Reactions.34 57 Jambo displayed a `masculinity script’58 by reporting himself to become brave, fearless and emotionless upon testing HIV positiveJambo: I wasn’t angry due to the fact I’m a man. You’re only scared should you be not a man.Wekesa E, Coast E. BMJ Open 2013;3:e002399. doi:ten.1136bmjopen-2012-Living with HIV postdiagnosis: a qualitative study from Nairobi slumsTable two Summary qualities of 3 case study respondents Characteristics Sexually abstinent Case study Malaika, female, 29 years, widowed, recognized HIV status for 3 years. After her husband’s death in 2003, she was briefly `inherited’ by her brother-in-law. This can be a classic practice involving a widow becoming the de facto sexual partner of her dead PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21331082 husband’s brother Safari, female, 34 years, at present cohabiting, identified HIV status for 15 years Jambo, male, 55 years, widower, known HIV status for 9 yearsSexually active, monogamous relationship, constant use of condoms andor contraception Sexually active, various partners, inconsistent use of condoms andor contraceptionDiagnosis represented a 1st step in HIV identity MedChemExpress PRT4165 formation, followed by decisions about irrespective of whether to disclose their status. HIV status disclosure: to tell or not to inform Managing the flow of data about HIV status, like (non-)disclosure of HIV status is central to how men and women handle their identity postdiagnosis. Decisions to disclose evolve more than time, encompassing a course of action starting with non-disclosure and sometimes ending in forced disclosureSafari: My mother was told but not by me. When you reside with people today within the home they will know one thing and they’re going to start talking and word goes round. Following all, my body betrayed me.Nurse: I can try to remember a client…a man who came to me… he had been tested and we have been just sharing with him. He told me when he went house and shared his HIV status using the wife, the wife packed and left.Incorporation of HIV into people’s identity is shaped by each individual reaction as well as the reaction of other individuals and is actually a process of transition involving decisions about (non-)disclosure. Assimilation and resources for identity normalisation The third phase involves reorganisation andor reconstruction of biographies towards some kind of normality, possibly unique to that preceding HIV diagnosis, and calls for sources for assistance and encouragement.60 The two key sources identified in our data consist of social capital and ART. Three major sources of social capital had been identified as HIV help groups, government healthcare solutions and faith-based organisations. HIV assistance groups can provide confidential spaces where experiences and concerns about HIV such as disclosure, sexuality and adherence are sharedSafari: We visit assistance groups where we learn a great deal collectively. From there you simply feel you belong towards the society. You simply feel you happen to be [like HIV] `negative’ and not `positive’. We are taught countless things about living positively with all the disease.Safari’s disclosure was articulated as subsequently driven by a desire to educate and inform others about HIVAIDS, a disclosure motive that has also been documented in the USAInt: Why did you inform other relatives then Safari: …So I wanted to educate them much more about HIV AIDS. How you can get it and the way to look after it and how you may live with it.Neither Malaika nor Jambo had disclosed their status to any person beyond healthcare providers. A major barrier to their disclosure was worry of stigma and discriminationMalaika: It can be very.
