{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T17:37:32Z","timestamp":1792690652517,"version":"4.5.0"},"reference-count":51,"publisher":"Guilford Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Education and Prevention"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>HIV status disclosure is an ethical obligation and, in some jurisdictions, a legal requirement that supports treatment adherence. In Eastern and Southern Africa (ESA), where intimate partner violence (IPV) is prevalent, disclosure may have harmful consequences. The objective of this scoping review was to map the relationship between IPV and HIV disclosure across health care settings in ESA. Following PRISMA-ScR guidelines, peer-reviewed English-language studies (2012-2024) were identified through EBSCOhost, PubMed, and Google Scholar using a SPICE-informed search strategy. Thirty-six quantitative, qualitative, and mixed-methods studies met the inclusion criteria and were analyzed thematically. Three themes emerged: factors influencing disclosure, including relationship dynamics and fear of violence; the positive and negative consequences of disclosure, particularly IPV; and the role of health care workers, whose limited IPV training tended to increase risk. Integrating IPV screening, safety planning, and gender-sensitive training into HIV counseling is essential to support safe, client-led disclosure.<\/jats:p>","DOI":"10.1521\/aeap.2026.38.4.284","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T20:02:36Z","timestamp":1786392156000},"page":"284-306","source":"Crossref","is-referenced-by-count":1,"title":["Understanding the Relationship Between Intimate Partner Violence and HIV Status Disclosure Across Health Care Settings in Eastern and Southern Africa: A Scoping Review"],"prefix":"10.1521","volume":"38","author":[{"given":"Omphile","family":"Rashope","sequence":"first","affiliation":[{"name":"Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Stevens","sequence":"additional","affiliation":[{"name":"Post Doctoral Fellow, SARChi Chair Gender and Politics, Department of Political Science, Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Willan","sequence":"additional","affiliation":[{"name":"Gender and Health Research Unit, South African Medical Research Council, Durban, South Africa"},{"name":"Honorary Research Fellow, School of Applied Human Sciences (Psychology), University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Duby","sequence":"additional","affiliation":[{"name":"Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Jonas","sequence":"additional","affiliation":[{"name":"Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinky","family":"Mahlangu","sequence":"additional","affiliation":[{"name":"Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Hanass-Hancock","sequence":"additional","affiliation":[{"name":"Gender and Health Research Unit, South African Medical Research Council, Durban, South Africa"},{"name":"School of Health Science, University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"issue":"1","key":"ref1","first-page":"915","volume":"21","author":"Adeniyi O. 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