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Considerations for purposeful HIV status disclosure among women living with HIV in Ghana

机译：在加纳艾滋病毒患者妇女的有目的艾滋病毒状况披露的思考

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Although disclosure of positive HIV status has recognized benefits, enacted and perceived stigma is a continuing problem in Ghana, especially affecting women living with HIV (WLHIV). This qualitative study investigates how WLHIV make these decisions. We interviewed 40 WLHIV, analysing their transcripts using thematic content analysis. Four themes emerged from the data: selectivity in disclosure; disclosure for education, prevention and to provide support; concern for the potential confident, and safety in secrets. Women's awareness of and concerns about HIV-related stigma led them to seriously weigh the costs and benefits of disclosure decisions. Overall, our participants disclosed only when they believed that disclosure would benefit them or the confidant. They did not condone open disclosure, and preferred non-disclosure to minimize harm to themselves and loved ones. Though disclosure occurred for HIV education and prevention purposes, personal safety was the priority. We recommend revision of current postHIV testing and pre-treatment counselling procedures to incorporate WLHIVs' judgements about disclosure and discussion of the perceived benefits of disclosure. Disclosure is an intricate process that involves support seeking and educating others while averting harm. Continued research of the factors related to disclosure is important to enhance understanding of the disclosure process.
机译：虽然阳性艾滋病毒状况的披露具有认可的益处，但颁布和感知的耻辱是加纳的持续问题，特别是影响艾滋病毒（WLHIV）的女性。这种定性研究调查了Wlhiv如何做出这些决定。我们采访了40 Wlhiv，使用主题内容分析分析他们的成绩单。从数据中出现的四个主题：披露中的选择性;披露教育，预防和提供支持;关注潜在的自信和秘密安全。妇女对艾滋病毒相关耻辱的认识和担忧导致他们严重衡量披露决策的成本和益处。总的来说，我们的参与者只有当他们认为披露会使他们或知己受益时才披露。他们没有宽恕公开披露，首选的不披露可以最大限度地减少对自己和亲人的伤害。虽然艾滋病毒教育和预防目的发生了披露，但个人安全是优先事项。我们建议修订当前的职位测试和预处理咨询程序，以纳入WLHIVS关于披露和讨论披露的披露的讨论。披露是一种复杂的过程，涉及支持和教育他人的支持，同时避免伤害。继续研究与披露有关的因素对于加强对披露过程的理解是重要的。

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