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Perceived Facilitators and Barriers regarding Partner Notification in People Living With HIV in Hunan, China

A Qualitative Study From the Patient Perspective

Zhang, Kaili MSN, RN; Zhao, Junshi MD, MPH; Li, Xianhong PhD, RN; Chen, Xi MD; Wang, Honghong PhD, RN*; Williams, Ann Bartley EdD, RNC, FAAN; Fennie, Kristopher PhD, MPH

Journal of the Association of Nurses in AIDS Care: November-December 2019 - Volume 30 - Issue 6 - p 658–667
doi: 10.1097/JNC.0000000000000093
Research Article
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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: honghong_wang@csu.edu.cn

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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