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 Pattern and Determinants of Antiretroviral Drug Adherence among Nigerian Pregnant Women

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
S. O. Ekama ◽  
E. C. Herbertson ◽  
E. J. Addeh ◽  
C. V. Gab-Okafor ◽  
D. I. Onwujekwe ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Antiretroviral Drugs ◽  
Bivariate Analysis ◽  
Drug Adherence ◽  
Hiv Status ◽  
Good Adherence ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Background. The need for a high level of adherence to antiretroviral drugs has remained a major hurdle to achieving maximal benefit from its use in pregnancy. This study was designed to determine the level of adherence and identify factors that influence adherence during pregnancy.Method. This is a cross-sectional study utilizing a semistructured questionnaire. Bivariate and multiple logistic regression models were used to determine factors independently associated with good drug adherence during pregnancy.Result. 137 (80.6%) of the interviewed 170 women achieved adherence level of ≥95% using 3 day recall. The desire to protect the unborn child was the greatest motivation (51.8%) for good adherence. Fear of being identified as HIV positive (63.6%) was the most common reason for nonadherence. Marital status, disclosure of HIV status, good knowledge of ART, and having a treatment supporter were found to be significantly associated with good adherence at bivariate analysis. However, after controlling for confounders, only HIV status disclosure and having a treatment partner retained their association with good adherence.Conclusion. Disclosure of HIV status and having treatment support are associated with good adherence. Maternal desire to protect the child was the greatest motivator for adherence.

scholarly journals HIV Disclosure and Quality of Life in People Living with HIV/AIDS in Yogyakarta

2020 ◽  
Vol 4 (2) ◽  
pp. 50-58
Author(s):  
Tutur Irfantoro ◽  
Dwi Kartika Rukmi
Keyword(s):  
Quality Of Life ◽  
Hiv Disclosure ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Cross Sectional ◽  
Hiv Status Disclosure ◽  
Living With Hiv ◽  
Status Disclosure ◽  
Hiv Aids

Background: Victory Plus Foundation is a Non-Government Organization that helps the population directly affected by HIV/AIDS in Yogyakarta. Status disclosure’s research on People Living with HIV/AIDS (PLWHA) in Victory Plus Foundation is scarce. Even though the status disclosure is one of HIV spreading prevention, it has two-sided effects, both negative and positive, so its result can affect the quality of life despite PLWHA having tried to find a support system. Therefore, it is essential to know how the quality of life of PLWHA has opened up their status.Purpose: This study aimed to determine the relationship between HIV status disclosure and the quality of life of PLWHA in the Victory Plus Foundation, Yogyakarta.Method: This descriptive-analytic correlation study with a cross-sectional approach was conducted in June-July 2019 on 68 PLWHA at the Victory Plus Foundation. Purposively, samples were asked to fill out a disclosure questionnaire and WHOQOL-BREF. Univariate data presented in descriptions and Chi-Square tested bivariate data.Result: Most of the HIV status disclosure of PLWHA in the Victory Plus foundation was classified into a moderate category (77.9%) and low quality of life (64 %). The bivariate test result found a significant relationship between the HIV status disclosures with the quality of life in general (p = 0.001) with a moderate relationship closeness (r=0.403).Conclusion: Consequently, there is a relationship between the HIV status disclosures with the quality of life of PLWHA in the Victory Plus Foundation in Yogyakarta.

scholarly journals A multi-institutional, cross-sectional study on disclosure of HIV status to sexual partner(s) and associated factors among people living with HIV/AIDS attending selected hospitals in Kigali, Rwanda

2020 ◽  
Vol 7 (2) ◽  
pp. 399
Author(s):  
Moreblessing Chipo Mashora ◽  
Tafadzwa Dzinamarira ◽  
Nicholas Njau Ngomi
Keyword(s):  
Sexual Partner ◽  
Cross Sectional Study ◽  
P Value ◽  
People Living With Hiv ◽  
Local Health ◽  
Hiv Status ◽  
Cross Sectional ◽  
Health Authorities ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Background: In Sub-Saharan Africa, human immunodeficiency virus (HIV) remains a public health problem. There is need for evidence-based interventions to curb new infections. HIV status disclosure, especially to sexual partner(s) remains a critical step towards reducing viral transmission across sexual partners.Methods: A hospital-based cross-sectional study, conducted at HIV clinics of three selected hospitals. Systematic random sampling was employed to sample 384 people living with HIV/AIDS (PLWH). A pre-tested self-administered questionnaire was used to collect data.Results: Of the participants, 66% of the participants reported HIV positive status disclosure, with only 46% of these having disclosed to their sexual partner. Logistic regression analysis identified age (p value 0.035; AOR 0.94), being satisfied with counselling (p value 0.017; AOR 0.24), gender (p value 0.030; AOR 5.51) and education (p value 0.041; AOR 2.14) as factors associated with having disclosed HIV status. Being younger, satisfaction with counselling, being female and having attained at least secondary education were all associated with higher odds of HIV status disclosure.Conclusions: Based on the findings of the current study, it can be concluded that there is need to improve rates of HIV status disclosure among PLWH in Kigali, Rwanda. The current study findings have provided baseline information for the local health authorities, health care providers, policy makers and other scholars working in HIV epidemic control. The local health authorities can use this as a guide to develop a programme aimed to address the issue of non-disclosure of HIV status in Kigali City and hence help control the incessant spread of HIV infection.

