To tell or not to tell: Men's disclosure of their HIV‐positive status to their mothers<sup>*</sup>

Shehan, Constance L.; Uphold, Constance R.; Bradshaw, Patrick T.; Bender, Joyce; Arce, Natalie; Bender, Bradley S.

doi:10.1111/j.0197-6664.2005.00015.x

Cited by 20 publications

(11 citation statements)

References 38 publications

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“…20 Limited evidence suggested that older patients disclosed to fewer family members than their younger counterparts. These findings support previous research by Nokes et al, 63 Shehan et al, 64 Emlet, 57 and Galvan et al 58 in Western settings, and Akani et al 65 and Bouillon et al 29 in resource-limited settings. Second, and more importantly, our results revealed a strong positive association between community support and disclosure to family members.…”

Section: Discussionsupporting

confidence: 89%

Community Support and Disclosure of HIV Serostatus to Family Members by Public-Sector Antiretroviral Treatment Patients in the Free State Province of South Africa

Wouters

Loon

Rensburg

et al. 2009

AIDS Patient Care and STDs

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Recent studies have indicated that the support of close relatives is fundamental in coping with HIV/AIDS and in accessing the emotional and material support necessary for sustained adherence to treatment. Because disclosure to family members is imperative to ensure their support, identifying tools or resources that can minimize the possible risks and maximize the potential benefits of disclosure should be useful in improving the lives of people living with HIV/AIDS. Where health systems require strengthening, engaging the community in HIV/AIDS care could potentially create an environment that encourages disclosure to family members. This study investigated the impact of community support initiatives (community health workers and treatment support groups), patient characteristics (age, gender, and education), and time since first diagnosis on the disclosure of serostatus to family members by a sample of 268 public-sector antiretroviral treatment patients in a province of South Africa between August 2004 and July 2007. Whereas gender, age, and education only weakly influenced disclosure, there was a strong and stable positive association between community support and disclosure to family members. The immediate and long-term impact of community support on the disclosure by seropositive patients to family members indicates that initiatives such as community health workers and HIV support groups run by people living with HIV/AIDS should be strengthened, especially for those patients who cannot disclose their status to immediate family and close friends.

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Section: Discussionsupporting

confidence: 89%

Community Support and Disclosure of HIV Serostatus to Family Members by Public-Sector Antiretroviral Treatment Patients in the Free State Province of South Africa

Wouters

Loon

Rensburg

et al. 2009

AIDS Patient Care and STDs

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show abstract

“…Similar research findings showed that men with a higher severity of HIV/AIDS symptoms were more likely to disclose to their mothers after they were unable to conceal the symptoms [37]. Also, highly educated men were found less likely to disclose, which indicated possible higher levels of coping skills and an unwillingness to worry their family members.…”

Section: Experiences Of Disclosure In Mensupporting

confidence: 58%

Untitled

2017

ACRS

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“…While age was included in their analysis, there was no specific exploration of disclosure practices between younger and older men. Shehan and colleagues 19 studied 166 HIV-seropositive men ages 20-70 and the patterns of disclosure to their mothers. They found older men signifi-cantly less likely than younger men to inform their mother.…”

Section: Stigma and Disclosure In Older Adultsmentioning

confidence: 99%

“…18 By limiting the disclosure of one's HIV status, the possibility of facing stigma and discrimination is thereby controlled. As Shehan and colleagues 19 have suggested, the power of the stigma associated with HIV may override the need for support.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of HIV Stigma and Disclosure Patterns Between Older and Younger Adults Living with HIV/AIDS

Emlet

2006

AIDS Patient Care and STDs

175

122

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The purpose of this study was to examine the relationships between age, HIV-related stigma, and patterns of disclosure. Previous literature has suggested that older age is associated with increased HIV stigma and less disclosure of HIV status. Eighty-eight individuals, 44 between the ages of 20-39 and 44 aged 50 and over were recruited for the study through an AIDS service organization in the Pacific Northwest. Subjects in each group were matched as closely as possible by gender, ethnicity, HIV exposure and diagnosis. In a comparison of sociodemographic characteristics, older adults (50+) were significantly more likely to live alone, and to be retired. Younger adults were significantly more likely to be never married/ partnered, unemployed and be recipients of Medicaid. Bivariate analysis revealed no significant differences in overall stigma scores between groups; however, younger adults were more likely to fear losing their job because of HIV. Older adults were less likely to disclose HIV to relatives, partners, mental health workers, neighbors, and church members than those 20-39 years of age. Pearson product moment correlations found disclosure to be significantly associated with time since diagnosis, heterosexual exposure, ethnicity, use of HIV services, and having a confidant. Stigma was associated with ethnicity, having a confidant, and instrumental social support. In a multiple regressions analysis, 48.4% of the variance in disclosure accounted for by time since first diagnosis, service use, and having a confidant. Service use was the only independent variable significantly associated with stigma, accounting for 21.6% of the variance.

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To tell or not to tell: Men's disclosure of their HIV‐positive status to their mothers^*

Cited by 20 publications

References 38 publications

Community Support and Disclosure of HIV Serostatus to Family Members by Public-Sector Antiretroviral Treatment Patients in the Free State Province of South Africa

Community Support and Disclosure of HIV Serostatus to Family Members by Public-Sector Antiretroviral Treatment Patients in the Free State Province of South Africa

Untitled

A Comparison of HIV Stigma and Disclosure Patterns Between Older and Younger Adults Living with HIV/AIDS

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To tell or not to tell: Men's disclosure of their HIV‐positive status to their mothers*

Cited by 20 publications

References 38 publications

Community Support and Disclosure of HIV Serostatus to Family Members by Public-Sector Antiretroviral Treatment Patients in the Free State Province of South Africa

Community Support and Disclosure of HIV Serostatus to Family Members by Public-Sector Antiretroviral Treatment Patients in the Free State Province of South Africa

Untitled

A Comparison of HIV Stigma and Disclosure Patterns Between Older and Younger Adults Living with HIV/AIDS

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To tell or not to tell: Men's disclosure of their HIV‐positive status to their mothers^*