Expected versus actual responses to disclosure in relationships of HIV‐positive African American adolescent females

Ten HIV‐positive African American adolescent females were interviewed regarding disclosure of their HIV infection in various relationships. Communication Boundary Management (Petronio, 1991) provided a framework for understanding disclosure patterns in these relationships. Participants described expected (n = 113) and actual (n = 94) responses to disclosing an HIV diagnosis. The findings indicate that expected response and the target of disclosure affect adolescents’ disclosure decisions. Participants expected targets of disclosure to respond as follows: experience negative emotional reactions, provide support, treat them differently, tell others, or were unsure of a target's response. On the basis of these findings, five themes were identified related to actual responses to disclosure of HIV infection: different treatment, negative emotional reaction, received support, target told others, and treated no differently. Implications, limitations, and directions for future research are discussed.