Stress, Social Support, and HIV-Status Disclosure to Family and Friends Among HIV-Positive Men and Women

Patterns of HIV-status disclosure and social support were examined among 331 HIV-positive men and women. Structured interviews assessed HIV-status disclosure to family and friends, perceived stress of disclosure, social support, and depression. Results showed patterns of selective disclosure, where most participants disclosed to some relationship members and not to others. Rates of disclosure were associated with social support. Friends were disclosed to most often and perceived as more supportive than family members, and mothers and sisters were disclosed to more often than fathers and brothers and perceived as more supportive than other family members. Path analyses tested a model of HIV-status disclosure showing that perceived stress of disclosing HIV was associated with disclosure, and disclosures were related to social support. Disclosure and its association to social support and depression varied for different relationships and these differences have implications for mental health and coping interventions.

[1]  C. H. Huber.  Facilitating Disclosure of HIV-Positive Status to Family Members , 1996 .

[2]  K. Greene,et al.  Perceived Family Member Reaction to Women's Disclosure of HIV-Positive Information , 1998 .

[3]  A. Moss,et al.  Self-disclosure of HIV-1 antibody test results: the San Francisco General Hospital Cohort. , 1995, AIDS education and prevention : official publication of the International Society for AIDS Education.

[4]  B. Rapkin,et al.  Social support and barriers to family involvement in caregiving for persons with AIDS: implications for patient education. , 1996, Patient education and counseling.

[5]  I. Sarason,et al.  Simultaneous Assessment of Perceived Global and Relationship-Specific Support , 1996 .

[6]  C. Hoff,et al.  Disclosing HIV seropositivity to significant others , 1993, AIDS.

[7]  G. Marks,et al.  Self-disclosure of HIV infection: preliminary results from a sample of Hispanic men. , 1992, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[8]  G. Green.  Social support and HIV. , 1993, AIDS care.

[9]  S. Kalichman,et al.  Distinguishing between overlapping somatic symptoms of depression and HIV disease in people living with HIV-AIDS. , 2000, The Journal of nervous and mental disease.

[10]  K. Rothenberg,et al.  The risk of domestic violence and women with HIV infection: implications for partner notification, public policy, and the law. , 1995, American journal of public health.

[11]  G. Mansergh,et al.  Self‐disclosure of HIV infection among men who vary in time since seropositive diagnosis and symptomatic status , 1995, AIDS.

[12]  R L Sowell,et al.  Resources, stigma, and patterns of disclosure in rural women with HIV infection. , 1997, Public health nursing.

[13]  D. Jeffe,et al.  Disclosure of HIV status to medical providers: differences by gender, "race," and immune function. , 2000, Public health reports.

[14]  C. Rietmeijer,et al.  HIV serostatus disclosure among gay and bisexual men in four American cities: general patterns and relation to sexual practices. , 1998, AIDS care.

[15]  R. Wolitski,et al.  Men's disclosure of HIV test results to male primary sex partners. , 1992, American Journal of Public Health.

[16]  G. Green.  Editorial review: Social support and HIV , 1993 .

[17]  Mossadeq Ar,et al.  Self-disclosure of HIV-1 antibody test results: the San Francisco General Hospital Cohort. , 1995 .

[18]  J. Serovich,et al.  Perceived social support among people living with HIV/aids , 1996 .

[19]  G. Marks,et al.  Women's self-disclosure of HIV infection: rates, reasons, and reactions. , 1995, Journal of consulting and clinical psychology.

[20]  A. Gielen,et al.  Women's disclosure of HIV status: experiences of mistreatment and violence in an urban setting. , 1997, Women & health.