This study examines the self-disclosure of HIV-positive serostatus among people living with HIV/AIDS (PLWHA), framing self-disclosure as an information-behaviour transition. It clarifies why self-disclosure is undertaken, when it is triggered along the illness journey, and how it relates to personalised health management and psychosocial support.
This study conducted in-depth, semi-structured interviews with 23 PLWHA. Data were analysed using grounded theory procedures, and the Gioia methodology was applied to construct a data structure and aggregate dimensions that describe the dynamics of disclosure.
The study reveals that the self-disclosure behaviour of HIV-positive serostatus by PLWHA can be segmented into six distinct stages: (I) Problem Perception, (II) Problem Coping, (III) Self-reflection, (IV) External Disclosure, (V) External Feedback and (VI) Self-adjustment. The first two stages (I and II) form the Understanding Phase, while stages (III and IV) represent the Negotiation Phase, and stages (V and VI) comprise the Resolving Phase.
This research contributes to the understanding of the multi-stage evolution and decision-making complexity involved in the self-disclosure behaviour of HIV-positive serostatus by PLWHA. It offers a theoretical foundation for developing targeted support and intervention strategies to address the self-disclosure behaviours of PLWHA and enhance psychological and social well-being.
