Strategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories

Gretchen A. Clum, Lauren Czaplicki, Katherine Andrinopoulos, Kathryn Muessig, L. Hamvas, Jonathan Ellen

Research output: Contribution to journalArticle

Abstract

Young women with HIV and histories of physical and/or sexual abuse in childhood may be vulnerable to difficulties with disclosure to sexual partners. Abuse in childhood is highly prevalent in HIV-positive women, and has been associated with poorer communication, low assertiveness, low self worth, and increased risk for sexual and other risk behaviors that increase the risk of secondary transmission of HIV. HIV disclosure may be an important link between abuse and sexual risk behaviors. Qualitative interviews with 40 HIV-positive young women with childhood physical and/or sexual abuse were conducted; some women had also experienced adult victimization. Results suggest that HIV-positive women with abuse histories use a host of strategies to deal with disclosure of HIV status, including delaying disclosure, assessing hypothetical responses of partners, and determining appropriate stages in a relationship to disclose. Stigma was an important theme related to disclosure. We discuss how these disclosure processes impact sexual behavior and relationships and discuss intervention opportunities based on our findings.

Original languageEnglish (US)
Pages (from-to)191-200
Number of pages10
JournalAIDS Patient Care and STDs
Volume27
Issue number3
DOIs
StatePublished - Mar 1 2013

Fingerprint

Disclosure
HIV
Sex Offenses
Risk-Taking
Sexual Behavior
Assertiveness
Crime Victims
Ego
Sexual Partners
Communication
Interviews

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Clum, G. A., Czaplicki, L., Andrinopoulos, K., Muessig, K., Hamvas, L., & Ellen, J. (2013). Strategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories. AIDS Patient Care and STDs, 27(3), 191-200. https://doi.org/10.1089/apc.2012.0441

Strategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories. / Clum, Gretchen A.; Czaplicki, Lauren; Andrinopoulos, Katherine; Muessig, Kathryn; Hamvas, L.; Ellen, Jonathan.

In: AIDS Patient Care and STDs, Vol. 27, No. 3, 01.03.2013, p. 191-200.

Research output: Contribution to journalArticle

Clum, GA, Czaplicki, L, Andrinopoulos, K, Muessig, K, Hamvas, L & Ellen, J 2013, 'Strategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories', AIDS Patient Care and STDs, vol. 27, no. 3, pp. 191-200. https://doi.org/10.1089/apc.2012.0441
Clum, Gretchen A. ; Czaplicki, Lauren ; Andrinopoulos, Katherine ; Muessig, Kathryn ; Hamvas, L. ; Ellen, Jonathan. / Strategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories. In: AIDS Patient Care and STDs. 2013 ; Vol. 27, No. 3. pp. 191-200.
@article{f27c0481fa584a3fae115c37ad37b530,
title = "Strategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories",
abstract = "Young women with HIV and histories of physical and/or sexual abuse in childhood may be vulnerable to difficulties with disclosure to sexual partners. Abuse in childhood is highly prevalent in HIV-positive women, and has been associated with poorer communication, low assertiveness, low self worth, and increased risk for sexual and other risk behaviors that increase the risk of secondary transmission of HIV. HIV disclosure may be an important link between abuse and sexual risk behaviors. Qualitative interviews with 40 HIV-positive young women with childhood physical and/or sexual abuse were conducted; some women had also experienced adult victimization. Results suggest that HIV-positive women with abuse histories use a host of strategies to deal with disclosure of HIV status, including delaying disclosure, assessing hypothetical responses of partners, and determining appropriate stages in a relationship to disclose. Stigma was an important theme related to disclosure. We discuss how these disclosure processes impact sexual behavior and relationships and discuss intervention opportunities based on our findings.",
author = "Clum, {Gretchen A.} and Lauren Czaplicki and Katherine Andrinopoulos and Kathryn Muessig and L. Hamvas and Jonathan Ellen",
year = "2013",
month = "3",
day = "1",
doi = "10.1089/apc.2012.0441",
language = "English (US)",
volume = "27",
pages = "191--200",
journal = "AIDS Patient Care and STDs",
issn = "1087-2914",
publisher = "Mary Ann Liebert Inc.",
number = "3",

}

TY - JOUR

T1 - Strategies and outcomes of HIV status disclosure in HIV-positive young women with abuse histories

AU - Clum, Gretchen A.

AU - Czaplicki, Lauren

AU - Andrinopoulos, Katherine

AU - Muessig, Kathryn

AU - Hamvas, L.

AU - Ellen, Jonathan

PY - 2013/3/1

Y1 - 2013/3/1

N2 - Young women with HIV and histories of physical and/or sexual abuse in childhood may be vulnerable to difficulties with disclosure to sexual partners. Abuse in childhood is highly prevalent in HIV-positive women, and has been associated with poorer communication, low assertiveness, low self worth, and increased risk for sexual and other risk behaviors that increase the risk of secondary transmission of HIV. HIV disclosure may be an important link between abuse and sexual risk behaviors. Qualitative interviews with 40 HIV-positive young women with childhood physical and/or sexual abuse were conducted; some women had also experienced adult victimization. Results suggest that HIV-positive women with abuse histories use a host of strategies to deal with disclosure of HIV status, including delaying disclosure, assessing hypothetical responses of partners, and determining appropriate stages in a relationship to disclose. Stigma was an important theme related to disclosure. We discuss how these disclosure processes impact sexual behavior and relationships and discuss intervention opportunities based on our findings.

AB - Young women with HIV and histories of physical and/or sexual abuse in childhood may be vulnerable to difficulties with disclosure to sexual partners. Abuse in childhood is highly prevalent in HIV-positive women, and has been associated with poorer communication, low assertiveness, low self worth, and increased risk for sexual and other risk behaviors that increase the risk of secondary transmission of HIV. HIV disclosure may be an important link between abuse and sexual risk behaviors. Qualitative interviews with 40 HIV-positive young women with childhood physical and/or sexual abuse were conducted; some women had also experienced adult victimization. Results suggest that HIV-positive women with abuse histories use a host of strategies to deal with disclosure of HIV status, including delaying disclosure, assessing hypothetical responses of partners, and determining appropriate stages in a relationship to disclose. Stigma was an important theme related to disclosure. We discuss how these disclosure processes impact sexual behavior and relationships and discuss intervention opportunities based on our findings.

UR - http://www.scopus.com/inward/record.url?scp=84875140832&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875140832&partnerID=8YFLogxK

U2 - 10.1089/apc.2012.0441

DO - 10.1089/apc.2012.0441

M3 - Article

C2 - 23596649

AN - SCOPUS:84875140832

VL - 27

SP - 191

EP - 200

JO - AIDS Patient Care and STDs

JF - AIDS Patient Care and STDs

SN - 1087-2914

IS - 3

ER -