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SELF DISCLOSURE AND HEALTH RELATED QUALITY OF LIFE OF HIV INFECTED INDIVIDUALS IN ENUGU STATE NIGERIA

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Table of Contents
CERTIFICATION …………………………………………………………………………………………………….. ii
DEDICATION …………………………………………………………………………………………………………. iii
ACKNOWLEDGEMENT ………………………………………………………………………………………….. iv
ABSTRACT ………………………………………………………………………………………………………………. v
List of tables ……………………………………………………………………………………………………………… vi
List of figures …………………………………………………………………………………………………………. viii
Table of Contents ………………………………………………………………………………………………………. ix
List of Acronyms ………………………………………………………………………………………………………. xi
CHAPTER ONE: INTRODUCTION ……………………………………………………………………………. 1
1.1 Background to the Study ………………………………………………………………………………… 1
1.2 Statement of the Problem ……………………………………………………………………………….. 2
1.3 Research Questions ……………………………………………………………………………………….. 5
1.4 Objectives of the study …………………………………………………………………………………… 5
1.5 Significance of the Study ……………………………………………………………………………….. 5
1.6 Operationalization of concepts ………………………………………………………………………… 6
CHAPTER TWO: LITRATURE REVIEW …………………………………………………………………… 9
2.1 Review of empirical literature …………………………………………………………………………. 9
2.1.1 Disclosure rates………………………………………………………………………………………….. 9
2.1.2 Reasons for disclosure and non-disclosure:,…………………………………………………. 10
2.1.3 Targets and timing of disclosure ………………………………………………………………… 11
2.1.4 Consequences of disclosure: ………………………………………………………………………. 13
2.1.5 Factors affecting HRQL of PLWHA …………………………………………………………… 15
2.2 Review of theoretical literature ……………………………………………………………………… 16
2.2.1 Disease Progression Model ……………………………………………………………………….. 16
2.2.3 The Competing Consequences Model …………………………………………………………. 17
2.2.4 Communication Privacy Management Model ………………………………………………. 19
2.3 Theoretical framework …………………………………………………………………………………. 20
2.4 Study Hypotheses ………………………………………………………………………………………… 21
CHAPTER 3: METHODOLOGY ………………………………………………………………………………. 22
3.1 Study Design ………………………………………………………………………………………………. 22
3.2 Study Area and Population ……………………………………………………………………………. 22
3.3 Sample Size ………………………………………………………………………………………………… 23
3.4 Sampling Procedure …………………………………………………………………………………….. 23
x
3.5 Instruments and Methods of data collection ……………………………………………………. 24
3.6 Methods of data Analysis ……………………………………………………………………………… 25
CHAPTER FOUR: PRESENTATION OF RESEARCH FINDINGS AND ANALYSIS …… 27
4.0 Introduction ……………………………………………………………………………………………………. 27
4.1 Socio-demographic characteristics of respondents …………………………………………… 27
4.2 HIV Disclosure ……………………………………………………………………………………………. 31
4.3 HIV/AIDS-related Stress Perception ……………………………………………………………… 40
4.4 Health Related quality of Life ……………………………………………………………………….. 44
4.5 Test of hypotheses ……………………………………………………………………………………….. 50
4.6 Discussion on findings: ………………………………………………………………………………… 53
CHAPTER 5: SUMMARY, IMPLICATIONS, CONCLUSION AND
RECOMMENDATION …………………………………………………………………………………………….. 56
5.1 Summary ……………………………………………………………………………………………………. 56
5.2 Implications for Social Work ………………………………………………………………………… 56
5.3 Implications for HIV/AIDS Response in Nigeria …………………………………………………. 58
5.4 Implications for research ………………………………………………………………………………….. 59
5.5 Conclusion ………………………………………………………………………………………………….. 59
5.6 Limitations …………………………………………………………………………………………………. 60
5.7 Recommendations ……………………………………………………………………………………….. 61
REFERENCES ………………………………………………………………………………………………………… 62
APPENDICES ……………………………………………………………………………………………………….

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