Outcomes and Factors Affecting HIV Status Disclosure to Regular Sexual Partner among Women Attending Antiretroviral Treatment Clinic

Deribe, Bedilu; Ebrahim, Jemal; Bush, Lema

doi:10.4172/2155-6113.1000760

“…We show HIV post-test counselling to be associated with HIV status disclosure. This conforms with other findings from previous studies by Kadowa and Nuwaha in Uganda [7], Deribe et al in Ethiopia [8], Ogoina et al in Nigeria [9] and Idindili et al in Tanzania [10]. Obermeyer et al reviewed facilitators of HIV status disclosure across diverse settings and their findings suggested that structural changes, including making more services available, could facilitate HIV disclosure as much as individual approaches and counseling do [11].…”

Section: Discussionsupporting

confidence: 88%

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

Dzinamarira¹

2019

IJHPEBS

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With a documented HIV prevalence among adults of 12.6% with disparities by sex; 15.7% and 9.3% among women and men respectively, Namibia is one of the first countries reported to be nearing epidemic control for HIV. Namibia has been very successful in ensuring universal treatment access for people living with HIV. For prevention interventions, the importance of HIV status disclosure among HIV-infected individuals, particularly to their sexual partners cannot be over emphasized. We used a mixed methods approach on a combined sample of 185 HIV positive young adults attending comprehensive care departments at selected referral hospitals in Namibia. For quantitative data, the chi-square test and multiple regression analysis were employed for data analysis. Qualitative data was transcribed, coded and analysed to build themes in line with study objectives. Of the 185 participants; only 35 were included in the qualitative component of the study with stratification by gender and age. Multiple logistic regression found HIV post-test counselling plus age were the only factors associated with disclosure status whilst adjusting for other study variables. Three major themes were built from the qualitative data. Theme one showed fear to be an important barrier to disclosure (fear of being rejected and violence). Theme two showed revealed lack of knowledge on importance of disclosure to sexual partner if not married or cohabitating. Theme three showed one main motivation for disclosure was having been tested together or discussed with sexual partner prior to testing. The importance of HIV post-test counselling remains an important factor affecting HIV status disclosure. In the advent of new HIV interventions such as HIV self-testing, findings from our study may be used to guide policies for these new interventions and strengthen post-test counselling to ensure HIV status disclosure to sexual partner(s). Health education on importance of testing as couples or with sexual partner needs to be strengthened.

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“…In this systematic review and meta-analysis, a total of 18 articles with a total of 7084 study participants were included. Regarding the region/location of studies conducted, about one third of the studies were from Oromia region (1,(20)(21)(22)(23)(24), Amhara region accounts the second largest segment of the included studies 22.22% (13,(25)(26)(27), Tigray region has contributed three studies (8,28,29), two regions SNNPs (30,31) and Addis Abeba(32, 33) each supplied a couple of studies and one study was found from Hareri region (34). Regarding the study design all the included studies were crosssectional.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Regarding the study design all the included studies were crosssectional. Concerning the JBI assessment nineteen studies were review and the highest score was 100% which has occurred among six studies (13,20,23,25,28,30,33) and the lowest value was 33.33% from a study conducted in Metu and Gore towns Illubabur Zone Southwest Ethiopia (35) which is subjected to exclusion from the review; However, from the included studies the lowest value was 66.66% among two articles (26,32). In addition to this, the lowest and the highest response rate of the included studies was between 95.5 and 100.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Human Immunodeficiency Virus Positive status disclosure to a sexual partner and its determinant factors in Ethiopia. A systematic review and meta-analysis.

