A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini
Background: Adolescents living with HIV (ALHIV) are faced with the hard decision of how to disclose their HIV status to others. Despite this obvious challenge, few HIV self-disclosure models exist. Objectives: This study was aimed at developing a self-disclosure model that would assist adolescent...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2025-07-01
|
| Series: | Curationis |
| Subjects: | |
| Online Access: | https://curationis.org.za/index.php/curationis/article/view/2741 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background: Adolescents living with HIV (ALHIV) are faced with the hard decision of how to disclose their HIV status to others. Despite this obvious challenge, few HIV self-disclosure models exist.
Objectives: This study was aimed at developing a self-disclosure model that would assist adolescents with perinatally acquired HIV in Eswatini to share their HIV status with others.
Method: The explanatory sequential mixed method design was used; therefore, quantitative data were collected first from 361 ALHIV aged 15–19 years using questionnaires and analysed. Qualitative data were collected from 23 ALHIV, 24 nurses and 4 policymakers using 3 focus group discussions and in-depth individual interviews. For quantitative data, statistical analysis was utilised, and grounded theory guided the analysis of qualitative data and the development of the model.
Results: HIV self-disclosure is the central concept for this model, and it is supported by four major concepts: (1) national HIV strategic framework, (2) enablers, (3) adolescent empowerment and (4) model outcomes. The description of the model was conducted using Chinn and Kramer’s stages of model development.
Conclusion: HIV education and social support are important in reducing stigma and discrimination in communities where adolescents reside. Prioritising the training of nurses and developing self-disclosure guidelines would lead to a remarkably increased level of adolescent HIV self-disclosure.
Contribution: The contribution of this study is that it is the first of its kind to develop an adolescent HIV self-disclosure model in Eswatini. |
|---|---|
| ISSN: | 0379-8577 2223-6279 |