Strategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories.

TitleStrategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories.
Publication TypePublication
Year of Publication2013
AuthorsClum GA, Czaplicki L, Andrinopoulos K, Muessig K, Hamvas L, Ellen JM
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalAIDS Patient Care STDS
Volume27
Issue3
Pagination191-200
Date Published2013 Mar
ISSN1557-7449
KeywordsAdolescent, Adult, Child Abuse, Sexual, Condoms, Female, HIV Infections, Humans, Interviews as Topic, Qualitative Research, Risk-Taking, Sexual Behavior, Sexual Partners, Social Stigma, Stress Disorders, Post-Traumatic, Surveys and Questionnaires, Truth Disclosure, Young Adult
Abstract

<p>Young women with HIV and histories of physical and/or sexual abuse in childhood may be vulnerable to difficulties with disclosure to sexual partners. Abuse in childhood is highly prevalent in HIV-positive women, and has been associated with poorer communication, low assertiveness, low self worth, and increased risk for sexual and other risk behaviors that increase the risk of secondary transmission of HIV. HIV disclosure may be an important link between abuse and sexual risk behaviors. Qualitative interviews with 40 HIV-positive young women with childhood physical and/or sexual abuse were conducted; some women had also experienced adult victimization. Results suggest that HIV-positive women with abuse histories use a host of strategies to deal with disclosure of HIV status, including delaying disclosure, assessing hypothetical responses of partners, and determining appropriate stages in a relationship to disclose. Stigma was an important theme related to disclosure. We discuss how these disclosure processes impact sexual behavior and relationships and discuss intervention opportunities based on our findings.</p>

Alternate JournalAIDS Patient Care STDS
PubMed ID23596649
PubMed Central IDPMC3595953
Grant ListU01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
5-K01MH070278 / MH / NIMH NIH HHS / United States
U01 HD40533 / HD / NICHD NIH HHS / United States