Disclosure Outcomes, Coping Strategies, and Life Changes Among Women Living With HIV in Uganda
Disclosure Outcomes, Coping Strategies, and Life Changes Among Women Living With HIV in Uganda
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DOI：
10.1177/1049732309353417
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发表时间：
2009-12-01
影响因子：
3.2
通讯作者：
Sweat, Michael D.
中科院分区：
文献类型：
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作者：
Medley, Amy M.;Kennedy, Caitlin E.;Sweat, Michael D.
艾滋病毒诊断是一个改变生活的事件。披露艾滋病毒检测结果可能与制定有效的应对战略有关。我们对乌干达30名艾滋病毒感染妇女进行了定性深入访谈，以探讨艾滋病毒披露和应对策略之间的联系。许多妇女经历了从最初的羞愧到最终接受的能力的演变。促进适应性应对的因素包括健康，对儿童负责，支持小组的参与，形成支持性关系，以及低感知的耻辱和歧视。艾滋病毒的披露往往是这一应对过程的第一步。总体而言，80%的妇女已经透露，大多数报告积极的结果。制定适应性应对战略和披露艾滋病毒血清状况是密切相关的，因为它们使妇女能够建立支助网络，并开始接受自己的诊断。需要制定战略，为希望披露艾滋病毒检测结果的妇女提供安全支持。
An HIV diagnosis is a life-changing event. Disclosure of HIV test results might be related to developing effective coping strategies. We conducted qualitative, in-depth interviews with 30 HIV-infected women in Uganda to explore links between HIV disclosure and coping strategies. Many women experienced an evolution in their ability to cope from initial shame to eventual acceptance. Factors that facilitated adaptive coping included being healthy, feeling responsible for children, support group participation, forming supportive relationships, and low perceived stigma and discrimination. HIV disclosure was often the first step in this coping process. Overall, 80% of the women had disclosed, with most reporting positive outcomes. Development of adaptive coping strategies and HIV serostatus disclosure are closely related, as they allow women to develop support networks and begin coming to terms with their diagnosis. Strategies are needed to safely support women who want to disclose their HIV test results.