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This complements the situation in Bangladesh where restrictive socio-cultural norms inhibit disclosure of information about sexual activities and other RH-related issues to unmarried adolescents [ 20].
For example being a part of a network of religious persons (as many Latinas and African America women are) may facilitate or inhibit disclosure.
Peers, especially at similar stages of recovery and motivation, could be important in facilitating personal learning through sharing different stories and views, and as a source of support and understanding, but group settings could also inhibit disclosure.
If the norms of patients' social networks serve to inhibit disclosure [ 38], it is possible that the negative experiences categorized in our study and the fear of future similar experiences may lead to barriers in depression symptom disclosure to physicians as well, and/or affect adherence to treatment.
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Fear that a reporter's phone may be bugged will inhibit disclosures and discussions with the many secret sources and whistleblowers upon whom journalists rely to keep our democracy transparent and our public informed.
The fact that the interviews were conducted in a busy outpatient clinic and on the inpatient wards may have inhibited disclosure of CAM use in some cases.
A number of themes emerged from the analysis: understanding postnatal depression, making the diagnosis, facilitating and hindering disclosure and the role of the system in inhibiting disclosure of symptoms.
(M HV5) Some health professionals described consciously inhibiting disclosure in order not to be placed in this position citing lack of continuity of care as the reason: "Easier not to ask, if I'm not going to see her again".
We found that LTFU was ultimately linked to fear of HIV-related stigma, which in turn inhibited disclosure and negatively impacted dependent relationships in the home, school and clinic.
Although emerging HIT applications are directed to improving the quality of care and economies of service [ 1], some investigators have warned that the use of HIT may threaten the very nature of the patient-provider relationship by undermining trust, inhibiting disclosure of relevant concerns, and by hampering meaningful discussions of patient preferences that impact treatment decisions [ 2- 5].
The reasons for this remain unclear despite efforts to examine and seek to understand disclosure patterns or factors that may either facilitate or inhibit this disclosure.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com