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01-01-2020 | Immunodeficiency | Substantive Review

Self-Disclosure of HIV Status Among Youth Living with HIV: A Global Systematic Review

Authors: Kemesha Gabbidon, Tiffany Chenneville, Tiffany Peless, Sydnee Sheared-Evans

Published in: AIDS and Behavior | Issue 1/2020

Abstract

Self-disclosure of HIV serostatus by youth has been considered an essential component of HIV prevention and medication adherence efforts. Therefore, a comprehensive investigation of disclosure goals, processes, and outcomes is warranted. We conducted a global systematic review in accordance with the 2015 Preferred Items for Reporting Systematic Reviews and Meta-Analysis tool to assess HIV self-disclosure among youth ages 13–24. We identified 5881 articles during our initial search. After screening titles and abstracts and examining articles in greater detail, 33 studies (35 articles) were included in the synthesis. The disclosure process model was used to highlight antecedent goals to self-disclosure including common avoidance goals such as fear of rejection and isolation. While disclosure was associated with negative and positive emotional outcomes and improved medication adherence, there remain concerns regarding the impact of self-disclosure on sexual behaviors. Implications for practice and future directions for research are presented.

PROSPERO registration number: CRD42018097250.

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Title: Self-Disclosure of HIV Status Among Youth Living with HIV: A Global Systematic Review
Authors: Kemesha Gabbidon
Tiffany Chenneville
Tiffany Peless
Sydnee Sheared-Evans
Publication date: 01-01-2020
Publisher: Springer US
Keywords: Immunodeficiency
Human Immunodeficiency Virus
Published in: AIDS and Behavior / Issue 1/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-019-02478-9

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