Psychological Determinants of Self-Disclosure of HIV Positive Status among Individuals Receiving Care in Ndokwa Local Government Areas of Delta State Nigeria

HIV/AIDS remains a major global public health concern, with Sub-Saharan Africa and Nigeria in particular bearing a disproportionate burden of the disease. Despite advancements in treatment and awareness, self-disclosure of HIV-positive status continues to pose a significant challenge to effective prevention and care. In Delta State, where infection rates remain high, many HIV-positive individuals are reluctant to disclose their status due to psychological and social fears. This study explores the psychological determinants of self-disclosure of HIV positive status among individuals receiving care in Ndokwa Local Government Area of Delta State, Nigeria. Utilizing a mixed-methods approach, the research combines quantitative surveys and qualitative interviews to assess factors influencing the decision to disclose one's HIV status. Key psychological determinants identified include stigma, fear of discrimination, social support, and self-acceptance. Results indicate that individuals with higher levels of social support and self-acceptance are more likely to disclose their status, whereas those experiencing significant stigma and fear of negative social repercussions tend to withhold this information. The findings highlight the need for targeted psychological interventions and community education programs aimed at reducing stigma and fostering supportive environments. These efforts could enhance individuals' willingness to share their HIV status, ultimately improving access to support and care services within the community.