HIV disclosure

ART denial: Results of a home-based study to validate self-reported antiretroviral use in rural South Africa

There is increasing interest in home-based testing and treatment of HIV to expand access to treatment in sub-Saharan Africa. Such programs rely on self-reported HIV history and use of antiretroviral therapy (ART). However, the accuracy of self-reported ART use in community settings is not well described. In this study, we compared self-reported ART (SR-ART) use in a home-based survey against biological exposure to ART (BE-ART), in a population study of older adults in South Africa.

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Changes in disclosure, adherence and healthcare interactions after the introduction of immediate ART initiation: an analysis of patient experiences in Swaziland

There are concerns that immediate ART initiation (regardless of CD4 count) negatively affects HIV status disclosure, ART adherence and healthcare interactions. We assessed changes in these factors after the 'Early access to ART for all' intervention, a universal test-and-treat study in Swaziland.
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Disclosure of HIV Status Toolkit for Pediatric and Adolescent Populations

Available in French and English. The objective of this toolkit is to provide guidance on the disclosure process of an HIV status for pediatric and adolescent populations. This document contains tools for use in clinical practice to build the capacity of health care workers, caregivers, and pediatric and adolescent patients themselves in assisting with and delivering successful and informed disclosure.

HIV Disclosure Anxiety: A Systematic Review and Theoretical Synthesis

Is the resource available on the Internet?
Yes
Author
Michael Evangeli and Abigail L. Wroe

HIV disclosure can help people living with HIV to access social support, enhance antiretroviral adherence, facilitate engagement in care and reduce unprotected sex. Given interpersonal risks associated with HIV disclosure, however, anxiety about sharing one’s status is common. To investigate anxiety about HIV disclosure in HIV-positive populations, we conducted a systematic review of qualitative and quantitative studies, with 119 studies included.

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Things to Consider Before Disclosing Your HIV Status at Work

Michael Bryce, a project manager for a financial services firm, hesitated before disclosing his HIV status on Facebook—in a post that would be seen by many of his work colleagues. He had already come out as gay at work, but only a few close friends knew that he had been living with HIV for 30 years.

“After I wrote the post, I sat there for like 20 minutes, thinking, ‘Should I post it? Should I not?’ And then I finally took a deep breath, clicked, closed the laptop, and walked away,” said Bryce.

Author
Emily Newman
Source
BETA

Antiretroviral therapy availability and HIV disclosure to spouse in Rakai, Uganda: a longitudinal population-based study.

Is the resource available on the Internet?
Yes
Author
Haberlen, Sabina A.; Nakigozi, Gertrude; Gray, Ronald H.; Brahmbhatt, Heena; Ssekasanvu, Joseph; Serwadda, David; Nalugoda, Fred; Kagaayi, Joseph; Wawer, Maria.J.

A decade after the rollout of antiretroviral therapy (ART) in sub-Saharan Africa, the effects of this structural change on social aspects of HIV such as rates of HIV disclosure to partners remain largely unmeasured. We evaluated whether the introduction of ART was associated with disclosure of HIV diagnosis to spouses in Rakai, Uganda, using longitudinal, population-based data.

Conclusions:

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Disclosure of HIV serostatus among pregnant and postpartum women in sub-Saharan Africa: a systematic review

Is the resource available on the Internet?
Yes
Author
Melanie Tam, Anouk Amzel & B. Ryan Phelps

Disclosure of one's HIV status can help to improve uptake and retention in prevention of mother-to-child transmission of HIV services; yet, it remains a challenge for many women. This systematic review evaluates disclosure rates among pregnant and postpartum women in sub-Saharan Africa, timing of disclosure, and factors affecting decisions to disclose.

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