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1996-02-26
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Document 0564
DOCN M9620564
TI Human immunodeficiency virus seropositivity self-disclosure to sexual
partners: a qualitative study.
DT 9602
AU Sobo EJ
SO Holist Nurs Pract. 1995 Oct;10(1):18-28. Unique Identifier : AIDSLINE
MED/96037739
AB The article examines the process of human immunodeficiency virus
seropositivity self-disclosure to sexual partners. The few studies that
have been done in regard to this topic are quantitative and
epidemiologic in nature and concentrate on urban gay men. In contrast,
the findings described here are qualitative, and they are from
HIV-positive small-town southwesterners, heterosexuals included. Five
basic topics emerged as salient in regard to the self-disclosure
process: a disclosee's need to know, nondisclosure conjoined with safer
sex practice, disbelief and denial among the seronegative and untested,
strategies for evaluating potential disclosees, and rejection or
acceptance by the disclosee. According to participants, self-disclosure
does not necessarily lead to safer sex because partners often do not
want it. Participants see a lack of prophylactic effort in partners as
resulting from informed choice, even if self-disclosure, they also
experienced rejection. Rejection can be direct or perfidious.
Participants compared partners' often problematic reactions with those
of children, which they praised. Future research will lead to the
creation of formal guidelines for use by health care professionals in
promoting secondary prevention practices, such as condom use, and in
determining how best to serve HIV-positive clients.
DE Adult Conflict (Psychology) Female Human HIV
Seropositivity/DIAGNOSIS/*PSYCHOLOGY Male Nursing Methodology Research
*Self Disclosure Sexual Partners/*PSYCHOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).