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Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study
BACKGROUND: HIV disclosure is an important step in delivering the right care to people. However, many people with an HIV positive status choose not to disclose. This considerably complicates the delivery of adequate health care. METHODS: We conducted a grounded theory study to develop a theoretical...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5775526/ https://www.ncbi.nlm.nih.gov/pubmed/29351785 http://dx.doi.org/10.1186/s12889-018-5073-x |
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author | Thapa, Subash Hannes, Karin Buve, Anne Bhattarai, Shivani Mathei, Catharina |
author_facet | Thapa, Subash Hannes, Karin Buve, Anne Bhattarai, Shivani Mathei, Catharina |
author_sort | Thapa, Subash |
collection | PubMed |
description | BACKGROUND: HIV disclosure is an important step in delivering the right care to people. However, many people with an HIV positive status choose not to disclose. This considerably complicates the delivery of adequate health care. METHODS: We conducted a grounded theory study to develop a theoretical model explaining how local contexts impact on HIV disclosure and what the mechanisms are that determine whether people choose to disclose or not. We conducted in-depth interviews among 23 people living with HIV, 8 health workers and 5 family and community members, and 1 community development worker in Achham, Nepal. Data were analysed using constant-comparative method, performing three levels of open, axial, and selective coding. RESULTS: Our theoretical model illustrates how two dominant systems to control HIV, namely a community self-coping and a public health system, independently or jointly, shape contexts, mechanisms and outcomes for HIV disclosure. CONCLUSION: This theoretical model can be used in understanding processes of HIV disclosure in a community where HIV is concentrated in vulnerable populations and is highly stigmatized, and in determining how public health approaches would lead to reduced stigma levels and increased HIV disclosure rates. |
format | Online Article Text |
id | pubmed-5775526 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-57755262018-01-31 Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study Thapa, Subash Hannes, Karin Buve, Anne Bhattarai, Shivani Mathei, Catharina BMC Public Health Research Article BACKGROUND: HIV disclosure is an important step in delivering the right care to people. However, many people with an HIV positive status choose not to disclose. This considerably complicates the delivery of adequate health care. METHODS: We conducted a grounded theory study to develop a theoretical model explaining how local contexts impact on HIV disclosure and what the mechanisms are that determine whether people choose to disclose or not. We conducted in-depth interviews among 23 people living with HIV, 8 health workers and 5 family and community members, and 1 community development worker in Achham, Nepal. Data were analysed using constant-comparative method, performing three levels of open, axial, and selective coding. RESULTS: Our theoretical model illustrates how two dominant systems to control HIV, namely a community self-coping and a public health system, independently or jointly, shape contexts, mechanisms and outcomes for HIV disclosure. CONCLUSION: This theoretical model can be used in understanding processes of HIV disclosure in a community where HIV is concentrated in vulnerable populations and is highly stigmatized, and in determining how public health approaches would lead to reduced stigma levels and increased HIV disclosure rates. BioMed Central 2018-01-19 /pmc/articles/PMC5775526/ /pubmed/29351785 http://dx.doi.org/10.1186/s12889-018-5073-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Thapa, Subash Hannes, Karin Buve, Anne Bhattarai, Shivani Mathei, Catharina Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study |
title | Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study |
title_full | Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study |
title_fullStr | Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study |
title_full_unstemmed | Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study |
title_short | Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study |
title_sort | theorizing the complexity of hiv disclosure in vulnerable populations: a grounded theory study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5775526/ https://www.ncbi.nlm.nih.gov/pubmed/29351785 http://dx.doi.org/10.1186/s12889-018-5073-x |
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