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If, when and how to tell

A qualitative study of HIV disclosure among young women in Zimbabwe

Bibliographic Data

ID4758684
AuthorsSophia Zamudio-Haa, Sophia Zamudio‐haa (0000-0001-7043-2413, University of California, Berkeley), Imelda Mudekunye-Mahaka (University of Zimbabwe), Barrot H Lambdin (0000-0001-8546-0126, Pangaea Global AIDS Foundation), Megan S Dunbar (0000-0001-9250-5126, Pangaea Global AIDS Foundation)
Year2012
Volume20
Issuesup39
Pages18-26
Publication date2012-01-01
Open AccessNo
TypeARTICLE
VenueReproductive Health Matters (JOURNAL)
Journal identifiersISSN: 0968-8080 • E-ISSN: 1460-9576
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1016/s0968-8080(12)39637-7
PMID23177677
OpenAlexW2071003204
LanguageEN
Citations received9
References cited11

In the Shona culture of Zimbabwe, a high regard for childbearing contributes to strong pressures on women to have children. For young women living with HIV, consequently, disclosure of HIV status can be a central strategy to garner support for controlling fertility. This paper reports findings from qualitative interviews with 28 young women aged 16-20 living with HIV in urban Zimbabwe and discusses how these findings can contribute to better policies and programs for this population. Regardless of their current relationship status, interview participants described disclosure as a turning point in romantic partnerships, recounting stressful experiences with major ramifications such as abuse and abandonment on the one hand, and support and love on the other. All but one participant had been in a committed relationship, and most had disclosed to a previous or current partner, with about half of disclosure experiences resulting in adverse reactions. Findings suggest that sexual and reproductive health services must do more to help young women living with HIV negotiate the complexities of disclosure in the context of achieving desired fertility

Environmental health · Fertility · Geography · Negotiation · Population · Qualitative research · Reproductive health · Shona · Sociology · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare · Psychology · Social Psychology

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  • Application of an ecological framework to examine barriers to the adoption of safer conception strategies by HIV-affected couples

    Haneefa T Saleem, Pamela J Surkan et al.•AIDS Care•2016

  • Mental health and other clinical and social characteristics of young mothers living with HIV in Zimbabwe

    Open Access•Z Mupambireyi, Victoria Simms et al.•AIDS Care•2025

  • Sex and secrecy

    Open Access•Elona Toska, Lucie D Cluver et al.•AIDS Care•2015

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    Open Access•Ria Mukerji, David Osrin et al.•AIDS Care•2023

  • Disclosure of HIV status to sex partners and sexual risk behaviours among HIV-positive men and women, Cape Town, South Africa

    Leickness C Simbayi, S C Kalichman et al.•Sexually Transmitted Infections•2006

  • To tell or not to tell

    Maretha J Visser, Maretha Visser et al.•AIDS Care•2008

  • HIV disclosure patterns, predictors, and psychosocial correlates among HIV positive women in Zimbabwe

    Rena C Patel, Rena Patel et al.•AIDS Care•2012

  • Perceptions of HIV and Fertility Among Adolescents in Soweto, South Africa

    Open Access•Jamie I Forrest, Angela Kaida et al.•AIDS and Behavior•2009

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    Open Access•Kathleen M Macqueen, Eleanor Mclellan et al.•CAM Journal•1998

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Citations per year0.75
Citation span2014 - 2026 (13)
Highly citedNo

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