A Couple’s Marital Disharmony and its Psychological Effects on their Children during the HIV Disclosure Process in Kenya

Health, Culture and Society

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Field Value
Title A Couple’s Marital Disharmony and its Psychological Effects on their Children during the HIV Disclosure Process in Kenya
Creator Gachanja, G.
Subject Public Health; Psychology; Medicine
HIV/AIDS; HIV disclosure; psychological effects of HIV disclosure; parent HIV status disclosure; resource-poor nation; Kenya
Description Limited published data exists on how HIV-positive parents perform disclosure to all their children. A couple’s HIV disclosure experience to all their children is presented. They participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process. Each underwent individualized in-depth semi-structured interviews. Interviews were transcribed and transferred into NVivo 8 for analysis using the Van Kaam method. Three themes emerged including HIV testing, full disclosure delivery accompanied by marital disharmony, and post-disclosure psychological effects on the family. Marital disharmony and non-involvement of the father caused the mother to fully disclose their illnesses to their four oldest children. All children were affected by disclosure, one had a delayed emotional outburst, and another was still angry and withdrawn years later. HIV-positive parents with poor relationships within the families need intense counseling and support pre, during, and post-disclosure to improve outcomes. 
Publisher University Library System, University of Pittsburgh
Contributor Dr. Charles Kabetu and his office staff
Dr. James Kiarie
Nelly Opiyo
Godfrey Mureithi
David Mutabari
KNH CCC staff
Date 2015-07-22
Type info:eu-repo/semantics/article

Format application/pdf
Identifier http://hcs.pitt.edu/ojs/index.php/hcs/article/view/166
Source Health, Culture and Society; Vol 8, No 1 (2015): Integration, Participation and Identity: Understanding Diversity; 34-47
Language eng
Relation http://hcs.pitt.edu/ojs/index.php/hcs/article/view/166/240
Rights Copyright (c) 2015 Health, Culture and Society

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