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 adolescents wit...

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Vydáno v:Curationis (Pretoria) Ročník 48; číslo 1; s. e1 - 12
Hlavní autoři: Dlamini, Baliwe P., Mtshali, Ntombifikile G.
Médium: Journal Article
Jazyk:angličtina
Vydáno: South Africa AOSIS 31.07.2025
African Online Scientific Information Systems (Pty) Ltd t/a AOSIS
AOSIS (Pty) Ltd
Democratic Nursing Organisation of South Africa (DENOSA)
Témata:
Adolescent
adolescents
Behavior
Biology
Care and treatment
Data collection
Diagnosis
disclosure efficacy
Disclosure of information
Eswatini
Female
Focus Groups - methods
Health Care Sciences & Services
Health Policy & Services
HIV
HIV Infections - psychology
HIV patients
HIV testing
Human immunodeficiency virus
Humans
Infectious Disease Transmission, Vertical
Male
Methods
Nursing
Original Research
Perinatal infection
Qualitative Research
Research methodology
Self Disclosure
Social aspects
Social Stigma
Social support
Stigma
Surveys and Questionnaires
Teenagers
Young Adult
Youth
Eswatini
disclosure efficacy
model
Eswatini
HIV
self-disclosure
adolescents
ISSN:0379-8577, 2223-6279, 2223-6279
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Shrnutí: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.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0379-8577
2223-6279
2223-6279
DOI:10.4102/curationis.v48i1.2741