Disclosure, Knowledge of Partner Status, and Condom Use Among HIV-Positive Patients Attending Clinical Care in Tanzania, Kenya, and Namibia

Bachanas, Pamela; Medley, Amy; Pals, Sherri; Kidder, Daniel P.; Antelman, Gretchen; Benech, Irene; DeLuca, Nickolas; Nuwagaba‐Biribonwoha, Harriet; Muhenje, Odylia; Cherutich, Peter; Kariuki, Pauline; Katuta, Frieda

doi:10.1089/apc.2012.0388

Cited by 63 publications

(70 citation statements)

References 37 publications

(48 reference statements)

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“…Our study showed evidence of an inverse association between disclosure and unprotected sex, consistent with previous research in this population [37][38][39][40] and consistent with the disclosure processes model that suggests disclosure influences perceptions of risk. Some HIV-infected adults may consider disclosing their serostatus to be a means of transferring responsibility for HIV prevention efforts (e.g., condom use) to their partners.…”

Section: Discussionsupporting

confidence: 91%

“…The model also included a set of potential confounding variables (age, time since HIV diagnosis, and partner HIV serostatus) selected based on their associations with both HIV serostatus disclosure and unprotected sex in previous studies. 26,37,43,46,47 We followed the strategy of testing the global hypothesis of no interaction first. If interactions were present, the plan was to use the predicted probabilities to examine the disclosure effect by sexual behavior groups.…”

Section: Statistical Analysesmentioning

confidence: 99%

“…Some studies have found a positive association between serostatus disclosure and condom use. [37][38][39][40] Using data from a heterogeneous study of heterosexual, gay, and bisexual PLHIV, a recent mathematical modeling analysis concluded that disclosure can reduce the risk of HIV transmission by between 17.9% to 40.6% by increasing condom use rates among prospective partners who agree to engage in sexual activity. 41 Other studies, however, found no association between disclosure and condom use.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Examining the Role of Serostatus Disclosure on Unprotected Sex Among People Living with HIV

Przybyla

Golin

Widman

et al. 2014

AIDS Patient Care and STDs

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Given the increasing prevalence of HIV, it is important to identify factors associated with safer sex behaviors between people living with HIV and their partners. Utilizing a diverse sample of 242 HIV-infected adults [n = 69 men who have sex with men (MSM); n = 68 men who have sex with women (MSW); n = 105 women who have sex with men (WSM)], we examined the association between serostatus disclosure and unprotected anal or vaginal intercourse (UAVI) and the moderating effect of sexual behavior group on this association. Overall, 88.7% disclosed to their current partner. Approximately 18.8% of MSM, 17.7% of MSW, and 29.5% of WSM reported UAVI. Controlling for age, time since diagnosis, and partner serostatus, we found main effects on UAVI for disclosure and sexual behavior group; specifically, disclosure was inversely related to unprotected sex [AOR = 0.09, 95% CI (0.02, 0.43), p < 0.001], and MSM were less likely to engage in UAVI relative to WSM [AOR = 0.11, 95% CI (0.17, 0.82), p < 0.05]. However, the relationship between disclosure and UAVI was not moderated by sexual behavior group. Future strategies that aim to increase disclosure to partners may consider focusing on its value as a means by which to reduce sexual risk behavior.

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Section: Discussionsupporting

confidence: 91%

Section: Statistical Analysesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Examining the Role of Serostatus Disclosure on Unprotected Sex Among People Living with HIV

Przybyla

Golin

Widman

et al. 2014

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…Although disclosure rates to family or friends was lower in our study than that reported in one study in East Africa [19], the distribution of disclosure rates was similar, with people disclosing their HIV status most easily to their siblings, then to their mother, children, father and, finally, to friends [19]. We found that disclosure to relatives was more frequent for females, which is consistent with previous work [4,20,21].…”

Section: Discussionsupporting

confidence: 88%

“…Rates of knowledge of a steady partner's serostatus was also very different between individuals who had disclosed (79 %) and those who had not (31 %). Disclosure to a steady partner should be encouraged since on the one hand it enables the couple to make joint decisions on how to protect their health, including condom use [19], and on the other hand increases HIV testing and reduces the burden of undiagnosed HIV.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with HIV Status Disclosure in HIV-Infected Sub-Saharan Migrants Living in France and Successfully Treated with Antiretroviral Therapy: Results from the ANRS-VIHVO Study

Kankou

Bouchaud

Lele

et al. 2016

J Immigrant Minority Health

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To estimate rates and identify correlates of HIV disclosure in migrants from sub-Saharan Africa (SSA) successfully treated, a sub-analysis was conducted in HIV-1 native SSA migrants, living in France with undetectable viral load on antiretroviral, included in the VIHVO adherence study. Logistic regression models assessed factors associated with HIV disclosure. Among 246 individuals (40 % male, median age 41), 79 % of those in a steady heterosexual partnership (n = 167) had disclosed their status to their partner, 55 % of the total 246 to a relative, and 33 % to (an)other person(s). Disclosure to one's steady partner was associated with a follow-up duration since HIV diagnosis of more than 5 years, a higher literacy level, a better social context and marital status. Women were more likely to disclose their HIV status to relatives. Interventions targeting this population should be provided to improve disclosure which in turn ensures better social support, testing of the partner and lower rates of undiagnosed HIV.

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Prevalence and Correlates of Knowledge of Male Partner HIV Testing and Serostatus Among African-American Women Living in High Poverty, High HIV Prevalence Communities (HPTN 064)

et al. 2014

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Knowledge of sexual partners' HIV infection can reduce risky sexual behaviors. Yet, there are no published studies to-date examining prevalence and characteristics associated with knowledge among African-American women living in high poverty communities disproportionately affected by HIV. Using the HIV Prevention Trial Network's (HPTN) 064 Study data, multivariable logistic regression was used to examine individual, partner, and partnership-level determinants of women's knowledge (n=1,768 women). Results showed that women's demographic characteristics alone did not account for the variation in serostatus awareness. Rather, lower knowledge of partner serostatus was associated with having two or more sex partners (OR=0.49, 95%CI: 0.37-0.65), food insecurity (OR=0.68, 95%CI: 0.49-0.94), partner age>35 (OR=0.68, 95%CI: 0.49-0.94), and partner concurrency (OR=0.63, 95%CI: 0.49-0.83). Access to financial support (OR=1.42, 95%CI: 1.05-1.92) and coresidence (OR=1.43, 95%CI: 1.05-1.95) were associated with higher knowledge of partner serostatus. HIV prevention efforts addressing African-American women's vulnerabilities should employ integrated behavioral, economic, and empowerment approaches.

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Disclosure, Knowledge of Partner Status, and Condom Use Among HIV-Positive Patients Attending Clinical Care in Tanzania, Kenya, and Namibia

Cited by 63 publications

References 37 publications

Examining the Role of Serostatus Disclosure on Unprotected Sex Among People Living with HIV

Examining the Role of Serostatus Disclosure on Unprotected Sex Among People Living with HIV

Factors Associated with HIV Status Disclosure in HIV-Infected Sub-Saharan Migrants Living in France and Successfully Treated with Antiretroviral Therapy: Results from the ANRS-VIHVO Study

Prevalence and Correlates of Knowledge of Male Partner HIV Testing and Serostatus Among African-American Women Living in High Poverty, High HIV Prevalence Communities (HPTN 064)

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