Yehualashet

¹

,

Tegegne

²

,

Tessema

³

et al. 2020

Preprint

0

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Background: Disclosure of Human Immunodeficiency Virus positive status significantly reduced the transmission of HIV; yet, it remains a challenge for many HIV patients. Disclosure serves plays a crucial role to raise awareness and to reduce risky behaviors. Hence, this study aimed to determine the pooled prevalence and effect sizes of determinant factors of HIV positive status disclosure through a systematic review and meta-analysis of the results of the existing primary studies in Ethiopia. Method: This systematic review and meta-analysis was aimed to determine prevalence of HIV positive status disclosure and associated factors by considering and searching published primary articles from different sources. A sensitivity test was conducted to evaluate the presence of influential studies. Besides, the heterogeneity test has been conducted; and publication bias was examined through observing the funnel plot as well as objectively by interpreting the Egger’s regression test. Following the Egger’s regression test, P-value <0.05 was considered as statistically significant at 95% Confidence Interval. Result: A total of 18 primary studies were searched from different data sources. The overall pooled prevalence of HIV positive status disclosure among adult PLWHA in Ethiopia was indicated to be 75.95% (95% CI:69.93-81.98); the highest and lowest pooled estimated HIV status disclosure was in Amhara (82.78%) and Tigray (54.31%) regions respectively. Furthermore, Knowing the HIV positive status of sexual partner, AOR=19.66(95% CI: 10.19-37.91), having prior discussion about HIV testing with their partner, AOR=9.18(95% CI: 5.53-15.24), got Human Immunodeficiency Virus pretest counseling service AOR=4.29(95% CI: 2.56-7.21) and being a member of HIV/AIDS associations, AOR=3.34(95% CI: 2.17-5.12), were significantly associated with HIV positive status disclosure among People living With HIV/AIDS in Ethiopia.Conclusion: The pooled national estimate of HIV/AIDS positive status disclosure is low as compared to the WHO disclosure rate of developing countries and the findings of other national and international studies. Ministry of health and other stakeholders shall design new approaches and strategies to encourage disclosure of HIV status, educate the public about the negative impact of nondisclosure within family members. Health care providers working at Human HIV test centers shall emphasis extensive counseling on disclosure of status to a partner. Moreover, different stakeholders, health workers and community members shall establish, organize, and support HIV/AIDS Associations and motivate HIV positive people to be engaged and participated.

show abstract

“…In this systematic review and meta-analysis, a total of 18 articles with a total of 7084 study participants were included. Regarding the region/location of studies conducted, about one third of the studies were from Oromia region (1,(20)(21)(22)(23)(24), Amhara region accounts the second largest segment of the included studies 22.22% (13,(25)(26)(27), Tigray region has contributed three studies (8,28,29), two regions SNNPs (30,31) and Addis Abeba (32,33) each supplied a couple of studies and one study was found from Hareri region (34). Regarding the study design all the included studies were cross-sectional.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Human Immunodeficiency Virus Positive status disclosure to a sexual partner and its determinant factors in Ethiopia. A systematic review and meta-analysis.

Yehualashet

¹

,

Tegegne

²

,

Tessema

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Disclosure of Human Immunodeficiency Virus positive status significantly reduced the transmission of HIV; yet, it remains a challenge for many HIV patients. Disclosure serves plays a crucial role to raise awareness and to reduce risky behaviors. Hence, this study aimed to determine the pooled prevalence and effect sizes of determinant factors of HIV positive status disclosure through a systematic review and meta-analysis of the results of the existing primary studies in Ethiopia. Method: This systematic review and meta-analysis was aimed to determine prevalence of HIV positive status disclosure and associated factors by considering and searching published primary articles from different sources. A sensitivity test was conducted to evaluate the presence of influential studies. Besides, the heterogeneity test has been conducted; and publication bias was examined through observing the funnel plot as well as objectively by interpreting the Egger’s regression test. Following the Egger’s regression test, P-value <0.05 was considered as statistically significant at 95% Confidence Interval. Result: A total of 18 primary studies were searched from different data sources. The overall pooled prevalence of HIV positive status disclosure among adult PLWHA in Ethiopia was indicated to be 75.95% (95% CI:69.93-81.98); the highest and lowest pooled estimated HIV status disclosure was in Amhara (82.78%) and Tigray (54.31%) regions respectively. Furthermore, Knowing the HIV positive status of sexual partner, AOR=19.66(95% CI: 10.19-37.91), having prior discussion about HIV testing with their partner, AOR=9.18(95% CI: 5.53-15.24), got Human Immunodeficiency Virus pretest counseling service AOR=4.29(95% CI: 2.56-7.21) and being a member of HIV/AIDS associations, AOR=3.34(95% CI: 2.17-5.12), were significantly associated with HIV positive status disclosure among People living With HIV/AIDS in Ethiopia.Conclusion: The pooled national estimate of HIV/AIDS positive status disclosure is low as compared to the WHO disclosure rate of developing countries and the findings of other national and international studies. Ministry of health and other stakeholders shall design new approaches and strategies to encourage disclosure of HIV status, educate the public about the negative impact of nondisclosure within family members. Health care providers working at Human HIV test centers shall emphasis extensive counseling on disclosure of status to a partner. Moreover, different stakeholders, health workers and community members shall establish, organize, and support HIV/AIDS Associations and motivate HIV positive people to be engaged and participated.

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Outcomes and Factors Affecting HIV Status Disclosure to Regular Sexual Partner among Women Attending Antiretroviral Treatment Clinic

Cited by 7 publications

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

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

Human Immunodeficiency Virus Positive status disclosure to a sexual partner and its determinant factors in Ethiopia. A systematic review and meta-analysis.

Human Immunodeficiency Virus Positive status disclosure to a sexual partner and its determinant factors in Ethiopia. A systematic review and meta-analysis.

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