The role of stigma in the acceptance and disclosure of HIV among recently diagnosed men who have sex with men in Australia: A qualitative study

Autor: Jane Tomnay, Christopher K Fairley, Marcus Y Chen, Alana Hulme-Chambers, Jade E. Bilardi, Sarah Huffam
Jazyk: angličtina
Rok vydání: 2019
Předmět:
RNA viruses
Male
Social stigma
Social Stigma
Social Sciences
HIV Infections
Pathology and Laboratory Medicine
Men who have sex with men
Geographical Locations
0302 clinical medicine
Immunodeficiency Viruses
Sociology
HIV Seropositivity
Psychology
030212 general & internal medicine
Qualitative Research
education.field_of_study
Multidisciplinary
virus diseases
HIV diagnosis and management
Partner notification
Distress
Social Networks
Medical Microbiology
Viral Pathogens
Viruses
Medicine
HIV clinical manifestations
Pathogens
0305 other medical science
Network Analysis
Research Article
medicine.medical_specialty
Computer and Information Sciences
Science
Population
HIV prevention
Oceania
Men WHO Have Sex with Men
Disclosure
Microbiology
03 medical and health sciences
Social support
Acquired immunodeficiency syndrome (AIDS)
Retroviruses
medicine
Humans
Homosexuality
Male

education
Microbial Pathogens
Medicine and health sciences
Preventive medicine
Behavior
030505 public health
Lentivirus
Organisms
Australia
Biology and Life Sciences
HIV
medicine.disease
Diagnostic medicine
Public and occupational health
Family medicine
People and Places
Population Groupings
Human Sexual Behavior
Serostatus
Sexuality Groupings
Zdroj: PLoS ONE
PLoS ONE, Vol 14, Iss 11, p e0224616 (2019)
ISSN: 1932-6203
Popis: BACKGROUND: Our primary study aimed to explore the experiences of men who have sex with men (MSM) recently diagnosed with HIV and their partner notification practices. Themes relating to acceptance, and disclosure of, their HIV status strongly emerged during analysis in our larger study and are reported separately here. METHOD: Fifteen MSM participated in semi-structured interviews by phone or face to face about their experience of a recent HIV diagnosis. In this paper we report on how they received and accepted the diagnosis, who they disclosed their diagnosis to and what is needed to improve support for MSM recently diagnosed with HIV. RESULTS: MSM's reactions to their HIV diagnosis ranged from shock, devastation and anger to a calm acceptance and feeling HIV would not have a significant impact on their lives. MSM who reported strong social support networks, or knew others with HIV, seemed better able to cope with and accept their diagnosis than those with fewer support networks. Due to prevailing stigma around HIV, most MSM were very selective about who they disclosed their status to, often only telling partners perceived to be at risk but no, or only few, close friends. Regardless of how well men accepted their diagnosis, most did not disclose their status to family members for fear of rejection or causing distress due to ideologies based on outdated information about HIV. CONCLUSION: The prevailing stigma around HIV can have a significant impact on MSM's acceptance of, and willingness to disclose their HIV serostatus to others, and consequently the levels of professional and social support they receive. HIV-related stigma needs to be addressed through community campaigns which better educate the wider population about the current state of HIV prognosis and treatment.
Databáze: OpenAIRE
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