J Assoc Nurses AIDS Care. 2020 Mar-Apr;31(2):208-218. doi: 10.1097/JNC.0000000000000127.
The role of HIV disclosure and its influence on engagement in HIV care after initial linkage to care is not well understood. We conducted 28 in-depth interviews with patients newly entering HIV care. Gaining access to social support was a key reason that many patients disclosed their HIV status. For some, HIV disclosure improved support networks related to engagement in care at the time of care entry, in the form of appointment reminders, emotional support, and confidence to disclose more widely. However, some participants cited anticipated stigma as a barrier to disclosure, as they feared rejection or further disclosure without their permission. Early access to social support and skill building related to stigma reduction and coping can be useful resources to help patients manage HIV, as they initiate care. In addition, incorporating support for smart disclosure decisions into interventions may improve access to social support, ultimately improving engagement in care.
HIV 披露及其对初次与医疗保健机构联系后参与 HIV 护理的影响尚不清楚。我们对新进入 HIV 护理的 28 名患者进行了 28 次深入访谈。获得社会支持是许多患者披露 HIV 状况的一个关键原因。对一些人来说，HIV 披露改善了他们在接受护理时与护理参与相关的支持网络，包括约会提醒、情感支持以及更广泛披露的信心。然而，一些参与者提到预期的污名是披露的障碍，因为他们担心未经他们允许被拒绝或进一步披露。早期获得与减少污名和应对相关的社会支持和技能培养可以成为帮助患者管理 HIV 的有用资源，因为他们开始护理。此外，将明智的披露决策支持纳入干预措施中，可以改善获得社会支持的机会，最终提高护理参与度。
