The Disclosure Dilemma: Willingness to Disclose a Positive HIV Status Among Individuals Preparing for HIV Testing During Antenatal Care in Tanzania

Mwamba, Rimel N.; Sao, Saumya S.; Knettel, Brandon A.; Minja, Linda; Osaki, Haika; Mmbaga, Blandina T.; Watt, Melissa H.

doi:10.1007/s10461-020-03058-y

Cited by 4 publications

(2 citation statements)

References 48 publications

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“…In our evaluation, those who had an employment contract with maximum wage did not disclose their HIV status. Our nding is contradictory across different studies, some Tanzanian studies report that those who were formally employed were more likely to disclose their HIV sero-status to sexual partners [33]. In our estimation, there was a predominance of women with jobs with maximum wage, this is due to the fact that the men with high-end jobs on a reported scale generally do not seek public health services, when they become ill they seek for emergency services, such as pharmacy and emergency room, while women, regardless of their social level, level of education or job position they occupy, generally seek public services, mainly in health services.…”

Section: Discussioncontrasting

confidence: 59%

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Sociodemographic predictors of non-disclosure of HIV sero-status to sexual partners in suburban area of southern Mozambique

Nacarapa,

Mudender,

Paredes

et al. 2023

Preprint

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The HIV prevalence in Maputo city is 16.2%. There is a paucity of data describing factors associated with disclosure or non-disclosure of HIV-positive sero-status to sexual partners. This study aims to describe predictors of HIV sero-status- disclosure to sexual partners among people living with HIV (PLHIV) as per analytical study carried-out at three health facilities in the suburban area of Maputo, Mozambique. We used prospective cohort study design of PLHIV aged over 18 years in suburban area of Maputo. Data were collected between December 2019 and December 2020. Crude and adjusted logistic regression were used to analyze and model predictors of non-disclosure of their HIV sero-status. A total of 377 patients were enrolled in the HIV sero-status disclosure study. Of these, nearly two-thirds 61.5% were women, 52.9% had secondary school, 47.7% were aged between 25-34 years, 50.9% had informal employment with low income, 73.2% were married. The proportion of patients regarding gender was significantly different, women were higher in contrast to men, in those aged 15-24 years (23.3% [95% CI: 18.2 – 29.0] vs 2.1% [95% CI: 0.5 – 5.4] , p=0.000); employment contract with maximum wage(43.1% [95% CI: 36.8 – 49.5] vs 22.8% [95% CI: 16.3 – 30.1], p=0.000); single civil status (29.7% [95% CI: 24.1 – 35.8] vs 19.4% [95% CI: 13.2 – 26.5], p=0.020. 70 (18.6%, 95% CI: 22.7) of overall did not disclose their HIV sero-status to the sexual partner after 12 months of follow up. Crude logistic regression showed higher likelihood of non-disclosure in those who had an employment contract with maximum wage (Crude Odds Ratio [cOR] 2.02, 95% confidence interval [CI] : 1.15 – 3.55, p=0.015); were single (cOR 3.85, 95% CI: 2.22 – 6.69, p=0.000); were living with parents (cOR 2.30, 95% CI: 1.07 – 4.93, p=0.033); received financial support for their monthly household expenses from parents or a close relative (cOR 7.15, 95% CI: 2.19 – 23.36, p=0.001); or brought a parent/lose relative and/or a friend as a confidant during enrollment period of Program Confidant (cOR 3.17 , 95% CI: 1.74 – 5.76, p=0.000; and cOR 5.97, 95% CI: 1.57 – 22.66, p=0.009, respectively). From parents/close relative and from partner (Adjusted Odds Ratio [aOR] 8.19, 95% CI: 1.44 – 46.46, p=0.018; and aOR 4.34, 95% CI: 1.05 – 17.17, p=0.043), respectively); in those who brought a parent/close relative and/or a friend as a confidant during enrollment period of Program (aOR 8.86, 95% CI: 2.16 – 36.31, p=0.002; and 195 aOR 21.68, 95% CI: 3.02 – 155.87, p= 0.002, respectively). Factors independently associated with non-disclosure of HIV-positive sero-status were employment contract with medium/high income, single status, living with parents, received financial support for their monthly household expenses from parents/close relatives, brought a parent/close relative and/or a friend as a confidant during enrollment period of study. This information should help to support a social intervention strategy to improve HIV sero-status disclosure in PLHIV, which is urgent within suburban society.

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Section: Discussioncontrasting

confidence: 59%

“…In our report, those who receive nancial support for their monthly household expenses from parents/close relative, did not reveal their serological status. Some research referred fear of loss of bene ts from those who paid their fees and stigma [33], [37].…”

Section: Discussionmentioning

confidence: 99%