Frequency of HIV status disclosure, associated factors and outcomes among HIV positive pregnant women at Mbarara Regional Referral Hospital, southwestern Uganda

Introduction Pregnant women who disclose their HIV-positive status to their sexual partners have played an important role in reducing the risk of HIV/AIDS transmission to the baby during the antepartum, intrapartum, and postnatal periods. Studies are limited in the current study area in a similar arena. Therefore, this study aimed to assess the proportion of HIV-positive status disclosure and its associated factors among pregnant women. Methods A facility-based cross-sectional study was conducted among 156 HIV-positive pregnant women in Dire Dawa administrative from March 12th to May 10th, 2020. Data were generated using a pretested structured questionnaire through face-to-face interviews. Binary logistic regression analysis was employed to identify the predictor variables associated with the disclosure of HIV-positive status among pregnant women to their sexual partners. Finally, the adjusted odds ratio with 95% confidence intervals at P-value< 0.05 was considered statistically significant. Results Of the total, 135 (86.5%) of HIV-positive pregnant women disclosed their HIV status to their sexual partner. Christian followers (both Orthodox and Protestant) [AOR = 8.8, 95% CI: 2.3. 34] more likely to disclose HIV status to their sexual partner than those Muslims. Those participants who started practicing safer sex [AOR = 17.6, 95% CI: 4–77] and those women who had a smooth relationship before the HIV disclosure were [AOR = 14.7, 95% CI: 3–68.6] more likely to disclose HIV status to their sexual partner than their counterparts, respectively. Conclusions The proportion of HIV serostatus disclosure by HIV-positive pregnant women attending antenatal care services to their sexual partners was encouraging. However, this does not mean that there is no need for further awareness and intervention. Hence, interventions to boost and support women in safely disclosing their HIV-positive status are needed.

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HIV Status Disclosure and Condom Use Among HIV-Positive Men Who Have Sex With Men andHijras(Male-to-Female Transgender People) in India: Implications for Prevention

Journal of HIV/AIDS & Social Services ◽

10.1080/15381501.2013.859113 ◽

2015 ◽

Vol 14 (1) ◽

pp. 26-44 ◽

Cited By ~ 11

Author(s):

Venkatesan Chakrapani ◽

Murali Shunmugam ◽

Peter A. Newman ◽

Trace Kershaw ◽

Robert Dubrow

Keyword(s):

Condom Use ◽

Hiv Positive ◽

Hiv Status ◽

Transgender People ◽

Sex With Men ◽

Hiv Status Disclosure ◽

Status Disclosure ◽

Male To Female ◽

Hiv Positive Men

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Facilitators and Barriers to HIV Status Disclosure Among HIV-Positive MSM Age 50 and Older

Journal of Gay & Lesbian Mental Health ◽

10.1080/19359705.2015.1033797 ◽

2015 ◽

Vol 20 (1) ◽

pp. 41-56 ◽

Cited By ~ 3

Author(s):

Molly J. Kingdon ◽

Staci Barton ◽

Jessica Eddy ◽

Perry N. Halkitis

Keyword(s):

Hiv Positive ◽

Hiv Status ◽

Facilitators And Barriers ◽

Hiv Status Disclosure ◽

Status Disclosure

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Patterns and Predictors of HIV-Status Disclosure Among Pregnant Women in South Africa: Dimensions of Disclosure and Influence of Social and Economic Circumstances

AIDS and Behavior ◽

10.1007/s10461-018-2263-6 ◽

2018 ◽

Vol 22 (12) ◽

pp. 3933-3944 ◽

Cited By ~ 5

Author(s):

Kirsty Brittain ◽

Claude A. Mellins ◽

Robert H. Remien ◽

Tamsin Phillips ◽

Allison Zerbe ◽

...

