Older Adolescents’ Self-Determined Motivations to Disclose Their HIV Status

Gillard, Ann; Roark, Mark F.

doi:10.1007/s10826-012-9620-2

Cited by 13 publications

(15 citation statements)

References 43 publications

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“…No interventions assisting youth with self‐disclosure has been assessed in the literature (Thoth, Tucker, Leahy, & Stewart, ). Gillard and Roark () suggest that motivations for disclosing one's status to others may be self‐determined, such as disclosing to deepen a relationship or increase support, or not, as in the case of feeling pressured into disclosure. Understanding motivations may allow providers to better support adolescents in this decision.…”

Section: Discussionmentioning

confidence: 99%

Predictors of mental health problems in adolescents living with HIV in Namibia

Gentz

Romano

Martínez-Arias

et al. 2017

Child Adoles Ment Health

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Background Little research in sub‐Saharan Africa has looked at factors that predict mental health problems in adolescents living with HIV (ALHIV). This study examines the psychological impact of HIV in adolescents in Namibia, including risk and protective factors associated with mental health. Methods Ninety‐nine fully disclosed ALHIV between the ages of 12 and 18 were interviewed at a State Hospital in Windhoek. A structured questionnaire assessed mental health, using the SDQ (Goodman, 1997), sociodemographic factors, poverty, social support, adherence and stigma. Results Mean age was 14.3 years, 52.5% were female and most were healthy. Twelve percent scored in the clinical range for total mental health difficulties and 22% for emotional symptoms. Poverty was associated with more total mental health difficulties, t(96) = −2.63, p = .010, and more emotional symptoms, t(96) = −3.45, p = .001, whereas better social support was a protective factor, particularly caregiver support (r = −.337, p = .001). Adherence problems, HIV‐related stigma and disclosing one's own HIV status to others were also associated with more total mental health difficulties. Poverty (β = −.231, p = .023) and stigma (β = .268, p = .009) were the best predictors for total mental health difficulties, whereas stigma (β = .314, p = .002) predicted emotional symptoms. Social support had a protective effect on peer problems (p = .001, β = −.349). Conclusions Several contextual factors associated with poorer mental health in ALHIV are identified.

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Section: Discussionmentioning

confidence: 99%

Predictors of mental health problems in adolescents living with HIV in Namibia

Gentz

Romano

Martínez-Arias

et al. 2017

Child Adoles Ment Health

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“…Low mood, affecting self-efficacy (Bandura, 1998), may adversely affect disclosure intentions. Finally, values such as honesty, trust in relationships, family openness, protection of children, being close to others and being in control may be important, with these higher order goals influencing moral normative disclosure beliefs (Ewart, 1991; Gillard & Roark, 2013). …”

Section: A New Model Of Paediatric Hiv Disclosurementioning

confidence: 99%

“…To increase disclosure rates, caregiver satisfaction with the disclosure process and positive child outcomes, there may be a role for modelling to increase self-efficacy (Bandura, 1998; Gillard & Roark, 2013), motivational interviewing to sensitively address ambivalence (Miller & Rollnick, 2009), and health system interventions to enhance support. Some paediatric HIV disclosure interventions have been developed (Blasini et al, 2004b; Boon-Yasidhi et al, 2013; Cantrell, Patel, Mandrell, & Grissom, 2013; Nicastro et al, 2013; O’Malley et al, 2015), although with limited grounding in theory and an absence of comprehensive evaluation.…”

Section: Practice Implicationsmentioning

confidence: 99%

A model of caregiver paediatric HIV disclosure decision-making

Evangeli

Kagee

2015

Psychology, Health & Medicine

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Many of the over 3 million HIV-positive children will only be told of their status as adolescents. Knowing one’s status may increase treatment adherence, reduce onward HIV transmission, increase trust in caregivers, and maximise available support. Yet deciding whether, what, how, and when to tell HIV-positive children about their condition, is challenging for caregivers. We systematically review HIV disclosure theories before presenting a process model of caregiver paediatric HIV disclosure decision-making. The model, consisting of both a pre-intention and a post-intention stage, integrates individual and contextual determinants. It aims to be situationally-specific, broadly applicable, and consistent with the empirical literature. Research and practice implications are discussed.

