ArticleAIDS and behavior2014
Double disclosure bind: complexities of communicating an HIV diagnosis in the context of unintended pregnancy in Durban, South Africa.
Article in AIDS and behavior, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Approaches to transitioning women into and out of prevention of mother-to-child transmission of HIV services for continued ART: a systematic review.Journal of the International AIDS Society · 2021Pooled it
- Population-level viral suppression among pregnant and postpartum women in a universal test and treat trial.AIDS (London, England) · 2020Trial
- Long-term effects of unintended pregnancy on antiretroviral therapy outcomes among South African women living with HIV.AIDS (London, England) · 2019Trial
- Effect of a multicomponent behavioural PMTCT cluster randomised controlled trial on HIV stigma reduction among perinatal HIV positive women in Mpumalanga province, South Africa.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2018Trial
- Factors affecting antenatal care attendance in Soweto, Johannesburg: The three-delay model.African journal of primary health care & family medicine · 2024Article
- Identity management in the face of HIV and intersecting stigmas: A metasynthesis of qualitative reports from sub-Saharan Africa.PLOS global public health · 2023Article
- The role of unintended pregnancy in internalized stigma among women living with HIV in Kenya.BMC women's health · 2021Article
- "As a Young Pregnant Girl… The Challenges You Face": Exploring the Intersection Between Mental Health and Sexual and Reproductive Health Amongst Adolescent Girls and Young Women in South Africa.AIDS and behavior · 2021Article
- HIV-status disclosure and depression in the context of unintended pregnancy among South African women.Global public health · 2019Article
- Mapping a Syndemic of Psychosocial Risks During Pregnancy Using Network Analysis.International journal of behavioral medicine · 2019Article
- Patterns and Predictors of HIV-Status Disclosure Among Pregnant Women in South Africa: Dimensions of Disclosure and Influence of Social and Economic Circumstances.AIDS and behavior · 2018Article
- HIV Disclosure Among Pregnant Women Initiating ART in Cape Town, South Africa: Qualitative Perspectives During the Pregnancy and Postpartum Periods.AIDS and behavior · 2018Article
- HIV status disclosure to male partners among rural Nigerian women along the prevention of mother-to-child transmission of HIV cascade: a mixed methods study.Reproductive health · 2018Article
- Expanding the relationship context for couple-based HIV prevention: Elucidating women's perspectives on non-traditional sexual partnerships.Social science & medicine (1982) · 2016Article
- Religious Beliefs and Depression: Psychosocial Factors Affecting HIV Treatment Outcomes in South Africa.New voices in psychology · 2016Article
- Periconception HIV Risk Behavior Among Men and Women Reporting HIV-Serodiscordant Partners in KwaZulu-Natal, South Africa.AIDS and behavior · 2015Article
- Improving men's participation in preventing mother-to-child transmission of HIV as a maternal, neonatal, and child health priority in South Africa.PLoS medicine · 2015Article
- "It's better for me to drink, at least the stress is going away": perspectives on alcohol use during pregnancy among South African women attending drinking establishments.Social science & medicine (1982) · 2014Article
- South Africans with recent pregnancy rarely know partner's HIV serostatus: implications for serodiscordant couples interventions.BMC public health · 2014Article
- Reproductive and maternal healthcare needs of HIV infected women.Current HIV/AIDS reports · 2013Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Disclosure of HIV status is widely promoted in the prevention of mother-to-child transmission (PMTCT), but a number of context-specific factors may mediate disclosure outcomes. To better understand HIV-disclosure dynamics, we conducted in-depth interviews among 62 HIV-positive pregnant women accessing PMTCT services in Durban, South Africa. Transcripts were coded for emergent themes and categories. Thirty-nine women (63 %) had been recently diagnosed with HIV; most (n = 37; 95 %) were diagnosed following routine antenatal HIV testing. Forty-two women (68 %) reported unplanned pregnancies. Overall, 37 women (60 %) reported an unintended pregnancy and recent HIV diagnosis. For them, 2 life-changing diagnoses had resulted in a double-disclosure bind. The timing and stigma surrounding these events strongly influenced disclosure of pregnancy and/or HIV. PMTCT-related counseling must be responsive to the complex personal implications of contemporaneous, life-changing events, especially their effect on HIV-disclosure dynamics and, ultimately, on achieving better maternal mental-health outcomes.
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