HIV serostatus disclosure in the Democratic Republic of the Congo: a systematic review
| Autor: | Kirstyn Thomas, Lara Handler, Daudet Ilunga Tshiswaka, Donaldson F. Conserve, Guy-Lucien S. Whembolua |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Social Psychology Emotions Social Stigma Psychological intervention Stigma (botany) HIV Infections Disclosure PsycINFO Young Adult 03 medical and health sciences Social support 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) medicine Global health Humans Interpersonal Relations 030212 general & internal medicine 030505 public health business.industry Public health Public Health Environmental and Occupational Health Social Support virus diseases Middle Aged medicine.disease Religion Family medicine Democratic Republic of the Congo Female 0305 other medical science Serostatus business |
| Zdroj: | AIDS Care. 31:489-493 |
| ISSN: | 1360-0451 0954-0121 |
| DOI: | 10.1080/09540121.2018.1510103 |
| Popis: | HIV status disclosure among people living with HIV/AIDS has been shown to have a number of both personal and public health benefits, but rates of HIV status disclosure remain low in many African countries, including the Democratic Republic of the Congo (DRC). This systematic review uses the Disclosure Process Model to examine the factors involved in serostatus disclosure and nondisclosure to various persons in the lives of people living with HIV/AIDS (PLWHA) in the DRC, as well as the specific outcomes of their disclosure or nondisclosure. MEDLINE/PubMed, Embase, Web of Science, Global Health, and PsycINFO were searched and research studies were included if: (i) the study discussed disclosure of HIV status; (ii) the study population included HIV-infected people in DRC; and (iii) the study was published in English. Fourteen articles met the inclusion criteria and were included in the study. Factors contributing to nondisclosure were generally associated with high stigma of HIV in adults and concern for emotional wellbeing when disclosing to HIV positive minors. Factors contributing to disclosure among adults were increased social support and religion. In disclosing to HIV positive minors, increasing age and health benefits were identified as approach goals that supported disclosure. The findings highlight the importance of understanding the avoidance and approach goals involved in HIV status disclosure among populations living in the DRC. Interventions and future research directed at increasing HIV disclosure among Congolese PLWHA should move beyond individual-level to consider multilevel factors including circumstantial social behaviors. |
| Databáze: | OpenAIRE |
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