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Support was perceived as a wish or expectation, as a reason for disclosure or as a consequence of it.
First, we used text management software (ATLAS.ti) to mark contiguous blocks of transcript text that pertained to the major topical domains of interest (how HIV status was disclosed, trigger event, reason for disclosure, short and long-term response to disclosure) within each social target group of the disclosure (spouse, family, friends, others).
9 In a study conducted in Tanzania, a close relationship with the person they told, the need for help, and advice from VCT care providers were the factors that facilitated the disclosure of the HIV status. 10 In another study in Ethiopia, several factors were mentioned as a reason for disclosure of HIV status, such as educational status and ART status.
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The reasons for disclosure and nondisclosure varied.
Principle-based ethical approaches seem to be useful for clarifying the reasons for disclosure.
Data related to the reasons for disclosure or nondisclosure have been published elsewhere [ 18].
' Relatedly, a majority of respondents regarded clinical actionability as one of the foremost reasons for disclosure.
The reasons for disclosure were varied and these are described below.
Reasons for disclosure included preventing the transmission of HIV, the need for care, and upholding the integrity of the relationship.
Using methods from meta-ethnography (as described in the data synthesis section), four super-ordinate themes were generated: 1) Expectations and experiences of discrimination; 2) Other reasons for non-disclosure; 3) Reasons for disclosure; and 4) Disclosure strategies.
In the meta-ethnography four super-ordinate themes were generated: 1) expectations and experiences of discrimination; 2) other reasons for non-disclosure; 3) reasons for disclosure; and 4) disclosure dimensions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com