To Tell or Not Tell: Managing HIV Disclosure in a Low-Prevalence Context

Adebola A. Adedimeji, Trinity College Dublin
Annette Rochford, Trinity College Dublin

This paper highlighted the challenges confronting health service providers and persons living with HIV in managing disclosure to partners-at-risk in Ireland. Qualitative data was obtained through interviews with service providers and users in a sexual health clinic. A thematic analysis of data was undertaken following transcription of interviews. We described the barriers to HIV disclosure from service providers' and service users’ perspective, highlighting several systemic, cultural, gender and personal factors that regulate disclosure within a context of socio-cultural and demographic transformation. Several guidelines for managing HIV disclosure are currently in use, but these do not reflect the diverse nature of the population of persons using the sexual health service and the different professional service providers involved in the disclosure process. We recommend the development of a standardized guideline that recognizes the diversity and peculiarities of persons living with HIV and ongoing training of health personnel managing HIV disclosure.

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Presented in Poster Session 2