PLWH excluded individuals from their chosen families
for providing them no support or not accepting their
homosexuality and HIV-positive serostatus. A lack of
understanding between PLWH and particular individuals,
and rejection, was inherent in this exclusion. Further,
there was dissonance or disagreement between PLWH
and others regarding acceptance of their homosexuality
and HIV-positive serostatus. Those excluded from their
family of choice included both biological and nonbiological
relations. Some participants cited physical and sexual harm
to themselves in previous years as a reason for exclusion of
specific individuals. Therefore, rejection of the participant as
a person, their homosexuality, and HIV status was the major