title: Non-disclosure of widowhood in Nepal: implications for women and their children.
abstract: Non-disclosure of significant or emotionally charged information can have psychological and physical health consequences. Widowhood in Nepal is highly stigmatised and therefore is a sensitive topic. This study sought to understand why and to whom women do not disclose their status as widows. Thematic content analysis of 31 in-depth interviews and 6 focus groups was conducted with primarily high-caste widows of reproductive age from the Kathmandu Valley, Surkhet, Chitwan and Kavre districts of Nepal. A codebook was developed based upon recurring concepts and applied to all transcripts using Atlas.ti. Due to discomfort or stigmatisation, many women concealed their status as widows in the community through behaviours impacting their daily lives. Non-disclosure to children was frequently described, often as a way to protect them from psychological sequelae. Concealment of widowhood is a coping strategy Nepali women use to shield themselves against societal stigma and to manage bereavement in their children. Efforts are needed to support widows in dealing with mental health issues related to disclosure and the psychosocial impact on their children.
authors.affiliation: a Department of International Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Surkan
authors.forename: Elena T
authors.initials: ET
authors.lastname: Broaddus
authors.forename: Abina
authors.initials: A
authors.lastname: Shrestha
authors.forename: Lily
authors.initials: L
authors.lastname: Thapa
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009034:Mother-Child Relations; D009390:Nepal; D012650:Self Disclosure; D057545:Social Stigma; D035862:Vulnerable Populations / Q000523:psychology*; D017805:Widowhood; D016387:Women's Health
keywords: Nepal; child health; mental health; widowhood; women's health