Disclosure of HIV status to sexual partners among perinatally HIV–infected youth in Thailand

2021 ◽  
pp. 095646242096840
Author(s):  
Vitharon Boon-yasidhi ◽  
Sumonmal Torsakul ◽  
Yuitiang Durier ◽  
Napat Sittanomai ◽  
Jeeranan Kuntasorn ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sexual Partners ◽  
Hiv Disclosure ◽  
Pediatric Hiv ◽  
High Rate ◽  
Unsafe Sex ◽  
Hiv Status ◽  
Cross Sectional ◽  
Fear Of Rejection ◽  
Hiv Status Disclosure

Data regarding disclosure of HIV status to sexual partners among perinatally acquired HIV-infected (PHIV) youth are limited, particularly from Asian countries. This cross-sectional study assessed the patterns of, attitudes about, and factors associated with HIV disclosure to sexual partners among PHIV youth aged 15–24 years who attended a pediatric HIV clinic in Thailand. Participants were interviewed using a semi-structured questionnaire designed to elicit demographic and sexual behavior information. Those who had sexual partners were queried about their relationship and HIV status disclosure. Reasons to disclose or not to disclose were assessed accordingly. Among the 51 (44.4%) youth who had sexual partners, 55.8% had steady partners, 45.1% did not always use condoms, and 41.2% disclosed their HIV status. Reasons to disclose included trust and concern about the risk of infection to their partners. Reasons not to disclose included fear of rejection and stigmatization, and not knowing how to disclose. Most youth reported a need for disclosure-related guidance. Knowing their sexual partner’s HIV status was the only independent factor associated with disclosure (aOR 14.6; 95% CI 2.8–75.4). This study demonstrates a high rate of unsafe sex and a low rate of partner disclosure in PHIV youth, and highlights the need for a comprehensive guideline for HIV disclosure to sexual partners.

scholarly journals Sankofa Pediatric HIV Disclosure Intervention Did Not Worsen Depression Scores in Children Living with HIV and their Caregivers in Ghana

2020 ◽  
Author(s):  
Christopher Radcliffe ◽  
Aba Sam ◽  
Quinn Matos ◽  
Sampson Antwi ◽  
Kofi Amissah ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Hiv Disclosure ◽  
Pediatric Hiv ◽  
Hiv Status ◽  
Intervention Site ◽  
Cross Sectional ◽  
Disclosure Status ◽  
Child Depression Inventory ◽  
Low Prevalence ◽  
Living With Hiv

Abstract Background: The ‘Sankofa’ pediatric HIV disclosure study (2013-2017) was an intervention that aimed to address the low prevalence of disclosure of HIV status in Ghana. Methods: We conducted a cross-sectional study at the intervention site in Kumasi, Ghana, in 2019, (2 years after study closure) and administered the 21-item Beck Depression Inventory (BDI) and the 10-item Child Depression Inventory (CDI) to caregiver-child dyads who received the intervention. Results: We enrolled 65% (N=157) of the original dyads in the present study. Between Sankofa enrollment baseline and the present study, both children and caregivers had significant (p <0.0001) mean reductions in CDI scores and BDI scores, respectively. CDI scores of the children were significantly correlated with BDI scores of the caregivers (r = 0.019, p = 0.019). No statistically significant associations between disclosure status and either CDI score or BDI score were found. Conclusions: Our findings did not support caregivers’ fears that disclosure leads to depression. Trial Registration: NCT01701635 (ClinicalTrials.gov Identifier)

scholarly journals Sankofa Pediatric HIV Disclosure Intervention Did Not Worsen Depression Scores in Children Living with HIV and their Caregivers in Ghana

2020 ◽  
Author(s):  
Christopher Radcliffe ◽  
Aba Sam ◽  
Quinn Matos ◽  
Sampson Antwi ◽  
Kofi Amissah ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Hiv Disclosure ◽  
Pediatric Hiv ◽  
Hiv Status ◽  
Intervention Site ◽  
Cross Sectional ◽  
Disclosure Status ◽  
Child Depression Inventory ◽  
Low Prevalence ◽  
Living With Hiv

