Factors Associated with HIV Status Disclosure to One’s Steady Sexual Partner in PLHIV in Morocco

Loukid, Mohamed; Abadie, Alise; Henry, E.; Hilali, Mohamed Kamal; Fugon, Lionel; Rafif, Nadia; Mellouk, Othoman; Ouarsas, Lahoucine; Otis, Joanne; Préau, Marie

doi:10.1007/s10900-013-9739-0

Cited by 18 publications

(8 citation statements)

References 38 publications

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“…Similarly, Flowers and Davis (2012) highlight disclosure as a 'socially loaded' (p. 720) experience, intricately linked to identity and relationships, not just a health behaviour associated with the medical normalization of HIV. A meaningful and long-term relationship has been previously associated with increased odds of disclosing (Amoran, 2012;Loukid et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

A qualitative investigation into the HIV disclosure process within an intimate partnership: ‘The moment I realized that our relationship was developing into something serious, I just had to tell him’

Smith

Cook

Rohleder

2016

British J Health Psychol

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Disclosure is a highly nuanced process. In particular, it was found to be largely characterized by the IP relational context in which it was occurring. The clinical and theoretical implications of these findings are discussed. In particular, these findings highlight a need for the provision of long-term support to PLWH in negotiating their relationships throughout the process. Statement of contribution What is already known on this subject? Disclosing a HIV+ status to an intimate partner (IP) is key in addressing the global HIV epidemic, social stigma, and the psychological and physical well-being of people living with the condition. It is increasingly recognized that HIV disclosure is a process, rather than an event. Researchers have begun to initiate a line of research into a process-based theoretical account of disclosure. What does this study add? This study provided a nuanced account of the disclosure process within an IP relationship. The process was found to be largely influenced by the discloser's subjective experience of the intimate partnership. The findings point to a need for a disclosure intervention that supports couples more longitudinally, particularly in negotiating the emotional and sexual difficulties that often arise upon disclosing.

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Section: Discussionmentioning

confidence: 99%

A qualitative investigation into the HIV disclosure process within an intimate partnership: ‘The moment I realized that our relationship was developing into something serious, I just had to tell him’

Smith

Cook

Rohleder

2016

British J Health Psychol

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“…Previous research has questioned whether this variable has an effect on disclosure decision [e.g. 34,35] and some research studies exploring trust have linked it to disclosure decision [e.g. 27,36,37].…”

Section: Discussionmentioning

confidence: 99%

Taking into Account the Quality of the Relationship in HIV Disclosure

2016

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This article may not exactly replicate the final version published in the journal 2 Taking into account the quality of the relationship in HIV disclosure AbstractDespite growing interest in HIV disclosure, most theoretical frameworks and empirical studies focus on individual and social factors affecting the process, leaving the contribution of interpersonal factors relatively unexplored. HIV transmission and disclosure often occur within a couple however, and this is where disclosure has the most scope as a HIV transmission intervention. With this in mind, this study explores whether perceived relationship quality influences HIV disclosure outcomes. Ninety-five UK individuals with HIV participated in a crosssectional survey. Retrospective data were collected on their perceived relationship quality prior to disclosing their HIV positive status, and on disclosure outcomes. Perceived relationship quality was found to significantly affect disclosure outcomes. Positive qualities in the relationship were associated with positive outcomes, whereas negative qualities were associated with negative outcomes. Results further confirmed that this association was not merely correlational, but demonstrated predictive power. Relationship quality might act as either a risk or a resilience factor in the disclosure process, and thus warrants greater attention in future research.

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“…The questionnaire was developed by the whole team, then tested on the field by CBO members and PLHIV. The questionnaire included 125 questions, divided into eight sections: socioeconomic data, history and contact with HIV, serostatus disclosure and reaction of others to disclosure, self-efficacy, intimate and social lives, sexuality, quality of life and contact with CBOs [ 26 ]. The same questionnaire was used in the five countries where data were collected.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with HIV voluntary disclosure of people living with HIV to their steady sexual partner in the Democratic Republic of the Congo: results from a community-based participatory research

Zola¹,

Gifudu²,

Henry³

et al. 2014

Pan Afr Med J

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IntroductionHIV disclosure to a steady sexual partner (SSP) is important both in preventing HIV transmission and improving the quality of life of people living with HIV (PLHIV). Its determinants have been poorly investigated in the Democratic Republic of the Congo. The study objective was to determine factors independently associated with voluntary disclosure to one's SSP in PLHIV receiving services from a Congolese community-based organization (CBO).MethodsA community-based participatory research was performed and 300 PLHIV were interviewed by members of the CBO, using a standardized questionnaire. A multivariate logistic regression was used to determine the variables independently associated with disclosure.ResultsIn this sample, 79 of the 127 participants (62%) included in the analysis declared having voluntarily disclosed their serostatus to their SSP. Declaring to be in a relationship (Odds Ratio (95% Confidence Interval): 4.2 (1.4-12.6)), having tested for HIV because of symptoms (2.5 (1.0-6.4)), having taken the test on one's own initiative (3.2 (1.3-8.0)), having felt sympathy and indifference from people when disclosing (6.0 (1.4-26.9) and 5.0 (1.1-22.8), respectively) as well as having a higher score of the “regular discussion about daily life with HIV” index (1.7 (1.1-2.5)) were significantly associated with disclosure to one's SSP.ConclusionSeveral individual and contextual factors were associated with voluntary disclosure to SSP in this study, highlighting the complex nature of the disclosure process. Interventions encouraging disclosure should be designed so as to adapt to one's personal life with HIV as well as psychosocial environment.

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Factors Associated with HIV Status Disclosure to One’s Steady Sexual Partner in PLHIV in Morocco

Cited by 18 publications

References 38 publications

A qualitative investigation into the HIV disclosure process within an intimate partnership: ‘The moment I realized that our relationship was developing into something serious, I just had to tell him’

A qualitative investigation into the HIV disclosure process within an intimate partnership: ‘The moment I realized that our relationship was developing into something serious, I just had to tell him’

Taking into Account the Quality of the Relationship in HIV Disclosure

Factors associated with HIV voluntary disclosure of people living with HIV to their steady sexual partner in the Democratic Republic of the Congo: results from a community-based participatory research

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