Keyword(s):

South Africa ◽

Pregnant Women ◽

Hiv Status ◽

Hiv Status Disclosure ◽

Status Disclosure

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Sero-positive HIV result disclosure to sexual partner in Ethiopia: a systematic review and meta-analysis

BMC Public Health ◽

10.1186/s12889-019-8097-y ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Fantahun Ayenew Mekonnen ◽

Ayenew Molla Lakew ◽

Kindie Fentahun Muchie ◽

Destaw Fetene Teshome

Keyword(s):

Systematic Review ◽

Positive Result ◽

Sexual Partner ◽

Meta Analysis ◽

Outcome Variable ◽

Hiv Positive ◽

Hiv Status ◽

Previous Discussion ◽

Hiv Status Disclosure ◽

Status Disclosure

Abstract Background The infection of HIV continues to be an important public health problem in Ethiopia. Disclosing own HIV positive result is crucial, and considered as a good indicator of behavior change towards HIV/AIDs. A systematic review and meta-analysis was conducted to pool the prevalence of positive HIV status disclosure to sexual partners and determine the influence of selected factors. Methods This systematic review and meta-analysis was conducted in Ethiopia among HIV positive people receiving health care at health facilities. In this review, primary studies were searched in Medline via PubMed, Google scholar and Google up to November, 2018. Data on disclosure of HIV positive result, knowledge of partner’s HIV status and prior discussion on HIV were extracted, and effect sizes like proportion and odds ratios were pooled. Heterogeneity and publication bias were assessed by chi-square and I2, and Egger test, respectively. Results A total of 12 studies with 4528 participants were included in to this review to estimate the prevalence of disclosure of HIV positive result to sexual partner, and 10 and 7 studies were included to determine the associations of the outcome variable with knowledge of sexual partner’s HIV status and with prior discussion on HIV, respectively. The pooled prevalence of HIV status disclosure to sexual partner was 73% (95% CI: 64, 82%). Having the knowledge of sexual partner’s HIV status [OR: 95%CI; 17.63 (7.88, 39.45)], and previous discussion on HIV [OR: 95% CI; 9.24 (5.56, 15.37)] increased the disclosure of own HIV positive result to sexual partner. The sub-group analysis indicated a prevalence of 74% in Oromia, 86% in Southern Nations Nationalities and Peoples (SNNPR), 87% in Amhara, 73% in Addis Ababa, and 54% in Tigray. Conclusions Disclosure of HIV status to sexual partner is lower than expected. Knowledge of partner’s HIV status and previous discussion on HIV were strong predictors of HIV positive status disclosure. Strategies helpful for encouraging open HIV discussion need to be strengthened to increase HIV positive result disclosure. Furthermore, since the heterogeneity of studies is high, large nationally representative study is suggested.

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Contraceptive Use and Associated Factors among Women Enrolling into HIV Care in Southwestern Uganda

Infectious Diseases in Obstetrics and Gynecology ◽

10.1155/2012/340782 ◽

2012 ◽

Vol 2012 ◽

pp. 1-9 ◽

Cited By ~ 21

Author(s):

Winnie Muyindike ◽

Robin Fatch ◽

Rachel Steinfield ◽

Lynn T. Matthews ◽

Nicholas Musinguzi ◽

...

Keyword(s):

Hiv Transmission ◽

Contraceptive Use ◽

Multivariable Analysis ◽

Hiv Care ◽

Hiv Status ◽

Unintended Pregnancies ◽

Hiv Status Disclosure ◽

Few Data ◽

Status Disclosure ◽

Southwestern Uganda

Background. Preventing unintended pregnancies among women living with HIV is an important component of prevention of mother-to-child HIV transmission (PMTCT), yet few data exist on contraceptive use among women entering HIV care.Methods. This was a retrospective study of electronic medical records from the initial HIV clinic visits of 826 sexually active, nonpregnant, 18–49-year old women in southwestern Uganda in 2009. We examined whether contraceptive use was associated with HIV status disclosure to one’s spouse.Results. The proportion reporting use of contraception was 27.8%. The most common method used was injectable hormones (51.7%), followed by condoms (29.6%), and oral contraceptives (8.7%). In multivariable analysis, the odds of contraceptive use were significantly higher among women reporting secondary education, higher income, three or more children, and younger age. There were no significant independent associations between contraceptive use and HIV status disclosure to spouse.Discussion. Contraceptive use among HIV-positive females enrolling into HIV care in southwestern Uganda was low. Our results suggest that increased emphasis should be given to increase the contraception uptake for all women especially those with lower education and income. HIV clinics may be prime sites for contraception education and service delivery integration.

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