with HIV
HIV-related stigma and self-disclosure among older people living with HIV
“They are starting from ten steps back”
The Management of Social Standing
Experiences of, and motivations for, disclosing HIV to social and familial networks
(Re)sounding photographs
Cryptopolitics
Strategic In/Visibility of Turkish Egg Donors
HIV Diagnosis as Both Biographical Disruption and Biographical Reinforcement
Family imaginaries in the disclosure of a blood-borne virus
Universal HIV testing and treatment and HIV stigma reduction
The Republic of Therapy
Stigma
Outline of a Theory of Practice
Concepts of bounded agency in education, work, and the personal lives of young adults
‘She's My Sister‐In‐Law, My Visitor, My Friend’ – Challenges of Staff Identity in Home Follow‐Up in an HIV Trial in W estern K enya
A longitudinal evaluation of an intensive residential intervention (camp) for 12–16 year olds living with HIV in the UK
Managing identity impacts associated with disclosure of HIV status
Association between coping strategies, social support, and depression and anxiety symptoms among rural Ugandan women living with HIV/Aids
“It is not an easy decision on HIV, especially in Zambia”
The paradox of public HIV disclosure
Sex and secrecy
Factors influencing social self-disclosure among adolescents living with HIV in Eastern Africa
“I don't feel shy because I will be among others who are just like me…”
Navigating ‘ethics in practice’
Resilience through participation and coping-enabling social environments
Schoolchildren affected by HIV in rural South Africa
Coping with hardship through friendship
Managing stigma in adolescent HIV
Secrecy as embodied practice
The process of disclosing positive HIV status
Counselling against HIV in Africa
Revisiting the understanding of “transactional sex” in sub-Saharan Africa
Wealthy and healthy? New evidence on the relationship between wealth and HIV vulnerability in Tanzania
Stigma
Narratives of Nationhood and HIV/Aids
Lying, misery and illness
The transition to living with HIV as a chronic condition in rural Uganda
Resituating Erving Goffman
Conceptualizing Stigma
HIV and identity
Chronic illness as biographical disruption
Neither 'foolish' nor 'finished
Partial Secrets
Not Taking it Will Just be Like a Sin
Adherence and the Lie in a HIV Prevention Clinical Trial
| Unique citing works | 14 |
|---|---|
| Citations per year | 2,8 |
| Citation span | 2021 - 2026 (6) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 14 |