scholarly journals HIV Status Disclosure to Sexual Partner(s) and Associated Factors Among Young Adults, A Mixed Methods Study

2019 ◽  
Vol 5 (1) ◽  
pp. 47
Author(s):  
Tafadzwa Dzinamarira
Keyword(s):  
Young Adults ◽  
Mixed Methods ◽  
Sexual Partner ◽  
Associated Factors ◽  
Mixed Methods Study ◽  
Hiv Status ◽  
Hiv Status Disclosure ◽  
Status Disclosure

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

2019 ◽  
Vol 19 (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.

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 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 HIV-positive status disclosure to a sexual partner and associated factors among HIV-positive pregnant women attending antenatal care in Dire Dawa, Ethiopia: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250637
Author(s):  
Mulusew Ambissa ◽  
Endalew Gemechu Sendo ◽  
Yeshi Assefa ◽  
Alemu Guta
Keyword(s):  
Pregnant Women ◽  
Sexual Partner ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sexual Partners ◽  
Hiv Positive ◽  
Sectional Study ◽  
Hiv Status ◽  
Cross Sectional ◽  
Status Disclosure

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.

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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