scholarly journals HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention

AIDS Care ◽  
2018 ◽  
Vol 30 (4) ◽  
pp. 417-425 ◽  
Author(s):  
E. Geubbels ◽  
A. Williams ◽  
A. Ramaiya ◽  
D. Tancredi ◽  
S. Young ◽  
...  
Keyword(s):  
Postpartum Women ◽  
Hiv Status ◽  
Rural Tanzania ◽  
Hiv Status Disclosure ◽  
Status Disclosure

scholarly journals Impact of HIV-Status Disclosure on HIV Viral Load in Pregnant and Postpartum Women on Antiretroviral Therapy

2019 ◽  
Vol 81 (4) ◽  
pp. 379-386 ◽  
Author(s):  
Kirsty Brittain ◽  
Claude A. Mellins ◽  
Robert H. Remien ◽  
Tamsin K. Phillips ◽  
Allison Zerbe ◽  
...  
Keyword(s):  
Viral Load ◽  
Antiretroviral Therapy ◽  
Postpartum Women ◽  
Hiv Status ◽  
Hiv Viral Load ◽  
Hiv Status Disclosure ◽  
Status Disclosure

scholarly journals Barriers to and Facilitators of HIV Serostatus Disclosure to Sexual Partners among Postpartum Women Living with HIV in South Africa

2020 ◽  
Author(s):  
Oladele Vincent Adeniyi ◽  
Charlotte Nwogwugwu ◽  
Anthony Idowu Ajayi ◽  
John Lambert
Keyword(s):  
Sexual Partners ◽  
Postpartum Women ◽  
Study Cohort ◽  
Hiv Status ◽  
Sampling Weights ◽  
Serostatus Disclosure ◽  
Hiv Serostatus ◽  
Women With Hiv ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Abstract Background: Disclosure of HIV serostatus to sexual partner facilitates partner's support and testing, and correlates with better treatment outcomes. Studies examining changes in the rate of serostatus from delivery and postpartum periods are scarce. Our study fills this gap by using a follow-up survey of postpartum women with HIV to examine if disclosure prevalence has improved compared to the proportion recorded at childbirth. We further assessed the reasons for non-disclosure and correlates of serostatus disclosure to sexual partners. Methods: We conducted telephonic interviews with a final sample of 485 postpartum women with HIV drawn from the East London Prospective Cohort study database between January and May 2018. Disclosure of HIV status to partner was based on self-reporting. We fitted adjusted and unadjusted logistic regression models and also conducted descriptive statistical analyses. Sampling weights were used to correct for sampling errors. Results: Overall, 81.8% of women in the study cohort had disclosed their status to their partners, representing a 7.4 percentage point increase since child delivery. After adjusting for important covariates, women were more likely to disclose their status if they were married [adjusted odds ratio (AOR): 3.10; 95% confidence interval (CI):1.39-6.91] but were less likely to disclose if they use alcohol [AOR: 0.61; 95% CI:0.37-0.99] or reported sub-optimal adherence [AOR: 0.59; 95% CI:0.36-0.96]. Fear of rejection, stigma or being judged, new or casual relationships, and having a violent partner were the main reasons for not disclosing HIV status to sexual partners. Conclusion: We found a relatively higher rate of HIV status disclosure in the cohort compared to the rate recorded at childbirth, suggesting the likelihood of positive effect of post-delivery counselling. Also, complicated relationship dynamics and fear of social exclusion still constitute barriers to HIV status disclosure to sexual partners despite patients' counselling.

