title: Disclosure challenges among people living with HIV in Thailand.
abstract: One of the main challenges facing people living with HIV (PLH) in Thailand is HIV disclosure. The goal of this study was to examine HIV disclosure barriers and motivators in Northeastern Thailand. Focus groups were conducted with 40 PLH to explore the barriers and motivators. To confirm the themes identified in the focus groups, face-face interviews were conducted with 50 PLH. Focus group findings revealed barriers to HIV disclosure in three domains: perceived stigma, shame and fear of rejection. Motivators to HIV disclosure consisted of the following: coping with illness, seeking help and common experiences. Findings from the face-to-face interviews included the following barriers: fear of privacy breach, fear of rejection and communication difficulties. The motivators to HIV disclosure included seeking supportive relationship, duty to inform and catharsis. Based on these findings, we are currently developing family-focused HIV disclosure intervention in Northeastern Thailand.
authors.affiliation: UCLA, Semel Institute for Neuroscience, Center for Community Health, Los Angeles, CA, USA. sjlee@mednet.ucla.edu
authors.forename: Sung-Jae
authors.initials: SJ
authors.lastname: Lee
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.forename: Sopon
authors.initials: S
authors.lastname: Iamsirithaworn
authors.forename: Siwaporn
authors.initials: S
authors.lastname: Khumtong
mesh_terms: D000328:Adult; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012650:Self Disclosure; D013240:Stereotyping; D013785:Thailand
keywords: HIV disclosure; Thailand; barriers and motivators
references.citation: J Behav Med. 2003 Aug;26(4):315-32
references.pmid: 12921006
references.citation: Soc Sci Med. 1999 Sep;49(6):737-49
references.pmid: 10459886
references.citation: J Acquir Immune Defic Syndr. 2006 Feb 1;41(2):194-200
references.pmid: 16394852
references.citation: J Fam Psychol. 2001 Sep;15(3):441-50
references.pmid: 11584794
references.citation: AIDS. 2002;16 Suppl 4:S69-76
references.pmid: 12699002
references.citation: AIDS. 2002;16 Suppl 4:S77-83
references.pmid: 12699003
references.citation: Women Health. 2003;38(4):57-71
references.pmid: 14750776
references.citation: AIDS Care. 2004 Jul;16(5):628-40
references.pmid: 15223532
references.citation: Curr Infect Dis Rep. 2008 Nov;10(6):515-21
references.pmid: 18945394
references.citation: J Health Psychol. 2002 Jul;7(4):415-32
references.pmid: 22112752
references.citation: Arch Psychiatr Nurs. 1989 Apr;3(2):69-78
references.pmid: 2653232
references.citation: J Marital Fam Ther. 2000 Jul;26(3):365-72
references.pmid: 10934682
references.citation: J Infect Dis. 1999 Mar;179(3):717-20
references.pmid: 9952385
references.citation: AIDS Care. 1998 Feb;10(1):49-60
references.pmid: 9536201