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"I must carefully evaluate the benefits and risks to determine the appropriate person to disclose to" exploring preferences in selection of disclosure recipients among older people living with HIV in China: a qualitative analysis.

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Title: "I must carefully evaluate the benefits and risks to determine the appropriate person to disclose to" exploring preferences in selection of disclosure recipients among older people living with HIV in China: a qualitative analysis.
Authors: Hao, Jiaxin, Feng, Limei, Chen, Judi
Source: AIDS Care. May2025, Vol. 37 Issue 5, p697-708. 12p.
Subjects: HIV prevention, Fear, Community support, Research funding, Qualitative research, Health status indicators, Interviewing, HIV infections, Uncertainty, Psychology of HIV-positive persons, Thematic analysis, Motivation (Psychology), Social integration, Research methodology, Quality of life, Interpersonal relations, Social support, Self-disclosure, Patients' attitudes, Social stigma, Social isolation, Disclosure, Well-being, Old age
Geographic Terms: China
Abstract: The disclosure of HIV status offers significant benefits for both individual and public health. The willingness to disclose HIV status and the choice of disclosure recipients are key factors in HIV prevention, treatment, and support. Older people living with HIV (OPLWH) face more complex considerations in disclosure due to unique physiological, psychological, and social factors. However, research on their preferences for disclosure recipients remains limited. From May to June 2024, we conducted semi-structured interviews with 12 OPLWH undergoing follow-up treatment at infectious disease healthcare facilities in Wuxi, China. Using Braun and Clarke's thematic analysis, we identified four primary themes: (1) unique factors related to OPLWH, including health conditions, intersecting stigmas, and fear of losing support; (2) role selection based on role status and obligations; (3) reactions of disclosure recipients, encompassing acceptance, rejection, and uncertainty; and (4) multifaceted impacts of disclosure, including both positive and negative effects. Our findings indicate that OPLWH's unique attributes and social roles influence their selection of disclosure recipients, while recipient reactions and the resulting impacts shape their disclosure experiences. Healthcare providers and HIV-focused social organizations should assess the physiological, psychological, and social conditions of OPLWH, as well as the motivations behind their choice of disclosure recipients. Based on this, tailored guidance should be offered to mitigate negative subsequent factors, enhancing their health, social integration, and quality of life. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd 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: "I must carefully evaluate the benefits and risks to determine the appropriate person to disclose to" exploring preferences in selection of disclosure recipients among older people living with HIV in China: a qualitative analysis.
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. May2025, Vol. 37 Issue 5, p697-708. 12p.
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  Data: The disclosure of HIV status offers significant benefits for both individual and public health. The willingness to disclose HIV status and the choice of disclosure recipients are key factors in HIV prevention, treatment, and support. Older people living with HIV (OPLWH) face more complex considerations in disclosure due to unique physiological, psychological, and social factors. However, research on their preferences for disclosure recipients remains limited. From May to June 2024, we conducted semi-structured interviews with 12 OPLWH undergoing follow-up treatment at infectious disease healthcare facilities in Wuxi, China. Using Braun and Clarke's thematic analysis, we identified four primary themes: (1) unique factors related to OPLWH, including health conditions, intersecting stigmas, and fear of losing support; (2) role selection based on role status and obligations; (3) reactions of disclosure recipients, encompassing acceptance, rejection, and uncertainty; and (4) multifaceted impacts of disclosure, including both positive and negative effects. Our findings indicate that OPLWH's unique attributes and social roles influence their selection of disclosure recipients, while recipient reactions and the resulting impacts shape their disclosure experiences. Healthcare providers and HIV-focused social organizations should assess the physiological, psychological, and social conditions of OPLWH, as well as the motivations behind their choice of disclosure recipients. Based on this, tailored guidance should be offered to mitigate negative subsequent factors, enhancing their health, social integration, and quality of life. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd 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.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2025.2464622
    Languages:
      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 697
    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Community support
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Uncertainty
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Motivation (Psychology)
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      – SubjectFull: Social integration
        Type: general
      – SubjectFull: Research methodology
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      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Interpersonal relations
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Self-disclosure
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      – SubjectFull: Patients' attitudes
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      – SubjectFull: Social stigma
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      – SubjectFull: Social isolation
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      – SubjectFull: Disclosure
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      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: China
        Type: general
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      – TitleFull: "I must carefully evaluate the benefits and risks to determine the appropriate person to disclose to" exploring preferences in selection of disclosure recipients among older people living with HIV in China: a qualitative analysis.
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              Text: May2025
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