Saturday, October 20, 2007

A Clinical Study on the Stigma of Genital Herpes

Chronic genital herpes and disclosure…. The influence of stigma

Itnl Jf STD & AIDS, Sept 2007;18(9): 589-592 Bickford J.
http://www.ingentaconnect.com/content/rsm/std/2007/00000018/00000009/art00002
The objectives of this study were to assess the nature and effect of stigma
on disclosure of diagnosis to sexual partners among those with problematic
disease. Data from questionnaires and semistructured interviews were
collected and analysed. Data regarding anxiety were also collected using a
validated tool. Ethical approval was received from the Chelsea and
Westminster Healthcare National Health Service (NHS) Trust. Disclosure of
diagnosis tended to occur in the context of established relationships.
Herpes-related stigma was associated with non-disclosure of diagnosis to
sexual partners. The point prevalence of moderate to severe anxiety in this
sample was 32%. The use of suppressive medication did not affect anxiety
scores. In conclusion, the reaction to a diagnosis of genital herpes is
influenced by a socially constructed understanding and the decision to
disclose or not is influenced by this. Stigma is a barrier to disclosure of
genital herpes diagnosis. Management strategies aimed at encouraging
disclosure to partners must address perceived stigma.

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