scholarly journals Assessment of the proportion and the factors associated with partner and family based index case HIV testing in Woliso town, Oromia, Ethiopia: a cross-sectional study

2020 ◽  
Author(s):  
Teka Haile ◽  
Hanna Gulema
Keyword(s):  
Hiv Testing ◽  
Index Case ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Hiv Status ◽  
Cross Sectional ◽  
Family Based ◽  
Hiv Status Disclosure ◽  
Status Disclosure ◽  
Index Cases

Abstract Background: Despite the enormous expansion of HIV testing services (HTS), an estimated 40% of people with HIV infection remain undiagnosed. In Ethiopia, the current working UNAIDS spectrum estimate for PLHIV is 649,264, of the estimated PLHIV, only about 72% know their status. Methods: A facility based cross-sectional study design with internal comparison was conducted among randomly selected 346 people currently on ART in Woliso town. Data entry carried out by Epi Info™ version 7.2.3.1 and analyzed using SPSS version 21.0 statistical software for Windows.Results: Among 345 study participants, 333 (96.5%) with 95 % CI (94.5 - 98.3) of index cases have tested families. The odds of HIV testing were 7.22 times higher among those who disclosed their HIV status (AOR=7.22 95% CI: 1.45, 35.82) compared to those who did not disclosed. Those who have stayed <12 months on ART are 87% less likely to have tested families (AOR=0.13 95% CI: 0.03, 0.63) compared to those who stayed ≥12 months on ART. Conclusion: this study finding shows that higher proportions of families of index cases have been tested for HIV. It also shows that partner and family based index case HIV testing has significant association with HIV status disclosure of index cases and the length of the duration that the index cases stayed on ART. It is essential to sustain the platform of partner and family based index case HIV testing service through strengthening disclosure counselling and assisting HIV status disclosure in health facilities with fully trained provider and qualified health providers. It also suggests the need to focus on those who received ART for less than 12 months duration and communicate on the timing of HIV testing for HIV negative families with ongoing risk of acquiring HIV.

scholarly journals Correlation Between Disclosure Status and Stress in Men Who Have Sex with Men with HIV

2020 ◽  
Author(s):  
Edianto Edianto ◽  
Agung Waluyo ◽  
Sri Yona ◽  
Ina Martiana
Keyword(s):  
Perceived Stress ◽  
Social Issues ◽  
Hiv Status ◽  
Perceived Stress Scale ◽  
Cross Sectional ◽  
Stress Scale ◽  
Convenience Sampling ◽  
Sex With Men ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Men who have sex with men living with HIV (MSM-LWH) experience psychological and social issues, including depression, anxiety, fear of infecting others, frustration, and social isolation. They may also experience problems in their relationships due to a fear of social stigma, such as marital issues, family conflicts, a lack of family support, economic difficulties, and social rejection by the family. This research aimed to assess the relationship between HIV status disclosure and stress in MSM-LWH in Medan, Indonesia. Here, a cross-sectional design and the convenience sampling technique were used. A total of 176 respondents who were MSM, HIV positive, and residents of Medan City were included in this work. Data were collected by means of HIV Status Disclosure questionnaires and a Perceived Stress Scale (PSS). Overall, 70.9% respondents reported disclosing their status to others and approximately half revealed experiencing stress. Moreover, HIV status disclosure was significantly associated with stress (p= 0.025). This study reveals that HIV status disclosure may result in negative effects on MSMLWH, represent a barrier to medical treatment, and increase internal stress. Abstrak Hubungan antara Status Disclosure dengan Stres pada Lelaki yang Berhubungan Seks dengan Lelaki dengan HIV. Lelaki yang berhubungan Seks dengan lelaki (LSL) yang hidup dengan HIV mengalami maslah psikologis dan social termasuk depresi, kecemasan, ketakutan menulari orang lain, frustasi dan isolasi sosial. Selain itu juga mengalami masalah dalam hubungan sosial karena takut akan stigma, konflik dalam keluarga, kurangnya dukungan keluarga, kesulitan ekonomi dan penolakan oleh keluarga. Penelitian ini bertujuan untuk mengetahui hubungan antara status disclosure HIV dengan stress pada LSL yang hidup dengan HIV di Medan, Indonesia. Metode yang digunakan adalah cross-sectional dengan menggunakan teknik convenience sampling. Sebanyak 176 responden LSL dengan HIV positif dan tinggal di wilayah kota Medan. Data dikumpulkan dengan menggunakan HIV Status Disclosure Questionare dan Perceived Stress Scale (PSS). Hasil penelitian menemukan bahwa sebanyak 70,9% responden memiliki status disclosure HIV rendah, sementara itu sebanyak 55,1% resonden mengalami stress yang tinggi. Status disclosure HIV secara bermakna dikaitkan dengan stress (p= 0,025; α= 0,05). Dapat disimpulkan bahwa status disclosure HIV dapat memberikan efek negatif pada LSL yang hidup dengan HIV dan menjadi penghalang untuk perawatan medis dan meningkatkan stress internal. Kata Kunci: HIV, status disclosure, lelaki yeng berhubungan seks dengan lelaki, stres