Abstract BackgroundThe ‘Sankofa’ pediatric HIV disclosure study (2013–2017) was an intervention that aimed to address the low prevalence of disclosure of HIV status in Ghana.MethodsWe conducted a cross-sectional study at the intervention site in Kumasi, Ghana, in 2019, (2 years after study closure) and administered the 21-item Beck Depression Inventory (BDI) and the 10-item Child Depression Inventory (CDI) to caregiver-child dyads who received the intervention.ResultsWe enrolled 65% (N = 157) of the original dyads in the present study. Between Sankofa enrollment baseline and the present study, both children and caregivers had significant (p < 0.0001) mean reductions in CDI scores and BDI scores, respectively. CDI scores of the children were significantly correlated with BDI scores of the caregivers (r = 0.019, p = 0.019). No statistically significant associations between disclosure status and either CDI score or BDI score were found.ConclusionsOur findings did not support caregivers’ fears that disclosure leads to depression.Trial Registration: NCT01701635 (ClinicalTrials.gov Identifier)

scholarly journals Sankofa pediatric HIV disclosure intervention did not worsen depression scores in children living with HIV and their caregivers in Ghana

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christopher Radcliffe ◽  
◽  
Aba Sam ◽  
Quinn Matos ◽  
Sampson Antwi ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Hiv Disclosure ◽  
Pediatric Hiv ◽  
Hiv Status ◽  
Intervention Site ◽  
Cross Sectional ◽  
Disclosure Status ◽  
Child Depression Inventory ◽  
Low Prevalence ◽  
Living With Hiv

Abstract Background The ‘Sankofa’ pediatric HIV disclosure study (2013–2017) was an intervention that aimed to address the low prevalence of disclosure of HIV status in Ghana. Methods We conducted a cross-sectional study at the intervention site in Kumasi, Ghana, in 2019, (2 years after study closure) and administered the 21-item Beck Depression Inventory (BDI) and the 10-item Child Depression Inventory (CDI) to caregiver-child dyads who received the intervention. Results We enrolled 65% (N = 157) of the original dyads in the present study. Between Sankofa enrollment baseline and the present study, both children and caregivers had significant (p < 0.0001) mean reductions in CDI scores and BDI scores, respectively. CDI scores of the children were significantly correlated with BDI scores of the caregivers (r = 0.019, p = 0.019). No statistically significant associations between disclosure status and either CDI score or BDI score were found. Conclusions Our findings did not support caregivers’ fears that disclosure leads to depression. Trial registration ClinicalTrials.gov Identifier: NCT01701635 (date of registration Oct 5, 2012).

scholarly journals Sankofa Pediatric HIV Disclosure Intervention Did Not Worsen Depression Scores in Children Living with HIV and their Caregivers in Ghana

2020 ◽  
Author(s):  
Christopher Radcliffe ◽  
Aba Sam ◽  
Quinn Matos ◽  
Sampson Antwi ◽  
Kofi Amissah ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Hiv Disclosure ◽  
Pediatric Hiv ◽  
Hiv Status ◽  
Intervention Site ◽  
Cross Sectional ◽  
Disclosure Status ◽  
Child Depression Inventory ◽  
Low Prevalence ◽  
Living With Hiv

Abstract Background: The ‘Sankofa’ pediatric HIV disclosure study (2013-2017) was an intervention that aimed to address the low prevalence of disclosure of HIV status in Ghana. Methods: We conducted a cross-sectional study at the intervention site in Kumasi, Ghana, in 2019, (2 years after study closure) and administered the 21-item Beck Depression Inventory (BDI) and the 10-item Child Depression Inventory (CDI) to caregiver-child dyads who received the intervention. Results: We enrolled 65% (N=157) of the original dyads in the present study. Between Sankofa enrollment baseline and the present study, both children and caregivers had significant (p <0.0001) mean reductions in CDI scores and BDI scores, respectively. CDI scores of the children were significantly correlated with BDI scores of the caregivers (r = 0.019, p = 0.019). No statistically significant associations between disclosure status and either CDI score or BDI score were found. Conclusions: Our findings did not support caregivers’ fears that disclosure leads to depression. Trial Registration: ClinicalTrials.gov Identifier: NCT01701635 (date of registration Oct 5, 2012)

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 ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KETERBUKAAN STATUS HIV SEROPOSITIF WANITA PENDERITA HIV/AIDS TERHADAP PASANGAN SEKSUAL DI LSM VICTORY YOGYAKARTA

2019 ◽  
Vol 7 (2) ◽  
pp. 114-122
Author(s):  
Dwi Kartika Rukmi ◽  
Miftafu Darussalam
Keyword(s):  
Logistic Regression ◽  
Sexual Partners ◽  
Hiv Disclosure ◽  
Bivariate Analysis ◽  
Hiv Status ◽  
Related Factors ◽  
Cross Sectional ◽  
Hiv Test ◽  
Women With Hiv ◽  
Hiv Aids

