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Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness.

Publication ,  Journal Article
McMillian-Bohler, JM; Holt, L; Adimora, AA; Bailey, DCE; Johnson, R; Koch, A; McGee, K; Ramirez, C; Randolph, SD; Ritchwood, TD; Relf, MV
Published in: The Journal of the Association of Nurses in AIDS Care : JANAC
January 2023

Stigma is a fundamental cause of health inequities. Guided by the Adaptive Leadership Framework for Chronic Illness (ALFCI), this descriptive qualitative study explored the challenges of stigma and disclosure experienced by women with HIV (WWH) in the Southern United States. A convenience sample of 22 WWH aged 36 to 62 years were interviewed for this study. Analysis of participant interviews revealed that WWH face a multitude of stigma-related technical and adaptive challenges, which are consistent with the ALFCI. Once identified, technical challenges, such as recognizing the need for support, lack of trust, and fear of rejection, can be overcome by technical work, including providing assistance with HIV disclosure and building a trusted network. By identifying specific adaptive and technical challenges faced by WWH and engaging in technical and adaptive work, the WWH and the provider can reduce the fear of disclosure and the effect of stigma.

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Published In

The Journal of the Association of Nurses in AIDS Care : JANAC

DOI

EISSN

1552-6917

ISSN

1055-3290

Publication Date

January 2023

Volume

34

Issue

1

Start / End Page

113 / 124

Related Subject Headings

  • United States
  • Social Stigma
  • Qualitative Research
  • Public Health
  • Leadership
  • Humans
  • HIV Infections
  • Female
  • Fear
  • Disclosure
 

Citation

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ICMJE
MLA
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McMillian-Bohler, J. M., Holt, L., Adimora, A. A., Bailey, D. C. E., Johnson, R., Koch, A., … Relf, M. V. (2023). Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness. The Journal of the Association of Nurses in AIDS Care : JANAC, 34(1), 113–124. https://doi.org/10.1097/jnc.0000000000000354
McMillian-Bohler, Jacquelyn M., Lauren Holt, Adaora A. Adimora, Donald Chip E. Bailey, Ragan Johnson, Amie Koch, Kara McGee, et al. “Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness.The Journal of the Association of Nurses in AIDS Care : JANAC 34, no. 1 (January 2023): 113–24. https://doi.org/10.1097/jnc.0000000000000354.
McMillian-Bohler JM, Holt L, Adimora AA, Bailey DCE, Johnson R, Koch A, et al. Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness. The Journal of the Association of Nurses in AIDS Care : JANAC. 2023 Jan;34(1):113–24.
McMillian-Bohler, Jacquelyn M., et al. “Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness.The Journal of the Association of Nurses in AIDS Care : JANAC, vol. 34, no. 1, Jan. 2023, pp. 113–24. Epmc, doi:10.1097/jnc.0000000000000354.
McMillian-Bohler JM, Holt L, Adimora AA, Bailey DCE, Johnson R, Koch A, McGee K, Ramirez C, Randolph SD, Ritchwood TD, Relf MV. Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness. The Journal of the Association of Nurses in AIDS Care : JANAC. 2023 Jan;34(1):113–124.
Journal cover image

Published In

The Journal of the Association of Nurses in AIDS Care : JANAC

DOI

EISSN

1552-6917

ISSN

1055-3290

Publication Date

January 2023

Volume

34

Issue

1

Start / End Page

113 / 124

Related Subject Headings

  • United States
  • Social Stigma
  • Qualitative Research
  • Public Health
  • Leadership
  • Humans
  • HIV Infections
  • Female
  • Fear
  • Disclosure