scholarly journals Status Disclosure in HIV Infected Children in Abakaliki, Ebonyi State, Southeast, Nigeria

2018 ◽  
Vol 37 (3) ◽  
pp. 244-249
Author(s):  
Maria-Lauretta Orji ◽  
Nnamdi Benson Onyire ◽  
Emeka Ogah Onwe
Keyword(s):  
Health Workers ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Full Information ◽  
Hiv Status ◽  
Cross Sectional ◽  
Adherence Assessment ◽  
Hiv Status Disclosure ◽  
Status Disclosure ◽  
Structured Questionnaire

Introduction: The emotional and psychosocial issues surrounding HIV infection make status disclosure herculean task. Many caregivers are unwilling to disclose because they are afraid of possible unpleasant outcome. The objective of this study were to determine the prevalence rate of HIV status disclosure and possible effect on ART adherence.Material and Methods: It was a cross sectional study that involved consecutive recruitment of 94 confirmed HIV infected children aged 5-17 years. Structured questionnaire was used to obtain information on socio-demographic, disclosure and adherence. Assessment of adherence was done in the clinic by direct questioning and pill count.Results: A total of 31 (33.0%) have received a form of information regarding their HIV status. The mean age of disclosure was 12.48± 2.46 years. Majority (95.5%) of the children that received full information about their HIV status were adolescents. Circumstantial disclosure was seen in 25 (80.6%) out of the 31 subjects. A total of 61.3% of HIV status disclosure was done in hospital setting by health workers and 81.8% of subjects that were given full information about HIV were from health workers in a hospital setting. There was however no relationship between adherence to ART and status disclosure (p= 0.832).Conclusion: Age of status disclosure was rather late in this study and majority of the disclosure were consequent to prevailing circumstances in the subjects’ life. A step-wise approach to disclosure that entailed giving age dependent information as from the age of seven years is therefore recommended  

HIV Status Disclosure and its associated factors among Children on Antiretroviral Therapy in West Shoa Zone, Ethiopia, 2019: A Mixed method cross-sectional study

2019 ◽  
Author(s):  
Seifadn Ahmed Shallo ◽  
Mesfin Tassew
Keyword(s):  
Disease Transmission ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Drug Adherence ◽  
Hiv Disease ◽  
Sectional Study ◽  
Hiv Status ◽  
Cross Sectional ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Abstract Background Evidences from previous studies claim that informing children about their HIV status has long term positive implications in the HIV disease management, children's quality of life and ART drug adherence. However, in many parts of the Sub-Saharan African Countries, the HIV status disclosure among children reaches from 0 to 69.2%. Since the issue of disclosure is complex and highly influenced by socio-cultural characters and perception of the community towards HIV disease, it is important to investigate the up to date evidence which will help in designing contextualized approaches for disclosure. The objective of the current study was to assess the HIV status disclosure and its associated factors among children on ART in West Shoa Zone, Ethiopia.Methods Institutional based quantitative cross-sectional study supplemented by qualitative was conducted from February to April /2019 among 247 caregivers and or their children.Results The mean age of the children was 11.11±SD2.8, and 43.6%, (95% CI: 37, 50.9) of the children were fully disclosed. The average age at disclosure was 11 ±SD2.12. The main reasons for the disclosure were for drug adherence and better self-care, while underage was the commonest reason for nondisclosure. Compared to the age (10-15) years, the child in the age (6-9) was 97% [AOR: 0.027, 95% CI: 0.003, 0.22, P<0.001] less likely to be disclosed. Female children were 2.7 times more likely to be disclosed compared to males children [AOR: 2.73, 95% CI: 1.24, 6, P<0.013].Conclusion The current finding reveals that the HIV status disclosure is generally low, and the decision to disclose or not to do so is affected by many factors like child age, and child sex. This will affect directly or indirectly the child drug adherence, treatment outcome and also disease transmission.

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