The silence of reason: Ethnography of the management of secrecy among young people living with HIV in Kinshasa

• Secrets are managed hierarchically based on trust and social context • Youth develop secrecy strategies as agency against stigma and social harm • Young women face double stigma and adopt stricter concealment strategies. • Adherence to treatment helps protect identity and avoid suspicion • Photovoice reveals hidden tensions missed by conventional approaches

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Publication Details

Journal
SSM - Qualitative Research in Health
Published
2025-12-19
DOI
https://doi.org/10.1016/j.ssmqr.2025.100687
Primary Topic
Qualitative Research Methods and Ethics
Type
article
Field-Weighted Citation Impact
0.00
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article

The silence of reason: Ethnography of the management of secrecy among young people living with HIV in Kinshasa

Gisèle Mucinya, Petros Isaakidis, Elysée Manziasi Sumbi, Umberto Pellecchia et al.
SSM - Qualitative Research in Health
Qualitative Research Methods and Ethics
article

The silence of reason: Ethnography of the management of secrecy among young people living with HIV in Kinshasa

Gisèle Mucinya, Petros Isaakidis, Elysée Manziasi Sumbi, Umberto Pellecchia, Emilia Brazy-Nancy
article en

Abstract

• Secrets are managed hierarchically based on trust and social context • Youth develop secrecy strategies as agency against stigma and social harm • Young women face double stigma and adopt stricter concealment strategies. • Adherence to treatment helps protect identity and avoid suspicion • Photovoice reveals hidden tensions missed by conventional approaches

SSM - Qualitative Research in HealthVol. 9
Médecins Sans Frontières (BE)
Openalex Percentile: Top 50%
Qualitative Research Methods and Ethics
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