       Document 0564
 DOCN  M9620564
 TI    Human immunodeficiency virus seropositivity self-disclosure to sexual
       partners: a qualitative study.
 DT    9602
 AU    Sobo EJ
 SO    Holist Nurs Pract. 1995 Oct;10(1):18-28. Unique Identifier : AIDSLINE
       MED/96037739
 AB    The article examines the process of human immunodeficiency virus
       seropositivity self-disclosure to sexual partners. The few studies that
       have been done in regard to this topic are quantitative and
       epidemiologic in nature and concentrate on urban gay men. In contrast,
       the findings described here are qualitative, and they are from
       HIV-positive small-town southwesterners, heterosexuals included. Five
       basic topics emerged as salient in regard to the self-disclosure
       process: a disclosee's need to know, nondisclosure conjoined with safer
       sex practice, disbelief and denial among the seronegative and untested,
       strategies for evaluating potential disclosees, and rejection or
       acceptance by the disclosee. According to participants, self-disclosure
       does not necessarily lead to safer sex because partners often do not
       want it. Participants see a lack of prophylactic effort in partners as
       resulting from informed choice, even if self-disclosure, they also
       experienced rejection. Rejection can be direct or perfidious.
       Participants compared partners' often problematic reactions with those
       of children, which they praised. Future research will lead to the
       creation of formal guidelines for use by health care professionals in
       promoting secondary prevention practices, such as condom use, and in
       determining how best to serve HIV-positive clients.
 DE    Adult  Conflict (Psychology)  Female  Human  HIV
       Seropositivity/DIAGNOSIS/*PSYCHOLOGY  Male  Nursing Methodology Research
       *Self Disclosure  Sexual Partners/*PSYCHOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

