DISCLOSURE, SELF-EFFICACY, PERSONALITY, AND MENTAL HEALTH: THE CASE OF HIV POSITIVE WOMEN IN THE ASHANTI REGION

ABSTRACT

This study has investigated disclosure, self-efficacy, personality, and mental health: the case of HIV positive women in the Ashanti Region. A sequential transformative mixed methods design was used. Three theories served as the backbone of the study; The Rational Choice, Social Cognitive and The Big Five Theories. Using a total of 320 women living with HIV (WLHIV), a significant positive correlation exists between self-efficacy and mental health symptoms among WLHIV. Personality traits account for 37.5% variance in mental health symptoms among WLHIV. Of these, neuroticism has the highest (17.6%) variance in mental health. Mental health problems fall as age increases among WLHIV whereas those who knew their status during or after pregnancy have high and poor mental health symptoms than those who knew before pregnancy. Those who have disclosed also have low mental illness symptoms than those who have not. Interview revealed that 37.143% have disclosed to their partners only, 14.286% have disclosed to other family other than their partners only, 2.857% have made disclosure to their friends only whiles the rest of 25.714% have made disclosure to others. While 20% have not disclosed. Concern for family, directive/admonition and peace of mind were the main factors which influenced disclosure of statuses. Emotional support and kindness, access to health care, relationship termination and abandonment, emotional abuse, stigma and discrimination factorized the experiences of women after disclosure of their status. Perceived stigma, fear of rejection and disapproval, fear of blame and self-reliance got exposed as factors which hindered status disclosure.