HIV status disclosure remains one of the major challenges to effective HIV prevention. Given the complexities and low rates of disclosure, new innovative strategies are needed. Since electronic adherence monitoring (EAM) are unique mobile devices that light up when transmitting data, those who see them often want to know more about them, which can potentially result in HIV status disclosure. We conducted a qualitative study to explore patient experiences with EAM for antiretroviral therapy (ART) in Uganda with a goal of understanding potential ethical concerns, including disclosure. Unexpectedly, several participants reported intentionally using EAM to facilitate HIV status disclosure to others in order to get social support, encourage HIV testing, and create awareness about HIV. Although researchers and clinicians need to be mindful of the potential for unintended HIV status disclosure through the use of EAM, they should also recognize the potential of this approach to support intended disclosure.

艾滋病毒状况披露仍然是有效预防艾滋病毒的主要挑战之一。鉴于复杂性和披露率低，需要新的创新战略。由于电子依从性监测 (EAM) 是一种独特的移动设备，在传输数据时会亮起，因此看到它们的人通常想了解更多关于它们的信息，这可能会导致 HIV 状态泄露。我们进行了一项定性研究，以探索在乌干达使用 EAM 进行抗逆转录病毒治疗 (ART) 的患者体验，目的是了解潜在的伦理问题，包括披露。出乎意料的是，一些参与者报告故意使用 EAM 来促进向他人披露 HIV 状况，以获得社会支持、鼓励 HIV 检测和提高对 HIV 的认识。