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Member Research & Reports

Member Research & Reports

South Carolina: Researcher Examines Coping and Disclosure Among People Living with HIV

Dr. Monique J. Brown, assistant professor of epidemiology with the South Carolina SmartState Center for Healthcare Quality at the University of South Carolina Arnold School of Public Health, has published a study on ways of coping and human immunodeficiency virus (HIV) disclosure among people living with HIV by looking at the mediation of decision self-efficacy and moderation by sex. “Ways of coping and HIV disclosure among people living with HIV: mediation of decision self-efficacy and moderation by sex” was published in the journal, AIDS Care.

Individuals living with HIV/acquired immunodeficiency syndrome (AIDS) use varying strategies to cope with the range of stressors that they face. For example, disclosure/nondisclosure is an important consideration, yet there are few studies examining the association between coping and HIV disclosure. Further, more research is also needed to investigate potential mediators and moderators.

After adjusting for age and time since diagnosis, the researchers’ analyses revealed direct associations between coping and decision self-efficacy. They also found the relationship between decision self-efficacy and disclosure behavior varied by sex.

Further, decision self-efficacy mediated the associations between adaptive coping, attack/escape avoidance coping, and disclosure behavior — when looking at the overall study population. The authors recommend that disclosure intervention programs geared towards populations living with HIV should include decision self-efficacy and adaptive coping components, and attenuate attack/escape avoidance coping.