Background
This study focused on understanding the coping strategies and related behavioral changes of women who were recently diagnosed with Herpes Simplex Virus Type 2 (HSV-2). In particular, we were interested in how coping strategies, condom use, and acyclovir uptake evolve over time.
Methods
Twenty-eight women screening positive for HSV-2 were recruited through a public health STD clinic and the Indianapolis Community Court. Participants completed three semi-structured interviews with a female researcher over a six-month period. The interviews focused on coping strategies for dealing with a diagnosis, frequency of condom use, suppressive and episodic acyclovir use, and the utilization of HSV-2 support groups. Interview data were analyzed using content analysis to identify and interpret concepts and themes that emerged from the interviews.
Results
Women employed a variety of coping strategies following an HSV-2 diagnosis. 32% of women reported an increase in religious activities, 20% of women reported an increase in substance use, and 56% of women reported engaging in other coping activities. 80% of women reported abstaining from sex immediately following the diagnosis, but 76% of women reported engaging in sex again by the six-month interview. Condom and medication use did not increase and HSV-2 support groups were not utilized by participants.
Conclusions
All participants reported engaging in at least one coping mechanism after receiving their diagnosis. A positive diagnosis did not seem to result in increased use of condoms for the majority of participants and the use of acyclovir was low overall.