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Disclosure Events and Psychosocial Well-Being Among Young South African Adults Living with HIV.

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Title: Disclosure Events and Psychosocial Well-Being Among Young South African Adults Living with HIV.
Authors: Bondarchuk, Connor, Lemon, Tiffany, Earnshaw, Valerie, Rousseau, Elzette, Sindelo, Siyaxolisa, Bekker, Linda-Gail, Butler, Lisa, Katz, Ingrid
Source: International Journal of Behavioral Medicine. Feb2025, Vol. 32 Issue 1, p124-134. 11p.
Subjects: South Africans, Research funding, Secondary analysis, Descriptive statistics, Internalizing behavior, Psychology of HIV-positive persons, Metropolitan areas, Well-being, Disclosure, Regression analysis, Social stigma, Adults
Geographic Terms: South Africa
Abstract: Background: Poor psychological well-being is both prevalent among South Africans living with HIV and has been associated with poor HIV clinical outcomes. However, the relationship between disclosure and psychological well-being remains unclear. This analysis sought to examine the relationship between two disclosure-related variables, disclosure status and reaction received, and psychosocial well-being among a sample of young adults living with HIV (YALWH) in urban South Africa. Method: This was a secondary analysis using observational data from Standing Tall, a randomized controlled trial that recruited 100 participants ages 18–24 who tested positive for HIV after initially presenting to two well-established mobile clinics for HIV testing. Interviews investigating primary and secondary outcomes of interest were done at baseline and 6 months following recruitment. Results: About half (51%) of participants disclosed their HIV status within 6 months after recruitment. Simple linear regression analyses revealed that disclosure of HIV status within 6 months after study enrollment predicted significantly lower levels of disclosure concerns and internalized stigma (p < 0.05). Reactions to disclosure were not significantly associated with any of the measures of psychosocial well-being considered in this analysis (p > 0.05). Conclusion: The results suggest that the act of disclosure among newly diagnosed YALWH may be associated with reductions in internalized stigma. In addition, the finding that the act of disclosure may be a more important determinant of psychosocial well-being than the reaction to disclosure has important implications for interventions designed to promote disclosure and psychosocial well-being in YALWH. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Disclosure Events and Psychosocial Well-Being Among Young South African Adults Living with HIV.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22International+Journal+of+Behavioral+Medicine%22&quot;&gt;International Journal of Behavioral Medicine&lt;/searchLink&gt;. Feb2025, Vol. 32 Issue 1, p124-134. 11p.
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  Data: Background: Poor psychological well-being is both prevalent among South Africans living with HIV and has been associated with poor HIV clinical outcomes. However, the relationship between disclosure and psychological well-being remains unclear. This analysis sought to examine the relationship between two disclosure-related variables, disclosure status and reaction received, and psychosocial well-being among a sample of young adults living with HIV (YALWH) in urban South Africa. Method: This was a secondary analysis using observational data from Standing Tall, a randomized controlled trial that recruited 100 participants ages 18–24 who tested positive for HIV after initially presenting to two well-established mobile clinics for HIV testing. Interviews investigating primary and secondary outcomes of interest were done at baseline and 6 months following recruitment. Results: About half (51%) of participants disclosed their HIV status within 6 months after recruitment. Simple linear regression analyses revealed that disclosure of HIV status within 6 months after study enrollment predicted significantly lower levels of disclosure concerns and internalized stigma (p &lt; 0.05). Reactions to disclosure were not significantly associated with any of the measures of psychosocial well-being considered in this analysis (p &gt; 0.05). Conclusion: The results suggest that the act of disclosure among newly diagnosed YALWH may be associated with reductions in internalized stigma. In addition, the finding that the act of disclosure may be a more important determinant of psychosocial well-being than the reaction to disclosure has important implications for interventions designed to promote disclosure and psychosocial well-being in YALWH. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=182635408
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        Value: 10.1007/s12529-024-10291-5
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 124
    Subjects:
      – SubjectFull: South Africans
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Internalizing behavior
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      – SubjectFull: Psychology of HIV-positive persons
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      – SubjectFull: Metropolitan areas
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      – SubjectFull: Well-being
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      – SubjectFull: Disclosure
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      – SubjectFull: Regression analysis
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      – SubjectFull: Social stigma
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      – SubjectFull: Adults
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      – SubjectFull: South Africa
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      – TitleFull: Disclosure Events and Psychosocial Well-Being Among Young South African Adults Living with HIV.
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              Text: Feb2025
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