scholarly journals Barriers to and facilitators of HIV serostatus disclosure to sexual partners among postpartum women living with HIV in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Oladele Vincent Adeniyi ◽  
Charlotte Nwogwugwu ◽  
Anthony Idowu Ajayi ◽  
John Lambert
Keyword(s):  
Sexual Partners ◽  
Postpartum Women ◽  
Study Cohort ◽  
Hiv Status ◽  
Sampling Weights ◽  
Serostatus Disclosure ◽  
Hiv Serostatus ◽  
Women With Hiv ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Abstract Background Disclosure of HIV serostatus to a sexual partner can facilitate partner’s support and testing and better treatment outcomes. Studies examining changes in disclosure rates of serostatus from delivery and postpartum periods are scarce. Our study fills this gap by using a follow-up survey of postpartum women with HIV to examine if disclosure prevalence has improved compared to the proportion recorded at childbirth. We further assessed the reasons for non-disclosure and correlates of serostatus disclosure to sexual partners. Methods We conducted a cross-sectional analytical study (exit interview) with a final sample of 485 postpartum women with HIV drawn from the East London Prospective Cohort study database between January and May 2018. Disclosure of HIV status to partner was based on self-reporting. We fitted adjusted and unadjusted logistic regression models and also conducted descriptive statistical analyses. Sampling weights were used to correct for sampling errors. Results Overall, 81.8% of women in the study cohort had disclosed their status to their partners, representing a 7.4 percentage point increase since child delivery. After adjusting for important covariates, women were more likely to disclose their status if they were married [adjusted odds ratio (AOR): 3.10; 95% confidence interval (CI):1.39–6.91] but were less likely to disclose if they used alcohol [AOR: 0.61; 95% CI:0.37–0.99] or had reported adherence to ART [AOR: 0.59; 95% CI:0.36–0.96]. Fear of rejection, stigma or being judged, new or casual relationships, and having a violent partner were the main reasons for not disclosing HIV status to sexual partners. Conclusion We found a relatively higher rate of HIV status disclosure in the cohort compared to the rate recorded at childbirth, suggesting an improvement over time. Also, complicated relationship dynamics and fear of social exclusion still constitute barriers to HIV status disclosure to sexual partners despite patients’ counselling.

HIV Status Disclosure Questionnaire

2019 ◽  
Author(s):  
Fatch Welcome Kalembo ◽  
Garth E. Kendall ◽  
Mohammed Ali ◽  
Angela F. Chimwaza
Keyword(s):  
Hiv Status ◽  
Hiv Status Disclosure ◽  
Status Disclosure

scholarly journals Understanding the determinants and consequences of HIV status disclosure in Manicaland, Zimbabwe: cross-sectional and prospective analyses

AIDS Care ◽  
2021 ◽  
pp. 1-18
Author(s):  
Theodora Goodwin ◽  
Simon Gregson ◽  
Rufurwokuda Maswera ◽  
Louisa Moorhouse ◽  
Constance Nyamukapa
Keyword(s):  
Hiv Status ◽  
Cross Sectional ◽  
Hiv Status Disclosure ◽  
Status Disclosure ◽  
Prospective Analyses

scholarly journals The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan

2021 ◽  
Vol 18 (10) ◽  
pp. 5089
Author(s):  
Chia-Hui Yu ◽  
Chu-Yu Huang ◽  
Nai-Ying Ko ◽  
Heng-Hsin Tung ◽  
Hui-Man Huang ◽  
...  
Keyword(s):  
Lived Experiences ◽  
Healthcare Professionals ◽  
Social Stigma ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Structured Interviews ◽  
Two Phases ◽  
Hiv Status Disclosure ◽  
Living With Hiv ◽  
Status Disclosure

People living with HIV (PLWH) face social stigma which makes disclosure of HIV status difficult. The purpose of this descriptive qualitative study was to understand the lived experiences of stigmatization in the process of disease disclosure among PLWH in Taiwan. Analysis of the semi-structured interviews from 19 PLWH in Taiwan revealed two phases and six themes. Phase one “experiences before disclosure” involved three themes: “Struggles under the pressure of concealing the HIV Status,” “Torn between fear of unemployment/isolation and desire to protect closed ones,” and “Being forced to disclose the HIV status.” Phase two “experiences after disclosure” included three themes: “Receiving special considerations and requirements from school or work,” “Receiving differential treatments in life and when seeking medical care,” and “Stress relief and restart.” Healthcare professionals need to assess stigmatization in PLWH and develop individualized approaches to assist with the disease disclosure process.

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