Predictors of HIV Status Disclosure to Sexual Partners Among People Living with HIV in Brazil

Reis, Renata Karina; Sousa, Laelson Rochelle Milanês; Melo, Elizabete Santos; Fernandes, Nilo Martinez; Sörensen, William; Gir, Elucir

doi:10.1007/s10461-021-03362-1

Cited by 3 publications

(5 citation statements)

References 38 publications

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“…However, the current finding is significantly lower than an earlier international study [10] and a Papua New Guinea study [11]. Differences in study settings, differences in the definition used to define risky sexual behaviour [1], variations in socioeconomic status and educational status, and cultural and contextual factors could all explain the variation [16][17][18][19]28]. Another variation may be the differing concerns of governmental and nongovernmental organizations in HIV prevention and control across countries.…”

Section: Discussioncontrasting

confidence: 60%

“…This may be due to the fact that alcohol can reduce an individual's perception of the risk of HIV transmission and impair thinking and decision-making abilities about safe sex, due to alcohol's constrained effect on cognitive capacity, causing someone to focus only on motivating their immediate senses. Thus, alcohol intake puts HIV patients at risk for having unstable partners [18,19] and for engaging in sexual activity without taking any HIV prevention measures [5]. Given the strong relationship between alcohol use and HIV risk behaviour, clinicians must incorporate alcohol counselling into HIV care for HIVinfected adults.…”

Section: Discussionmentioning

confidence: 99%

“…The wide regional variation suggests that social and economic factors influence sexual behaviour, which has implications for intervention [16,17]. High-risk sex was linked to lower income, a higher number of sexual partners, and negative attitudes toward condoms [18]. The risk of engaging in sexual practices was higher for those with unstable partners and a low education level [19].…”

Section: Introductionmentioning

confidence: 99%

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Risky Sexual Behaviour among HIV-Infected Adults in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Wondmeneh

2023

BioMed Research International

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Background. Risky sexual behaviour raises serious public health concerns. The pooled prevalence of risky sexual behaviours among adults living with HIV/AIDS in sub-Saharan Africa was unknown. This systematic review determined the pooled prevalence of risky sexual behaviours and associated factors among HIV-infected adults in sub-Saharan Africa. Methods. International databases such as PubMed, CINAHL, Google Scholar, and African Journals OnLine were systematically searched to identify articles. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline was used to conduct the review. All necessary data were extracted independently. Heterogeneity and publication bias were assessed by I -squared statistics and Egger’s test, respectively. The random-effects meta-analysis model was used to estimate the pooled prevalence. The association between predictors and dependent variable was determined by a pooled odds ratio (OR) with a 95% confidence interval (CI). Result. In this study, 3713 articles were retrieved from various databases, and 22 of them were included. The pooled prevalence of risky sexual behaviour in sub-Saharan Africa was 36.16% (95% CI: 28.36-44.34) with significant heterogeneity among studies ( I 2 = 98.86 % , p < 0.001 ). Risky sexual behaviour was significantly associated with the nondisclosure of HIV status ( AOR = 1.97 , 95% CI: 1.18, 2.76) and alcohol consumption ( AOR = 2.29 , 95% CI: 1.21, 3.36). Conclusion. A significant percentage of participants engaged in risky sexual behaviour. Risky sexual behaviour was associated with failure to disclose HIV status and alcohol consumption. Healthcare professionals should advise HIV-positive patients on risk reduction measures like disclosing their HIV status to their sexual partners and avoiding alcohol use in order to promote consistent condom use. PROSPERO Protocol Registration. The protocol for this systematic review and meta-analysis has been registered (record ID: CRD42020170967, 09/06/2022).

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risky Sexual Behaviour among HIV-Infected Adults in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Wondmeneh

2023

BioMed Research International

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“…Tertiary education predicted HIV disclosure which implied that a higher educational level may be associated with a better understanding of the benefits of disclosure or having an easier time when discussing personal, HIV, and intimate matters with a partner as previously reported [ 73 ]. Other studies also reported similar findings [ 71 , 74 – 76 ].…”

Section: Discussionmentioning

confidence: 61%

Incidence of HIV disclosure among HIV affected heterosexual partners using a community health worker led mechanism in rural Uganda; a quasi-experimental study