Background: The disclosure of women’s HIV status toward their sexual partners is an important issue that should be regarded as one of the efforts to prevent and control the spread of HIV. Research on the disclosure of seropositive HIV status as well as women-related factors in Indonesia, especially Yogyakarta is only a few. Objective: The purpose of this study is to analyse a factor related to the growth of HIV-positive female HIV/AIDS to sexual partners in LSM Victory Yogyakarta Methods: This is a correlational descriptive research along with its cross-sectional approach on 329 women with HIV/AIDS at the Victory Plus NGO from June to July 2016. This research used a purposive sampling method and a questionnaire as the data collection technique. The bivariate analysis test was undertaken by using a chi square and multivariate test along with a logistic regression. Result: The multivariate analysis and logistic regression show five independent variables related to the disclosure of seropositive HIV status of women with HIV/AIDS toward their sexual partners, namely ethnicity (aOR = 36,859; 95% CI; (6,544-207,616)) religion (aOR =0,255; 95%CI; (0,075-0,868)), discussion with partners prior to the HIV test (aOR =0,069; 95%CI; (0,065-0,438)) , types of sexual partners (aOR = 0.191; 95% CI; (0.082-0,445)) and knowledge on the partners’ HIV status (aOR = 0.036; 95% CI; (0.008-0.160)). The highest level of reason for seropositive HIV women not to be open about their partners’ status is the fear of being rejected by their partners and the environmental stigma of HIV AIDS disease. Conclusion: The disclosure of seropositive HIV status in women with HIV/AIDS in the Victory Plus NGO of Yogyakarta was 79.4% or classified as a high category with some related factors such as ethnicity, religion, discussion with partners prior to the HIV test, types of partners and knowledge on the partners’ HIV status. Keywords: Women, HIV, Disclosure, Sexual Partner.

scholarly journals HIV positive status disclosure to a sexual partner: the influence of marital status and partner communication

2020 ◽  
Author(s):  
OLADELE VINCENT ADENIYI ◽  
Charlotte Nwogwugwu ◽  
Anthony Idowu Ajayi ◽  
John Lambert
Keyword(s):  
Sexual Partner ◽  
Sexual Partners ◽  
High Rate ◽  
Postpartum Women ◽  
Hiv Status ◽  
Cross Sectional Survey ◽  
Open Communication ◽  
Cross Sectional ◽  
Women With Hiv ◽  
Status Disclosure

Abstract Background Disclosure of HIV serostatus to sexual partner does not only facilitate partner's support and testing, but it also correlates with better treatment outcomes. We drew from a cross-sectional survey data conducted among postpartum women with HIV to examine the rate of serostatus disclosure to sexual partners, the influence of relationship status, and knowing one's partner's status on disclosure and reasons for non-disclosure.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.Results Overall, 82.5% of the respondents had disclosed their status to their partners. After adjusting for important covariates (age, education level, employment status, number of years since HIV diagnosis, alcohol use and smoking behaviour), being married [adjusted odd ratio (AOR): 2.66; 95% confidence interval (CI):1.17–6.05] and knowing one's partner's status [AOR: 46.91; 95% CI:19.50-112.81] were significantly associated with a higher odds of having disclosed HIV status to sexual partners. 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 high rate of HIV status disclosure in the cohort. Being married and having open communication with a partner about HIV status are important factors facilitating disclosure to sexual partners.

ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KETERBUKAAN STATUS HIV SEROPOSITIF WANITA PENDERITA HIV/AIDS TERHADAP PASANGAN SEKSUAL DI LSM VICTORY YOGYAKARTA

2018 ◽  
Vol 7 (2) ◽  
pp. 114-122
Author(s):  
Dwi Kartika Rukmi
Keyword(s):  
Logistic Regression ◽  
Sexual Partners ◽  
Hiv Disclosure ◽  
Bivariate Analysis ◽  
Hiv Status ◽  
Related Factors ◽  
Cross Sectional ◽  
Hiv Test ◽  
Women With Hiv ◽  
Hiv Aids

