Dinh H T, White J L, Hipwell M, Nguyen C T K, Pharris A
a Medical Collaboration Center, Bach Mai Hospital , Ha Noi , Vietnam.
b Department of Health and Social Sciences , University of the West of England, Bristol , UK.
Health Care Women Int. 2018 Apr;39(4):415-428. doi: 10.1080/07399332.2017.1358723. Epub 2017 Oct 18.
Insights into disclosure by people living with HIV and AIDS (PLWHA) can inform strategies for treatment and support, yet Vietnamese women's self-disclosure patterns are poorly understood. We conducted interviews with 12 HIV-positive women, identifying three principal factors influencing disclosure to family members: patrilocal residence, desire to protect own family, and the need for financial support. Women's decision-making about disclosure was significantly affected by dependence on or independence of parents-in-law and their own parents. We believe that our findings reveal the complex interplay of stigma and disclosure within Vietnamese families, highlighting the need for specific social measures that promote self-disclosure combined with family support for female PLWHA.
了解艾滋病毒感染者和艾滋病患者（PLWHA）的信息披露情况有助于制定治疗和支持策略，但越南女性的自我披露模式却鲜为人知。我们对12名艾滋病毒呈阳性的女性进行了访谈，确定了影响向家庭成员披露信息的三个主要因素：从夫居、保护自己家庭的愿望以及对经济支持的需求。女性关于披露信息的决策受到对公婆和自己父母的依赖或独立程度的显著影响。我们认为，我们的研究结果揭示了越南家庭中耻辱感与信息披露之间的复杂相互作用，凸显了采取具体社会措施的必要性，这些措施既要促进自我披露，又要为感染艾滋病毒的女性提供家庭支持。