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“…Terdapat tiga bentuk motivasi bagi individu dengan HIV untuk mengungkap statusnya, yakni amotivation, controlled, dan autonomous motivation (Gillard & Roark, 2009). Penelitian ini menemukan bahwa bentuk motivasi yang dimiliki oleh ibu rumah tangga dengan HIV positif adalah autonomous motivation.…”

Section: Tahap Persahabatanunclassified

“…Penelitian ini menemukan bahwa bentuk motivasi yang dimiliki oleh ibu rumah tangga dengan HIV positif adalah autonomous motivation. Autonomous motivation merupakan kondisi individu secara objektif dan memiliki nilai untuk mendidik lingkungannya yang berpengaruh secara positif terhadap psychological well-being (Gillard & Roark, 2009). Keterbukaan ibu rumah tangga terkait status HIV positif bertujuan untuk mengedukasi masyarakat tentang HIV-AIDS, sehingga lebih lanjut dapat menghapuskan stigma dan diskriminasi pada individu dengan HIV-AIDS.…”

Section: Tahap Persahabatanunclassified

Proses Grieving Dan Penerimaan Diri Pada Ibu Rumah Tangga Berstatus Hiv Positif Yang Tertular Melalui Suaminya

Yunita¹,

Lestari²

2018

JPU

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Salah satu permasalahan kesehatan yang menjadi perbincangan di dunia adalah HIV-AIDS. Hingga tahun 2013 terdapat 35 juta orang dengan HIV di seluruh dunia (UNAIDS, 2014). Populasi yang berisiko tinggi dalam penularan HIV-AIDS di Indonesia yakni, pengguna narkoba suntik, wanita pekerja seks, dan laki-laki yang berhubungan seks dengan sesama laki-laki (UNAIDS, 2009). Memasuki tahun 2010, terjadi peningkatan jumlah infeksi HIV-AIDS pada kelompok ibu rumah tangga (Kemenkes RI, 2013). Menurut Dalimoenthe (2011) ibu rumah tangga terjangkit HIV dari suami yang melakukan penyimpangan sosial, baik karena seringnya berganti-ganti pasangan seks atau penggunaan narkoba suntik. Tertular HIV dapat menyebabkan timbulnya berbagai kesulitan yang berhubungan dengan harga diri, isolasi sosial, dan kurangnya kesejahteraan psikologis (Asante, 2012). Peters (2013) menemukan kondisi grivieng wajar terjadi pada individu dengan HIV. Maciejewski, Zhang, Block, dan Prigerson (2007) menemukan bahwa penerimaan diri dapat meningkat apabila kondisi grieving menurun. Berdasarkan hal tersebut, peneliti ingin mengetahui proses grieving dan penerimaan diri pada ibu rumah tangga berstatus HIV positif yang tertular melalui suaminya. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi, menggunakan responden sebanyak 5 orang ibu rumah tangga yang berstatus HIV positif yang tertular dari suaminya. Teknik pengumpulan data menggunakan wawancara, FGD, dan observasi. Hasil penelitian memperlihatkan bahwa proses grieving yang dilalui meliputi tahapan penolakan, kemarahan, tawar-menawar, depresi, dan penerimaan. Terdapat dua bentuk penerimaan, yakni penerimaan negatif dan penerimaan positif. Ketika ibu rumah tangga mengembangkan bentuk penerimaan secara positif, akan berlanjut menuju proses penerimaan diri yang pada akhirnya membentuk self-compassion dan self-disclosure. Kata kunci : grieving, penerimaan diri, ibu rumah tangga, HIV

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Older Adolescents’ Self-Determined Motivations to Disclose Their HIV Status

Cited by 13 publications

References 43 publications

Predictors of mental health problems in adolescents living with HIV in Namibia

Predictors of mental health problems in adolescents living with HIV in Namibia

A model of caregiver paediatric HIV disclosure decision-making

Proses Grieving Dan Penerimaan Diri Pada Ibu Rumah Tangga Berstatus Hiv Positif Yang Tertular Melalui Suaminya

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