Background: The disclosure of women’s HIV status toward their sexual partners is an important issue that should be regarded as one of the efforts to prevent and control the spread of HIV. Research on the disclosure of seropositive HIV status as well as women-related factors in Indonesia, especially Yogyakarta is only a few. Objective: The purpose of this study is to analyse a factor related to the growth of HIV-positive female HIV/AIDS to sexual partners in LSM Victory Yogyakarta Methods: This is a correlational descriptive research along with its cross-sectional approach on 329 women with HIV/AIDS at the Victory Plus NGO from June to July 2016. This research used a purposive sampling method and a questionnaire as the data collection technique. The bivariate analysis test was undertaken by using a chi square and multivariate test along with a logistic regression. Result: The multivariate analysis and logistic regression show five independent variables related to the disclosure of seropositive HIV status of women with HIV/AIDS toward their sexual partners, namely ethnicity (aOR = 36,859; 95% CI; (6,544-207,616)) religion (aOR =0,255; 95%CI; (0,075-0,868)), discussion with partners prior to the HIV test (aOR =0,069; 95%CI; (0,065-0,438)) , types of sexual partners (aOR = 0.191; 95% CI; (0.082-0,445)) and knowledge on the partners’ HIV status (aOR = 0.036; 95% CI; (0.008-0.160)). The highest level of reason for seropositive HIV women not to be open about their partners’ status is the fear of being rejected by their partners and the environmental stigma of HIV AIDS disease. Conclusion: The disclosure of seropositive HIV status in women with HIV/AIDS in the Victory Plus NGO of Yogyakarta was 79.4% or classified as a high category with some related factors such as ethnicity, religion, discussion with partners prior to the HIV test, types of partners and knowledge on the partners’ HIV status. Keywords: Women, HIV, Disclosure, Sexual Partner.

Does Sexual and Emotional Behavior Differ Between Sexual Partners That Do Not Disclose HIV Status?

2021 ◽  
Vol 15 (1) ◽  
pp. 407-411
Author(s):  
Layze Braz de Oliveira ◽  
Artur Acelino Francisco Luz Nunes Queiroz ◽  
Adélia Dalva da Silva Oliveira ◽  
Isabela Maria Magalhães Sales ◽  
Inara Viviane de Oliveira sena ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sexual Partners ◽  
Emotional Behavior ◽  
Affective Behavior ◽  
Hiv Status ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Immunodeficiency Virus ◽  
Serological Status ◽  
Assistance Service

Objective: The objective of the study was to analyze whether the disclosure of HIV serological status among sexual partners is associated with differences in sexual affective behavior. Methods: Cross-sectional study was carried out with 173 participants in a specialized assistance service on the treatment of people with the Human Immunodeficiency Virus. Data were collected through interviews. Results: Our results show that from the participants who did not disclose their HIV status and who were sexually active, most had multiple sexual partners (44.6%), used combined methods of prevention (75.4%), had casual partners (63.0%), used condoms (66.2%), and had sexual intercourse while under the influence of alcohol (56.9%). The variables i.e., number of partners (p = 0.010) and type of relationship (p <0.001) showed statistical differences. Conclusion: Sexual affective behavior variables influenced the decision about disclosing HIV seropositivity to sexual partners that establish different forms of sexual partnerships.

scholarly journals Pediatric HIV Disclosure in Northern India: Evaluation of Its Prevalence, Perceptions amongst Caregivers, and Its Impact on CLHIV

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Rajesh Meena ◽  
Alok Hemal ◽  
Shilpa Khanna Arora
Keyword(s):  
Health Care Providers ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Hiv Disclosure ◽  
Pediatric Hiv ◽  
Smooth Transition ◽  
Standards Of Care ◽  
Care Providers ◽  
Cross Sectional ◽  
The Impact

Background. With improving standards of care of children living with HIV (CLHIV), pediatric HIV related mortality rates are declining. New challenges like HIV status disclosure are emerging which need to be addressed to ensure their smooth transition into adulthood. Poor disease disclosure rates are observed in CLHIV globally. Aims. This study was done to assess the prevalence of HIV disclosure in North Indian CLHIV, know the perceptions of caregivers regarding disclosure, and evaluate the impact of disclosure on CLHIV. Methods. It was a questionnaire based cross-sectional study carried out amongst 144 caregivers of CLHIV aged 6-16 years attending the pediatric HIV clinic of a tertiary care teaching hospital. Results. Though the majority (93.8%) caregivers felt that it is important to disclose but only 33% of the children were actually disclosed. Eighty five percent felt that disclosure must be done by one of the family members and correspondingly 73% of the disclosed children were actually disclosed by their parents. Forty seven percent believed that the most appropriate age for disclosure is 10-12 years. The mean age at which disclosure was actually done was 11.06 ± 1.62 years. Comparison of the disclosed and undisclosed CLHIV revealed that the disclosed group had significantly higher age, longer duration of taking ART, and higher proportion of paternal orphans. Age of the CLHIV was the only significant factor for disclosure. Several reasons were cited by the caregivers for nondisclosure. The caregivers observed improved drug adherence in 47.9% of the children following disclosure. Conclusions. There is a need to develop region specific pediatric HIV disclosure guidelines keeping in mind the caregivers’ perceptions. The guidelines must be age appropriate, systematic, and socioculturally acceptable. The most suitable age for disclosure appears to be 10-12 years. Involvement of caregivers and health care providers in the process is a must.

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