Complexities of HIV Disclosure in Patients Newly Entering HIV Care: A Qualitative Analysis.
Crystal Chapman Lambert, Will L Tarver, Pamela L Musoke and 9 others
PMID 31714367WHAT IT FOUND
People newly entering HIV care described disclosure as double edged: telling trusted people could bring reminders and support, while fear of being seen or rejected made hiding pills and avoiding visits possible.
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Key findings
01Disclosure could help engagement in care and medication adherence when trusted people gave reminders and support.
02Fear of being recognized at HIV clinics could lead to unwanted disclosure and negatively affect visit attendance.
03Participants disclosed for peace, awareness, support, and stigma reduction, but some faced rejection or stigma while others had unchanged or improved relationships.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only people already enrolled in HIV care and willing to speak in person were included, so patients with severe barriers may be missing. The sample came mainly from one site and included more people who had achieved viral suppression than people who had not.
Declared interests
The paper is listed as supported by NIH extramural research funding. The supplied text does not state author conflicts.
The easy way to misread this
Do not read disclosure as a proven way to improve HIV care attendance or medication adherence. This study reports interview themes, not a tested intervention effect.