TabMenu

Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

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 TypeJournal Article
Year of Publication2013
AuthorsClum, GA, Czaplicki, L, Andrinopoulos, K, Muessig, K, Hamvas, L, Ellen, JM
JournalAIDS Patient Care and STDS
Volume27
Pagination191-200
Date PublishedMar
ISBN Number1557-7449 (Electronic)1087-2914 (Linking)
Accession Number23596649
KeywordsAdolescent, Adult, Child Abuse, Sexual/ psychology, Condoms/utilization, Female, HIV Infections/diagnosis/ psychology, Humans, Interviews as Topic, Qualitative Research, Questionnaires, Risk-Taking, Sexual and Reproductive Health, Sexual Behavior/psychology, Sexual Partners, Social Stigma, Stress Disorders, Post-Traumatic/psychology, Truth Disclosure, Young Adult
Abstract

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.

PMCID

PMC3595953