Resumen

DLAMINI, Baliwe P.  y  MTSHALI, Ntombifikile G.. A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini. Curationis [online]. 2025, vol.48, n.1, pp.1-12. ISSN 2223-6279.  https://doi.org/10.4102/curationis.v48i1.2741.

BACKGROUND: Adolescents living with HIV (ALHIV) are faced with the hard decision of how to disclose their HIV status to others. Despite this obvious challenge, few HIV self-disclosure models exist OBJECTIVES: This study was aimed at developing a self-disclosure model that would assist adolescents with perinatally acquired HIV in Eswatini to share their HIV status with others METHOD: The explanatory sequential mixed method design was used; therefore, quantitative data were collected first from 361 ALHIV aged 15-19 years using questionnaires and analysed. Qualitative data were collected from 23 ALHIV, 24 nurses and 4 policymakers using 3 focus group discussions and in-depth individual interviews. For quantitative data, statistical analysis was utilised, and grounded theory guided the analysis of qualitative data and the development of the model RESULTS: HIV self-disclosure is the central concept for this model, and it is supported by four major concepts: (1) national HIV strategic framework, (2) enablers, (3) adolescent empowerment and (4) model outcomes. The description of the model was conducted using Chinn and Kramer's stages of model development CONCLUSION: HIV education and social support are important in reducing stigma and discrimination in communities where adolescents reside. Prioritising the training of nurses and developing self-disclosure guidelines would lead to a remarkably increased level of adolescent HIV self-disclosure CONTRIBUTION: The contribution of this study is that it is the first of its kind to develop an adolescent HIV self-disclosure model in Eswatini

Palabras clave : adolescents; disclosure efficacy; Eswatini; HIV; model; self-disclosure.

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