{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T18:29:07Z","timestamp":1774549747441,"version":"3.50.1"},"reference-count":57,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Adolescents living with HIV (ALHIV) are faced with the hard decision of how to disclose their HIV status to others. Despite this obvious challenge, few HIV self-disclosure models exist.\n\nObjectives: This study was aimed at developing a self-disclosure model that would assist adolescents with perinatally acquired HIV in Eswatini to share their HIV status with others.\n\nMethod: The explanatory sequential mixed method design was used; therefore, quantitative data were collected first from 361 ALHIV aged 15\u201319 years using questionnaires and analysed. Qualitative data were collected from 23 ALHIV, 24 nurses and 4 policymakers using 3 focus group discussions and in-depth individual interviews. For quantitative data, statistical analysis was utilised, and grounded theory guided the analysis of qualitative data and the development of the model.\n\nResults: HIV self-disclosure is the central concept for this model, and it is supported by four major concepts: (1) national HIV strategic framework, (2) enablers, (3) adolescent empowerment and (4) model outcomes. The description of the model was conducted using Chinn and Kramer\u2019s stages of model development.\n\nConclusion: HIV education and social support are important in reducing stigma and discrimination in communities where adolescents reside. Prioritising the training of nurses and developing self-disclosure guidelines would lead to a remarkably increased level of adolescent HIV self-disclosure.\n\nContribution: The contribution of this study is that it is the first of its kind to develop an adolescent HIV self-disclosure model in Eswatini.<\/jats:p>","DOI":"10.4102\/curationis.v48i1.2741","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T07:56:17Z","timestamp":1753948577000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["A self-disclosure model for adolescents with perinatally acquired HIV in Eswatini"],"prefix":"10.4102","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5686-6433","authenticated-orcid":false,"given":"Baliwe P.","family":"Dlamini","sequence":"first","affiliation":[{"name":"University of KwaZulu-Natal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4096-8193","authenticated-orcid":false,"given":"Ntombifikile G.","family":"Mtshali","sequence":"additional","affiliation":[{"name":"University of KwaZulu-Natal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2580","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Abbasinia, M., Ahmadi, F. & Kazemnejad, A., 2020, \u2018Patient advocacy in nursing: A concept analysis\u2019, Nursing Ethics 27(1), 141\u2013151. https:\/\/doi.org\/10.1177\/0969733019832950","DOI":"10.1177\/0969733019832950"},{"key":"ref1","unstructured":"Babbie, E., 2016, The practice of social research, M. 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