scholarly journals P190 The role of helpline counseling in HIV status disclosure among sexual partners: a case study of toll free helpline in uganda

2019 ◽  
Author(s):  
Julius Ssekinkuse
Keyword(s):  
Sexual Partners ◽  
Hiv Status ◽  
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 Determinants of benzodiazepine use in a representative population of HIV-infected individuals: the role of HIV status disclosure (ANRS-EN12-VESPA study)

AIDS Care ◽  
2011 ◽  
Vol 23 (9) ◽  
pp. 1163-1170 ◽  
Author(s):  
Perrine Roux ◽  
Lionel Fugon ◽  
Laurent Michel ◽  
France Lert ◽  
Yolande Obadia ◽  
...  
Keyword(s):  
Hiv Status ◽  
Benzodiazepine Use ◽  
Hiv Status Disclosure ◽  
Status Disclosure

scholarly journals The Role of Early HIV Status Disclosure in Retention in HIV Care

2015 ◽  
Vol 29 (12) ◽  
pp. 646-650 ◽  
Author(s):  
Latesha Elopre ◽  
Edward W. Hook ◽  
Andrew O. Westfall ◽  
Anne Zinski ◽  
Michael J. Mugavero ◽  
...  
Keyword(s):  
Hiv Care ◽  
Hiv Status ◽  
Retention In Hiv Care ◽  
Hiv Status Disclosure ◽  
Status Disclosure

scholarly journals Individual and Social Predictors of HIV Status Disclosure in HIV-Positive Individuals in Ahvaz, Khuzestan, Southwest of Iran

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Shirin Hasanpour ◽  
Mansoureh Fakhouri ◽  
Mojgan Mirghafourvand
Keyword(s):  
High Risk ◽  
Sexual Partner ◽  
Sexual Partners ◽  
Hiv Disclosure ◽  
Hiv Status ◽  
High Risk Behaviors ◽  
Number Of Sexual Partners ◽  
History Of ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Background: Encouraging people who live with HIV (PWLH) to inform their sexual partner about HIV infection is an effective way to reduce the spread of HIV. It reduces the probability of HIV transmission by avoiding high-risk behaviors. Objectives: To determine the predictors of disclosure of HIV status to a sexual partner(s) in PWLH in Khuzestan province, Iran. Patients and Methods: The current descriptive, analytical, cross-sectional study was performed on 89 men and 31 women with HIV/AIDS. Data were collected from October 2016 to February 2017. A convenience sampling method was used to recruit participants. Socio-demographic and Kalichman HIV status disclosure questionnaires were used to collect data. The questionnaire was filled by participants. In addition to socio-demographic information, high-risk sexual behaviors, history of drug and alcohol use, number of sexual partners, and HIV status of the partner were also reported by participants. A multivariate linear regression model with a backward strategy was used to determine the predictors of HIV disclosure. Results: Half of the participants (49.1%) had two or more sexual partners. 46.7% of participants reported that the HIV status of sexual partners is unknown. Frequency of unprotected vaginal, anal, and oral relationship were 87.5%, 43.3%, and 58.5%, respectively. 71.7% of participants had a history of drug abuse, and 43.3% were current substance users. More than half (58.3%) had a history of imprisonment. Based on the multivariate linear regression model, the variables of employment status, HIV status of sexual partner, unprotected vaginal sex, unprotected anal sex, and recurrent consumption of narcotic drugs were predictors of HIV disclosure. These variables explained 58.7% of the variance in the total score of HIV disclosure. Conclusions: The present study highlighted the need for behavioral interventions, such as providing support and counseling with sexual partners of HIV patients about HIV preventive behaviors, such as condom use, reducing the number of sexual partners, and creation of a positive attitude towards the lives of HIV-positive intravenous drug users to overcome the barriers to reduce high-risk behaviors and drug abuse, through behavioral disease counseling centers.

scholarly journals Enhancing HIV status disclosure and partners’ testing through counselling in Tanzania

2015 ◽  
Vol 17 (3) ◽  
Author(s):  
Boniphace Idindili ◽  
Majige Selemani ◽  
Fakihi Bakar ◽  
Sumaiyya G. Thawer ◽  
Abdallah Gumi ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sexual Partners ◽  
Work Place ◽  
Hiv Positive ◽  
Hiv Status ◽  
Voluntary Counselling ◽  
Hiv Testing And Counselling ◽  
Hiv Status Disclosure ◽  
Status Disclosure ◽  
Voluntary Counselling And Testing

