Factors associated with self‐disclosure of HIV serostatus to significant others

Petrak, Jenny; Doyle, Anne; Smith, Alan; Skinner, Charlotte; Hedge, Barbara

doi:10.1348/135910701169061

Cited by 97 publications

(99 citation statements)

References 16 publications

(40 reference statements)

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“…Studies on disclosure in both developed countries (Greene et al 2003, Petrak et al 2001, Petronio 2002, Serovich, 2000, Schmidt and Goggin 2002 and developing countries (Almeleh 2004;Chandra et al 2003;Soskolne et al 2003;Kahn 2004) show that the decision to disclose is generally a difficult process. People living with HIV are confronted with many factors that compel, encourage or constrain the decision to disclose their HIV status (Almeleh 2004;Greene et al 2003;Petrak et al 2001;Serovich, 2000;Holt et al 1998).…”

Section: Overview Of the Literaturementioning

confidence: 99%

“…People living with HIV are confronted with many factors that compel, encourage or constrain the decision to disclose their HIV status (Almeleh 2004;Greene et al 2003;Petrak et al 2001;Serovich, 2000;Holt et al 1998).…”

Section: Overview Of the Literaturementioning

confidence: 99%

“…The degree to which people cope with the physical and psychosocial aspects of living with HIV/AIDS is to a large extent affected by disclosure decisions (Greene et al 2003;Schmidt and Goggin 2002;Holt et al, 1998;Petrak et al 2001). Poor emotional well-being, including depression and HIV-related anxiety, has been attributed to lack of satisfaction of social support due to nondisclosure (Petrak et al 2001;Armistead et al, 1999).…”

Section: Maintaining Psychological Well-beingmentioning

confidence: 99%

“…Poor emotional well-being, including depression and HIV-related anxiety, has been attributed to lack of satisfaction of social support due to nondisclosure (Petrak et al 2001;Armistead et al, 1999). Numerous studies have demonstrated the positive psychological benefits of disclosure, where revealing secret information to significant others is at first stressful, but consequently cathartic (Brandt, 2005;Petronio 2002;Greene et al 2003;Armistead et al 1999).…”

Section: Maintaining Psychological Well-beingmentioning

confidence: 99%

See 3 more Smart Citations

Why do People Disclose their HIV Status? Qualitative Evidence from a Group of Activist Women in Khayelitsha

Almeleh

2006

Social Dynamics

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Section: Overview Of the Literaturementioning

confidence: 99%

Section: Overview Of the Literaturementioning

confidence: 99%

Section: Maintaining Psychological Well-beingmentioning

confidence: 99%

Section: Maintaining Psychological Well-beingmentioning

confidence: 99%

See 2 more Smart Citations

Why do People Disclose their HIV Status? Qualitative Evidence from a Group of Activist Women in Khayelitsha

Almeleh

2006

Social Dynamics

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“…Time elapsed since HIV diagnosis of less than four years was strongly associated with HPV infection. Despite this variable having been implicated in HIV serostatus self-disclosure (Petrak et al 2001), it is difficult to determine the steps of this association, since we do not know if HPV was acquired before or after HIV infection. If we consider that HPV infection is a common genital virus among sexually active women, then this virus might have been acquired early in their sexual life and, thus, before HIV infection.…”

Section: Discussionmentioning

confidence: 99%

Human Papillomavirus Infection in Human Immunodeficiency Virus Positive Women Under Routine Pap Smear

Oliveira¹,

Haimuri²,

Jacyntho³

et al. 2008

VR&R

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The present study aimed to investigate HPV prevalence associated with cervical cytology and to evaluate data from 140 HIV positive women routinely attended at an outpatient public gynecological service in Rio de Janeiro state. The CD4 cell counts and HIV-1 RNA levels were determined using standardized protocols. HPV status and HPV 16 detection were ascertained respectively by My09/11 consensus primers and type specific primers. Colpocytology was performed at the first or subsequent visit to the service.

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Monitoring progress towards the first UNAIDS target: understanding the impact of people living with HIV who re‐test during HIV‐testing campaigns in rural Mozambique

et al. 2018

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IntroductionAwareness of HIV‐infection goes beyond diagnosis, and encompasses understanding, acceptance, disclosure and initiation of the HIV‐care. We aimed to characterize the HIV‐positive population that underwent repeat HIV‐testing without disclosing their serostatus and the impact on estimates of the first UNAIDS 90 target.MethodsThis analysis was nested in a prospective cohort established in southern Mozambique which conducted three HIV‐testing modalities: voluntary counselling and testing (VCT), provider‐initiated counselling and testing (PICT) and home‐based testing (HBT). Participants were given the opportunity to self‐report their status to lay counsellors and HIV‐positive diagnoses were verified for previous enrolment in care. This study included 1955 individuals diagnosed with HIV through VCT/PICT and 11,746 participants of a HBT campaign. Those who did not report their serostatus prior to testing, and were found to have a previous HIV‐diagnosis, were defined as non‐disclosures. Venue‐stratified descriptive analyses were performed and factors associated with non‐disclosure were estimated through log‐binomial regression.ResultsIn the first round of 2500 adults randomized for HBT, 1725 were eligible for testing and 18.7% self‐reported their HIV‐positivity. Of those tested with a positive result, 38.9% were found to be non‐disclosures. Similar prevalence of non‐disclosures was found in clinical‐testing modalities, 29.4% (95% CI 26.7 to 32.3) for PICT strategy and 13.0% (95% CI 10.9 to 15.3) for VCT. Prior history of missed visits (adjusted prevalence ratio (APR) 4.2, 95% CI 2.6 to 6.8), younger age (APR 2.5, 95% CI 1.4 to 4.4) and no prior history of treatment ((APR) 1.4, 95% CI 1.0 to 2.1) were significantly associated with non‐disclosure as compared to patients who self‐reported. When considering non‐disclosures as people living with HIV (PLWHIV) aware of their HIV‐status, the proportion of PLWHIV aware increased from 78.3% (95% CI 74.2 to 81.6) to 86.8% (95% CI 83.4 to 89.6).ConclusionMore than one‐third of individuals testing HIV‐positive did not disclose their previous positive HIV‐diagnosis to counsellors. This proportion varied according to testing modality and age. In the absence of an efficient and non‐anonymous tracking system for HIV‐testers, repeat testing of non‐disclosures leads to wasted resources and may distort programmatic indicators. Developing interventions that ensure appropriate psychosocial support are needed to encourage this population to disclose their status and optimize scarce resources.

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Factors associated with self‐disclosure of HIV serostatus to significant others

Cited by 97 publications

References 16 publications

Why do People Disclose their HIV Status? Qualitative Evidence from a Group of Activist Women in Khayelitsha

Why do People Disclose their HIV Status? Qualitative Evidence from a Group of Activist Women in Khayelitsha

Human Papillomavirus Infection in Human Immunodeficiency Virus Positive Women Under Routine Pap Smear

Monitoring progress towards the first UNAIDS target: understanding the impact of people living with HIV who re‐test during HIV‐testing campaigns in rural Mozambique

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