Consensus has been reached about the important role of partner notification (PN) for HIV prevention and control programs. We used a qualitative study to explore facilitators of and barriers to PN to understand reasons for disclosure and nondisclosure by people living with HIV in China. Our main goal was to identify information related to PN that may be unique to the Chinese cultural context. Of 41 participants who were interviewed, 33 had disclosed their HIV status to sexual partners. Facilitators for PN included preserving the integrity of the partnership, social support, and potential benefits of notification; barriers included perceived discrimination/stigma, possible negative consequences, and safety concerns. Participant physical health conditions, strength of the relationship, and concordant identification were found to be conditional factors of PN. Our findings provide information for a better understanding of PN in Chinese culture and offer a reference for developing more specific strategies to facilitate PN.
Kaili Zhang, MSN, RN, is a Doctoral Student, Xiangya Nursing School of Central South University, Changsha, Hunan, China, and is an Associate Professor, Xuzhou Medical University, Xuzhou, Jiangsu, China. Junshi Zhao, MD, MPH, is a Deputy Chief Physician, Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan, China. Xianhong Li, PhD, RN, is an Associate Professor, Xiangya Nursing School of Central South University, Changsha, Hunan, China. Xi Chen, MD, is a Professor, Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan, China. Honghong Wang, PhD, RN, is a Professor, Xiangya Nursing School of Central South University, Changsha, Hunan, China. Ann Bartley Williams, EdD, RNC, FAAN, is a Professor, Yale School of Nursing, New Haven, Connecticut, USA. Kristopher P. Fennie, PhD, MPH, is an Associate Professor, Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA.
Corresponding author: Honghong Wang, e-mail: firstname.lastname@example.org
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