Lukyamuzi

Ssuna²,

Mirembe

et al. 2023

BMC Infect Dis

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Background HIV disclosure is vital in HIV management. Community Health Workers (CHW) were reported to support partner disclosure among HIV affected heterosexual partners with disclosure difficulties. However, time to disclosure attributed to use of CHW led disclosure support mechanism was not documented. This study compared the incidence of sexual partner disclosure among adults living with HIV (ALHIV) with CHW support and those without in the greater Luwero region, Uganda. Methods We conducted a quasi-experimental study with two arms allocated by geographically determined clusters and adjusted for between-group differences; among ALHIV in the greater Luwero region of Uganda who had never disclosed to their current primary sexual partners. We allocated study clusters to either a CHW-led intervention or control arm. In both arms, we consecutively recruited participants; those in the intervention arm received CHW disclosure support in addition to routine care. The overall follow-up was six months, and the primary outcome was disclosure to the partner. We used survival analysis with proportional hazard ratios to determine the time to partner disclosure in both arms. Results A total of 245 participants were enrolled, and 230 (93.9%) completed the study; of these, 112 (48.7%) were in the intervention and 118 (51.3%) in the control arm. The mean age was 31 ± 8 years with a range of 18 to 55 years; the majority were females, 176 (76.5%). The cumulative incidence of disclosure was higher in the intervention arm, 8.76 [95% CI: 7.20–10.67] per 1,000 person-days versus 5.15 [95%CI: 4.85–6.48] per 1,000 person-days in the control arm, log-rank test, X2 = 12.93, P < 0.001. Male gender, aHR = 1.82, tertiary education, aHR = 1.51, and relationship duration of > six months, aHR = 1.19 predicted disclosure. Prior disclosure to a relative, aHR = 0.55, and having more than one sexual partner in the past three months, aHR = 0.74, predicted non-disclosure. Conclusion CHW-led support mechanism increased the rate of sexual partner disclosure among ALHIV with disclosure difficulties. Therefore, to achieve the global targets of ending HIV, near location CHW-led disclosure support mechanism may be used to hasten HIV disclosure in rural settings.

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“…Stigma in health care settings is a barrier to ending the HIV epidemic [ 39 ]. Further, HIV-induced stigma has been shown to trigger psychological distress and low self-efficacy and negatively impact adherence [ 40 ]. PLWH interviewed in our study were unable to confirm negative effects on adherence from experienced stigma and discrimination.…”

Section: Discussionmentioning

confidence: 99%

People Living with HIV and AIDS: Experiences towards Antiretroviral Therapy, Paradigm Changes, Coping, Stigma, and Discrimination—A Grounded Theory Study

Beichler

Kutalek

Dörner

2023

IJERPH

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Background: The experiences in coping with HIV/AIDS from people living with HIV (PLWH) in Austria, Munich, and Berlin regarding adherence, antiretroviral therapy (ART), stigmatization, and discrimination were the main focus of this study. Therapy adherence is the cornerstone for PLWH to reduce disease progression and increase life expectancy combined with a high quality of life. The experience of stigmatization and discrimination in different life situations and settings is still experienced today. Aims: We aimed to examine the subjective perspective of PLWH concerning living with, coping with, and managing HIV/AIDS in daily life. Methods: Grounded Theory Methodology (GTM) was used. Data collection was conducted with semi-structured face-to-face interviews with 25 participants. Data analysis was performed in three steps, open, axial, and selective coding. Results: Five categories emerged, which included the following: (1) fast coping with diagnosis, (2) psychosocial burden due to HIV, (3) ART as a necessity, (4) building trust in HIV disclosure, (5) stigmatization and discrimination are still existing. Conclusion: In conclusion, it can be said that it is not the disease itself that causes the greatest stress, but the process of coping with the diagnosis. Therapy, as well as lifelong adherence, is hardly worth mentioning today. Much more significant is currently still the burden of discrimination and stigmatization.

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Predictors of HIV Status Disclosure to Sexual Partners Among People Living with HIV in Brazil

Cited by 3 publications

References 38 publications

Risky Sexual Behaviour among HIV-Infected Adults in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Risky Sexual Behaviour among HIV-Infected Adults in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Incidence of HIV disclosure among HIV affected heterosexual partners using a community health worker led mechanism in rural Uganda; a quasi-experimental study

People Living with HIV and AIDS: Experiences towards Antiretroviral Therapy, Paradigm Changes, Coping, Stigma, and Discrimination—A Grounded Theory Study

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