Enid Schatz1,2, Ifeolu David1, Nicole Angotti2,3, F Xavier Gómez-Olivé2, Sanyu A Mojola2,4. 1. University of Missouri14716, Columbia, MO, USA. 2. 37708MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. 3. 8363American University, Washington, DC, USA. 4. 6740Princeton University, Princeton, NJ, USA.
Abstract
OBJECTIVE: As HIV shifts from "death sentence" to "chronic condition," disclosure of HIV status to intimate partners and family is a significant component of both prevention and treatment adherence. While disclosure is closely considered in many studies, few examine middle-aged and older persons' (age 40+) perspectives or practices. We trace older rural South Africans' views on HIV disclosure to their partners and family members in a high prevalence community over a period of extensive antiretroviral treatment (ART) rollout. METHODS: Community focus group discussions (FGD) conducted in 2013 and 2018 show shifts in older persons' thinking about HIV disclosure. FINDINGS: Our FGD participants saw fewer negative consequences of disclosure in 2018 than in 2013, and highlighted positive outcomes including building trust (partners) as well as greater support for medication collection and adherence (family). DISCUSSION: Particularly as the epidemic ages in South Africa and globally, tracing changes in older persons' views on disclosure is an important step in developing messaging that could enhance treatment as prevention and ART adherence.
OBJECTIVE: As HIV shifts from "death sentence" to "chronic condition," disclosure of HIV status to intimate partners and family is a significant component of both prevention and treatment adherence. While disclosure is closely considered in many studies, few examine middle-aged and older persons' (age 40+) perspectives or practices. We trace older rural South Africans' views on HIV disclosure to their partners and family members in a high prevalence community over a period of extensive antiretroviral treatment (ART) rollout. METHODS: Community focus group discussions (FGD) conducted in 2013 and 2018 show shifts in older persons' thinking about HIV disclosure. FINDINGS: Our FGD participants saw fewer negative consequences of disclosure in 2018 than in 2013, and highlighted positive outcomes including building trust (partners) as well as greater support for medication collection and adherence (family). DISCUSSION: Particularly as the epidemic ages in South Africa and globally, tracing changes in older persons' views on disclosure is an important step in developing messaging that could enhance treatment as prevention and ART adherence.
Entities:
Keywords:
HIV disclosure; South Africa; aging; antiretroviral treatment
Authors: Brian Houle; Sanyu A Mojola; Nicole Angotti; Enid Schatz; F Xavier Gómez-Olivé; Samuel J Clark; Jill R Williams; Chodziwadziwa Kabudula; Stephen Tollman; Jane Menken Journal: AIDS Care Date: 2018-04-27
Authors: Samuel J Clark; F Xavier Gómez-Olivé; Brian Houle; Margaret Thorogood; Kerstin Klipstein-Grobusch; Nicole Angotti; Chodziwadziwa Kabudula; Jill Williams; Jane Menken; Stephen Tollman Journal: BMC Public Health Date: 2015-02-12 Impact factor: 3.295
Authors: T Tony Trinh; Nelly Yatich; Richard Ngomoa; Christine J McGrath; Barbra A Richardson; Samah R Sakr; Agnes Langat; Grace C John-Stewart; Michael H Chung Journal: PLoS One Date: 2016-10-06 Impact factor: 3.240
Authors: Divya S Bhatia; Abigail D Harrison; Muriel Kubeka; Cecilia Milford; Angela Kaida; Francis Bajunirwe; Ira B Wilson; Christina Psaros; Steven A Safren; David R Bangsberg; Jennifer A Smit; Lynn T Matthews Journal: Front Public Health Date: 2017-07-31
Authors: Paul Mee; Mark A Collinson; Sangeetha Madhavan; Elisabeth Dowling Root; Stephen M Tollman; Peter Byass; Kathleen Kahn Journal: J Glob Health Date: 2014-06 Impact factor: 4.413
Authors: Irene Maeri; Alison El Ayadi; Monica Getahun; Edwin Charlebois; Cecilia Akatukwasa; Dennis Tumwebaze; Harriet Itiakorit; Lawrence Owino; Dalsone Kwarisiima; Emmanuel Ssemmondo; Norton Sang; Jane Kabami; Tamara D Clark; Maya Petersen; Craig R Cohen; Elizabeth A Bukusi; Moses Kamya; Diane Havlir; Carol S Camlin Journal: AIDS Care Date: 2016