Swipe om te navigeren naar een ander artikel
Self-disclosure of serostatus by youth who are HIV-positive has been considered an important objective for preventing transmission and can have positive outcomes including enhancement of social support. This paper reviews the literature on self-disclosure. Several findings are consistent with the literature in adults, including the influence of gender, lower likelihood of disclosure in casual sexual relationships, and the identified barriers of rejection and stigma. Important areas of difference include youth’s expressed needs for communication skills and the significant role of the family in influencing the decision to disclose. The findings raise questions about the relationship between disclosure and safe sexual practices in adolescents and moderate the concept of universal psychological gain from disclosure. The implications from the findings are reviewed, including the individual balance of risk versus benefit, practitioner strategies that might influence this balance and enhance the likelihood of positive outcomes following disclosure, and future research directions are discussed.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Adejumo, A. O. (2011). Perceived HIV stigmatization, HIV/AIDS cognition and personality as correlates of HIV self-disclosure among people living in Ibadan, Nigeria. Gender & Behavior, 9, 3854–3869.
Centers for Disease Control. (2007). CDC surveillance report. CDC Website http://www.cdc.gov/hiv/topics/surveillance/resources/slides/adolescents/index.htm. Accessed 25 March 2012.
Centers for Disease Control. (2012). HIV in the United States: At a glance. CDC website http://www.cdc.gov/hiv/resources/factsheets/PDF/HIV_at_a_glance.pdf. Accessed 25 March 2012.
Christianson, M., Lalos, A., & Johansson, E. E. (2008). The law of communicable diseases act and disclosure to sexual partners among HIV-positive youth. Vulnerable Children and Youth Studies, 3, 234–242. CrossRef
Ciccarone, D. H., Kanouse, D. E., Collins, R. L., Miu, A., Chen, J. L., Morton, S. C., et al. (2003). Sex without disclosure of positive HIV serostatus in a US probability sample of persons receiving medical care for HIV infection. American Journal of Public Health, 93, 949–954. PubMedCentralPubMedCrossRef
Fernet, M., Wong, K., Richard, M., Otis, J., Levy, J. J., Lapointe, N., et al. (2011). Romantic relationships and sexual activities of the first generation of youth living with HIV since birth. AIDS Care, 23, 293–300. CrossRef
Geary, M. K., King, G., & Forsberg, A. D. (1996). Issues of disclosure and condom use in adolescents with hemophilia and HIV. Hemophilia behavioral evaluative intervention project staff. Pediatric AIDS and HIV Infection, 7, 418–423. PubMed
Glick, S. N., & Golden, M. R. (2010). Persistence of racial differences in attitudes towards homosexuality in the United States. Journal of Acquired Immunodeficiency Syndromes, 55, 516–523. CrossRef
Holstad, M.M., Diiorio, C., Kelley, M.E., Resnicow, K., & Sharma, S. (2010). Group motivational interviewing to promote adherence to antiretroviral medications and risk reduction behaviors in HIV infected women. AIDS Behavior. Retrieved from www.ncbi.nlm.nih.gov/pubmed.
Hosek, S. G., Harper, G. W., & Domanico, R. (2000). Psychological and social difficulties of adolescents living with HIV: A qualitative analysis. Journal of Sex Education and Therapy, 25, 269–276.
Lee, M., Rotheram-Borus, M., & O’Hara, P. (1999). Disclosure of serostatus among youth living with HIV. AIDS and Behavior, 3, 33–40. CrossRef
Mayfield, A. E., Rice, D., Flannery, D., & Rotheram-Borus, M. J. (2008). HIV disclosure among adults living with HIV. AIDS Care, 20, 80–92. CrossRef
Mellins, C. A., Brackis-Cott, E., Dolezal, C., & Abrams, E. J. (2004). The role of psychosocial and family factors in adherence to antiretroviral treatment in human immunodeficiency virus-infected children. He Peiatric Infectious Disease Journal, 23, 1035–1041. CrossRef
National Alliance of State and Territorial AIDS Directors (NASTAD). (2011). Understanding state departments of health and corrections collaboration: a summary of survey findings— part II and strategic guidance towards ending criminalization- related stigma and discrimination. Washington, D.C.: NASTAD. Retrieved January 6, 2012 from http://www.nastad.org/Docs/021036_NASTAD%20Decriminalization%20Packet.pdf.
O’Brien, M. E., Richardson-Alston, G., Ayoub, M., Magnus, M., Peterman, T. A., & Kissinger, P. (2003). Prevalence and correlates of HIV serostatus disclosure. Sexually Transmitted Diseases, 3, 731–735. CrossRef
Parsons, J. T., Butler, R., Kocik, S., Norman, L., & Nuss, R. (1998). The role of the family system in HIV risk reduction: youths with hemophilia and HIV infection and their parents. Adolescent hemophilia behavioral intervention evaluation project (HBIEP) study group. Journal of Pediatric Psychology, 23, 57–65. PubMedCrossRef
Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162–166. CrossRef
Pennebaker, J. W., Barger, S. D., & Tiebut, J. (1989). Disclosure of traumas and health among Holocaust survivors. Psychosomatic Medicine, 51, 577–589. PubMed
Pugatch, D., Bennett, L., & Patterson, D. (2002). HIV medication adherence in adolescents: A qualitative study. Journal of HIV/AIDS Prevention & Education for Adolescents & Children, 5, 9–29. CrossRef
Rongkavilit, C., Naar-King, S., Chuenyam, T., Wang, B., Wright, K., & Phanuphak, P. (2007). Health risk behaviors among HIV-infected youth in Bangkok. Thailand. Journal of Adolescent Health, 40, e1–e8.
Schackman, B. R., Gebo, K. A., Walensky, R. P., Losina, E., Muccio, T., Sax, P. E., et al. (2007). The lifetime cost of current human immunodeficiency virus care in the United States. Medical Care, 14, 990–997.
Sherman, B. F., Bonanno, G. A., Wiener, L. S., & Battles, H. B. (2000). When children tell their friends they have AIDS: Possible consequences for psychological well-being and disease progression. Psychosomatic Medicine, 62, 238–247. PubMed
Simoni, J. M., Demas, P., Mason, H., Drossman, J. A., & Davis, M. L. (2000). HIV disclosure among women of African descent: Associations with coping, social support, and psychological adaptation. AIDS and Behavior, 4, 147–158. CrossRef
Travers, R., & Paoletti, D. (1999). Responding to the support needs of HIV positive lesbian, gay and bisexual youth. Canadian Journal of Human Sexuality, 4, 271–283.
UNAIDS. (2008) Report on the Global AIDS Epidemic. http://www.unaids.org/report.html. Accessed 1 June 2010.
Wise, D. L. (2008). Criminal penalties for non- disclosure of HIV- positive status: Effects on HIV testing rates and incidence. (PhD Dissertation), University of Missouri, Kansas City.
World Health Organization. (2003). Gender dimensions of HIV status disclosure to sexual partners: rates barriers and outcomes. http://www.who.int/gender/documents/en/genderdimensions.pdf. Accessed 10 June 2010.
- Self-disclosure of serostatus by youth who are HIV-positive: a review
Candace A. Thoth
Sunita M. Stewart
- Springer US