To tell or not to tell: South African women's disclosure of HIV status during pregnancy

被引:83
作者
Visser, Maretha J. [1 ]
Neufeld, Sharon [2 ]
de Villiers, Annelize [3 ]
Makin, Jennifer D. [4 ]
Forsyth, Brian W. C. [2 ]
机构
[1] Univ Pretoria, Dept Psychol, ZA-0002 Pretoria, South Africa
[2] Yale Univ, Ctr Interdisciplinary Res AIDS, New Haven, CT USA
[3] Univ Pretoria, Serithi Project, ZA-0002 Pretoria, South Africa
[4] Univ Pretoria, Dept Obstet & Gynaecol, ZA-0002 Pretoria, South Africa
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2008年 / 20卷 / 09期
关键词
disclosure; pregnant women; qualitative research; HIV plus women in Africa;
D O I
10.1080/09540120701842779
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
HIV-positive pregnant women often do not disclose their serostatus to their partners, family and friends, creating potential barriers to preventing sexual transmission to partners and mother-to-child transmission through breastfeeding. This research explores recently diagnosed HIV-positive pregnant women's reasons for disclosure and non-disclosure of serostatus to various members of their social networks, as well as the consequences of their disclosure. Data were collected through open-ended questions as part of a semi-structured interview with 293 recently diagnosed HIV-positive pregnant women recruited from antenatal clinics in two townships in Tshwane, South Africa. A content analysis of responses showed that women weighed fear of abandonment and discrimination against their desire to raise risk awareness and their need for support. Partners most often responded to disclosure with disbelief and shock, whereas parents frequently exhibited emotional distress, but were still supportive, as were other relatives and friends. The women subsequently experienced low levels of adverse consequences after disclosure. The results can assist healthcare providers in understanding the complexity of pregnant women's decisions to disclose to various members of their social networks and emphasize the need for continued counselling and support.
引用
收藏
页码:1138 / 1145
页数:8
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