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Complexities of HIV Disclosure in Patients Newly Entering HIV Care: A Qualitative Analysis.

Title: Complexities of HIV Disclosure in Patients Newly Entering HIV Care: A Qualitative Analysis.
Authors: Chapman Lambert, Crystal; Tarver, Will L; Musoke, Pamela L; Stringer, Kristi L; Whitfield, Samantha; Turan, Bulent; Modi, Riddhi; Mugavero, Michael J; Fredericksen, Rob J; Weiser, Sheri; Johnson, Mallory O; Turan, Janet M
Source: Journal of the Association of Nurses in AIDS Care, vol 31, iss 2
Publisher Information: eScholarship, University of California
Publication Year: 2020
Collection: University of California: eScholarship
Subject Terms: Health Services and Systems; Nursing; Health Sciences; Sexually Transmitted Infections; Clinical Research; Prevention; Pediatric AIDS; Behavioral and Social Science; Pediatric; Infectious Diseases; HIV/AIDS; 7.1 Individual care needs; Infection; Good Health and Well Being; AIDS Serodiagnosis; Adult; Anti-Retroviral Agents; Antiretroviral Therapy; Highly Active; Discrimination; Psychological; Fear; Female; HIV Infections; Humans; Interviews as Topic; Male; Prejudice; Qualitative Research; Self Disclosure
Subject Geographic: 208 - 218
Description: The role of HIV disclosure and its influence on engagement in HIV care after initial linkage to care is not well understood. We conducted 28 in-depth interviews with patients newly entering HIV care. Gaining access to social support was a key reason that many patients disclosed their HIV status. For some, HIV disclosure improved support networks related to engagement in care at the time of care entry, in the form of appointment reminders, emotional support, and confidence to disclose more widely. However, some participants cited anticipated stigma as a barrier to disclosure, as they feared rejection or further disclosure without their permission. Early access to social support and skill building related to stigma reduction and coping can be useful resources to help patients manage HIV, as they initiate care. In addition, incorporating support for smart disclosure decisions into interventions may improve access to social support, ultimately improving engagement in care.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: qt1772451f; https://escholarship.org/uc/item/1772451f; https://escholarship.org/content/qt1772451f/qt1772451f.pdf
DOI: 10.1097/jnc.0000000000000127
Availability: https://escholarship.org/uc/item/1772451f; https://escholarship.org/content/qt1772451f/qt1772451f.pdf; https://doi.org/10.1097/jnc.0000000000000127
Rights: public
Accession Number: edsbas.FBAEF97D
Database: BASE