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Post-test adverse psychological effects and coping mechanisms amongst HIV self-tested individuals living in couples in urban Blantyre, Malawi

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dc.date.accessioned 2020-03-26T13:15:05Z
dc.date.available 2020-03-26T13:15:05Z
dc.date.issued 2020-03-26 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/15201
dc.description.abstract Mandatory face-to-face counselling is necessary during HIV testing but difficult to implement within the context of HIV self-testing. We investigated adverse psychological effects and coping mechanisms following HIV-positive and HIV-discordant test results amongst selftested individuals living in couples in urban Blantyre, Malawi. Qualitative data from 35 in-depth interviews with self-tested individuals living in couples for more than 3 months were collected and analysed using thematic content analysis.Adverse psychological effects seemed to mostly occur among individuals learning for the first-time that they were HIV-positive or living in HIV-discordant relationship. Irrespective of test outcomes, women living in couples expressed difficulty making important decisions about the future of their relationships while men seemed to shoulder the emotional burden associated with feeling or being seen as responsible for introducing HIV into the relationship. Post-test psychosocial support and ascertained positive behaviour change of the perceived index partner allowed some couples to overcome adverse psychological effects linked to test results. Self-tested individuals living in couples may lack collective coping capability to collaboratively manage post-test adverse events after new HIV-positive or HIV-discordant results. Psychosocial support seemed to enable couples to foster both an individual and a collective ability to manage adverse psychological effects within the context of a couple. More research is needed to ascertain the magnitude of the deficiency of collective coping competency in couples following an HIV test. en
dc.format.medium Print en
dc.subject MALAWI en
dc.subject SELF-TESTING en
dc.subject HIV/AIDS en
dc.subject PSYCHOLOGICAL PROBLEMS en
dc.title Post-test adverse psychological effects and coping mechanisms amongst HIV self-tested individuals living in couples in urban Blantyre, Malawi en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber PBBBBB en
dc.Volume 14(6) en
dc.BudgetYear 2019/20 en
dc.ResearchGroup Social Aspects of Public Health en
dc.SourceTitle PLoS One en
dc.ArchiveNumber 11253 en
dc.PageNumber Online en
dc.outputnumber 10384 en
dc.bibliographictitle Kumwenda, M.K., Corbett, E.L., Choko, A.T., Chikovore, J, Kaswaswa, K., Mwapasa, M., Sambakunsi, R., Gutteberg, T.J., Gordon, S., Munthali, A. & Desmond, N. (2019) Post-test adverse psychological effects and coping mechanisms amongst HIV self-tested individuals living in couples in urban Blantyre, Malawi . <i>PLoS One</i>. 14(6):Online. en
dc.publicationyear 2019 en
dc.contributor.author1 Kumwenda, M.K. en
dc.contributor.author2 Corbett, E.L. en
dc.contributor.author3 Choko, A.T. en
dc.contributor.author4 Chikovore, J en
dc.contributor.author5 Kaswaswa, K. en
dc.contributor.author6 Mwapasa, M. en
dc.contributor.author7 Sambakunsi, R. en
dc.contributor.author8 Gutteberg, T.J. en
dc.contributor.author9 Gordon, S. en
dc.contributor.author10 Munthali, A. en
dc.contributor.author11 Desmond, N. en


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