Pathways of onward HIV disclosure in relationships among young people living with vertically acquired HIV receiving antiretroviral therapy: A qualitative analysis from the BREATHER Plus trial, South Africa.
Glob Public HealthAug 20, 2026 (epub)
Tamlyn Carmin Seunanden, Janet Seeley, Stella Namukwaya et al.
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In 30 seconds
This qualitative analysis from the BREATHER Plus trial explored how young people living with vertically acquired HIV in KwaZulu-Natal, South Africa, manage onward disclosure in relationships. The study involved 35 participants aged 12-19 years, revealing that they navigate complex disclosure pathways to maintain social connections. Key findings highlight the importance of tailored counselling guidelines.
Key findings
- Participants engaged in social assessments of potential confidants before disclosure.
- Reciprocal vulnerability and partial information-sharing were common during the disclosure process.
- Post-disclosure feedback trajectories influenced future disclosure decisions.
Why it matters
Understanding the dynamics of HIV disclosure among young people is crucial for developing effective counselling strategies that support their social wellbeing and mental health, particularly in managing stigma and fostering relationships.