Background: In Tanzania HIV Testing and Counselling (HTC) is being implemented through voluntary counselling and testing (VCT), provider initiated counselling and testing (PITC) and work place counselling and testing (HTC). Within these programmes, HIV status disclosure is emphasized. However, among persons who test HIV positive, many do not disclose their status to their partners and social networks.  However, data are lacking on the effectiveness of the different HTC strategies on HIV positive status disclosure.Objective: To investigate which of the three HIV Testing and Counselling (HTC) strategies: Voluntary Counselling and Testing (VCT), Provider Initiated Counselling and Testing (PITC) and work place Counselling and testing is associated with improved HIV-positive status disclosure in Eastern Tanzania.Methods: Structured interviews were conducted with 455 newly diagnosed HIV-positive clients at 6 HTC sites during enrolment and at three months follow-up to collect data on disclosure status.Results: We found that PITC strategy attended a relatively higher proportion of clients 182/455(40.1%) as compared to VCT 169/455 (37.1%) and work place HTC strategies 104/455(22.9%) respectively. Among clients, about one third 130/455(28.6%) were found to be HIV-positive. HIV status disclosure rates were variable and were in order of preference of disclosing to family members 86/130(66.2 %), followed by relatives 74/130(56.9%) and sexual partners 71/130(54.6%). A high proportion of participants 77/130(59.2%) experienced violence acts from sexual partners in form of stigma and discrimination, abuse, divorce and termination from employment. In the multivariate logistic regression, disclosure to sexual partners was associated with violence acts of about two times higher (Disclosure to Partners OR=1.89) when compared to the group that did not disclose to their partners.Conclusion: PITC strategy was found to result into higher rates of HIV positive status disclosure when compared to VCT and work place HTC strategies. Stigma, discrimination and violence acts are still prevalent in Tanzania and discourages HIV positive status disclosure. Based on these findings, there is an urgent need of promoting public education on HIV transmission, prevention and treatment and enhancing strategies to reduce risky sexual behaviour and increase condom use.

The role of the family in HIV status disclosure among women in Vietnam: Familial dependence and independence

2017 ◽  
Vol 39 (4) ◽  
pp. 415-428 ◽  
Author(s):  
H. T. Dinh ◽  
J. L. White ◽  
M. Hipwell ◽  
C. T. K. Nguyen ◽  
A. Pharris
Keyword(s):  
Hiv Status ◽  
The Family ◽  
Hiv Status Disclosure ◽  
Status Disclosure ◽  
Familial Dependence

scholarly journals Disclosure of HIV seropositivity to sexual partner and psychosocial factors in Ethiopia: Systematic review and meta-analysis 

2020 ◽  
Author(s):  
Aklilu Endalamaw ◽  
Demeke Geremew ◽  
Habte Belete ◽  
Berihun Assefa Dachew ◽  
Tesfa Dejenie Habtewold ◽  
...  
Keyword(s):  
Psychosocial Factors ◽  
Sexual Partner ◽  
Meta Analysis ◽  
Sexual Partners ◽  
Hiv Disclosure ◽  
Hiv Status ◽  
Hiv Status Disclosure ◽  
Status Disclosure ◽  
The Impact ◽  
Disclosure Practice

Abstract Background: The burden of HIV/AIDS again becomes a public health problem after substantial control of its transmission in Ethiopia. For effective HIV transmission control measures, sero-disclosure to sexual partner is indispensable. Once the infection is established, psychosocial factors would have a great influence on HIV disclosure status to sexual partners which is very important to control viral transmission. This review aimed to estimate the national proportion of HIV disclosure practice to sexual partner and identify associated psychosocial factors.Methods: We searched PubMed, Scopus, African Journals Online, and Google Scholar databases. The Newcastle Ottawa quality assessment scale was used to assess the quality of studies. To ensure the absence or presence of publication bias, we used a funnel plot and performed Egger’s regression test for the subjective and objective assessment, respectively. Variation across studies was assessed using the I2 statistic. The pooled proportion was estimated by using weighted inverse variance random-effects model meta-analysis. We did subgroup and sensitivity analysis to explore the reason for heterogeneity and the impact of outlier finding on the overall estimation, respectively. Trend analysis was also performed to see the presence of time variation. Results: The proportion of HIV sero-disclosure practice to sexual partners was 76.03 % (95% Confidence Interval (CI): 68.78, 83.27). Being on ART (AOR=6.19; 95% CI: 2.92, 9.49), cohabiting with partner (AOR=4.48; 95% CI: 1.24, 7.72), getting counseling (AOR=3.94; 95% CI: 2.08, 5.80), had discussion prior to HIV testing (AOR= 4.40; 95% CI: 2.11, 6.69), awareness of partner’s HIV status (AOR= 6.08; 95%CI: 3.05, 9.10),smooth relationship with partner (AOR=4.44; 95% CI:1.28, 7.61), and being member of anti-HIV association (AOR=3.70; 95% CI: 2.20, 5.20) facilitates HIV status disclosure.Conclusions: In Ethiopia, still more than one-fourth of HIV-infected adults did not disclose their HIV positivity status to sexual partners. Psychosocial factors were the contributing factors of HIV-positive status disclosure. Further work is still needed to increase HIV status disclosure so as to decrease the transmission rate of HIV in Ethiopia.

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