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...
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| Language: | English |
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AOSIS
2025-07-01
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| Series: | Curationis |
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| Online Access: | https://curationis.org.za/index.php/curationis/article/view/2741 |
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| author | Baliwe P. Dlamini Ntombifikile G. Mtshali |
| author_facet | Baliwe P. Dlamini Ntombifikile G. Mtshali |
| author_sort | Baliwe P. Dlamini |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1b35efd568e14a9c833848cdc15059bc |
| institution | DOAJ |
| issn | 0379-8577 2223-6279 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | AOSIS |
| record_format | Article |
| series | Curationis |
| spelling | doaj-art-1b35efd568e14a9c833848cdc15059bc2025-08-20T02:59:58ZengAOSISCurationis0379-85772223-62792025-07-01481e1e1210.4102/curationis.v48i1.27411614A self-disclosure model for adolescents with perinatally acquired HIV in EswatiniBaliwe P. Dlamini0Ntombifikile G. Mtshali1School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, DurbanSchool of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, DurbanBackground: 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.https://curationis.org.za/index.php/curationis/article/view/2741adolescentsdisclosure efficacyeswatinihivmodelself-disclosure |
| spellingShingle | Baliwe P. Dlamini Ntombifikile G. Mtshali A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini Curationis adolescents disclosure efficacy eswatini hiv model self-disclosure |
| title | A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini |
| title_full | A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini |
| title_fullStr | A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini |
| title_full_unstemmed | A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini |
| title_short | A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini |
| title_sort | self disclosure model for adolescents with perinatally acquired hiv in eswatini |
| topic | adolescents disclosure efficacy eswatini hiv model self-disclosure |
| url | https://curationis.org.za/index.php/curationis/article/view/2741 |
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