Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern Uganda

Humphrey Atwijukiire,1 Gladys Nakidde,1 Anne Tweheyo Otwine,1 Jane Kabami2 1Nursing Department, Bishop Stuart University, Mbarara, Uganda; 2Department of Nursing and Midwifery, Kabale University, Kabale, UgandaCorrespondence: Humphrey Atwijukiire, Email atwijukiireh@gmail.comPurpose: Disclosure of H...

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Main Authors: Atwijukiire H, Nakidde G, Otwine AT, Kabami J
格式: 文件
语言:English
出版: Dove Medical Press 2022-05-01
丛编:HIV/AIDS: Research and Palliative Care
主题:
在线阅读:https://www.dovepress.com/experiences-of-hiv-positive-serostatus-disclosure-to-sexual-partner-am-peer-reviewed-fulltext-article-HIV
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author Atwijukiire H
Nakidde G
Otwine AT
Kabami J
author_facet Atwijukiire H
Nakidde G
Otwine AT
Kabami J
author_sort Atwijukiire H
collection DOAJ
description Humphrey Atwijukiire,1 Gladys Nakidde,1 Anne Tweheyo Otwine,1 Jane Kabami2 1Nursing Department, Bishop Stuart University, Mbarara, Uganda; 2Department of Nursing and Midwifery, Kabale University, Kabale, UgandaCorrespondence: Humphrey Atwijukiire, Email atwijukiireh@gmail.comPurpose: Disclosure of HIV status is key in HIV management. Despite many studies on serostatus disclosure, there is a gap in experiences regarding HIV status disclosure among discordant couples. The current study addressed this research gap, and explored the lived experiences of serostatus disclosure among discordant couples in Mbarara City, South Western Uganda.Participants and Methods: We conducted 12 in-depth interviews with the help of a translated interview guide, and they were audio recorded. Participants were purposively enrolled in the study, which employed a phenomenological qualitative design. The study was conducted at three public health facilities in Mbarara City. The data was analyzed using thematic content analysis. Approval for this research was obtained from the Mbarara University Research Ethics Committee (MUST-REC) and administrative clearance from the city clerk of Mbarara City.Results: The mean age of the participants was 38 years old, ranging from 20 to 67 years. An equal number of males (six) and females participated in this study. Most of them had at least secondary level education, and only three had primary education. Half of the participants disclosed their serostatus to partners immediately after testing HIV positive. Key emerging themes as experienced benefits of HIV serostatus disclosure included: 1) social support and care; 2) decisions regarding health, fertility, and child bearing; 3) sharing information on HIV prevention and protection measures; 4) positive living; and 5) ease of HIV serostatus disclosure. The challenges associated with serostatus disclosure were summarized as one theme: misunderstandings in the families of the discordant couples.Conclusion: Socially, psychologically and financially HIV positive individuals have benefited from their negative partners. Healthwise, they have been supported, and cared for after disclosing their positive status, but some have faced challenges, such as family misunderstandings. Couple HIV counseling and testing by a trained health worker is beneficial in HIV care and could mitigate the challenges related HIV serostatus disclosure.Keywords: discordant couples, disclosure, experiences, HIV
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spelling doaj.art-7983baa6dfad42bc86c5d5559778c8002022-12-22T02:25:51ZengDove Medical PressHIV/AIDS: Research and Palliative Care1179-13732022-05-01Volume 1423124275371Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern UgandaAtwijukiire HNakidde GOtwine ATKabami JHumphrey Atwijukiire,1 Gladys Nakidde,1 Anne Tweheyo Otwine,1 Jane Kabami2 1Nursing Department, Bishop Stuart University, Mbarara, Uganda; 2Department of Nursing and Midwifery, Kabale University, Kabale, UgandaCorrespondence: Humphrey Atwijukiire, Email atwijukiireh@gmail.comPurpose: Disclosure of HIV status is key in HIV management. Despite many studies on serostatus disclosure, there is a gap in experiences regarding HIV status disclosure among discordant couples. The current study addressed this research gap, and explored the lived experiences of serostatus disclosure among discordant couples in Mbarara City, South Western Uganda.Participants and Methods: We conducted 12 in-depth interviews with the help of a translated interview guide, and they were audio recorded. Participants were purposively enrolled in the study, which employed a phenomenological qualitative design. The study was conducted at three public health facilities in Mbarara City. The data was analyzed using thematic content analysis. Approval for this research was obtained from the Mbarara University Research Ethics Committee (MUST-REC) and administrative clearance from the city clerk of Mbarara City.Results: The mean age of the participants was 38 years old, ranging from 20 to 67 years. An equal number of males (six) and females participated in this study. Most of them had at least secondary level education, and only three had primary education. Half of the participants disclosed their serostatus to partners immediately after testing HIV positive. Key emerging themes as experienced benefits of HIV serostatus disclosure included: 1) social support and care; 2) decisions regarding health, fertility, and child bearing; 3) sharing information on HIV prevention and protection measures; 4) positive living; and 5) ease of HIV serostatus disclosure. The challenges associated with serostatus disclosure were summarized as one theme: misunderstandings in the families of the discordant couples.Conclusion: Socially, psychologically and financially HIV positive individuals have benefited from their negative partners. Healthwise, they have been supported, and cared for after disclosing their positive status, but some have faced challenges, such as family misunderstandings. Couple HIV counseling and testing by a trained health worker is beneficial in HIV care and could mitigate the challenges related HIV serostatus disclosure.Keywords: discordant couples, disclosure, experiences, HIVhttps://www.dovepress.com/experiences-of-hiv-positive-serostatus-disclosure-to-sexual-partner-am-peer-reviewed-fulltext-article-HIVdiscordant couplesdisclosureexperienceshiv
spellingShingle Atwijukiire H
Nakidde G
Otwine AT
Kabami J
Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern Uganda
HIV/AIDS: Research and Palliative Care
discordant couples
disclosure
experiences
hiv
title Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern Uganda
title_full Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern Uganda
title_fullStr Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern Uganda
title_full_unstemmed Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern Uganda
title_short Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern Uganda
title_sort experiences of hiv positive serostatus disclosure to sexual partner among individuals in discordant couples in mbarara city southwestern uganda
topic discordant couples
disclosure
experiences
hiv
url https://www.dovepress.com/experiences-of-hiv-positive-serostatus-disclosure-to-sexual-partner-am-peer-reviewed-fulltext-article-HIV
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AT nakiddeg experiencesofhivpositiveserostatusdisclosuretosexualpartneramongindividualsindiscordantcouplesinmbararacitysouthwesternuganda
AT otwineat experiencesofhivpositiveserostatusdisclosuretosexualpartneramongindividualsindiscordantcouplesinmbararacitysouthwesternuganda
AT kabamij experiencesofhivpositiveserostatusdisclosuretosexualpartneramongindividualsindiscordantcouplesinmbararacitysouthwesternuganda