Disclosure of HIV Status to Sexual Partners Among People With HIV in Singida Regional Referral Hospital of Tanzania: A Cross-Sectional Study

被引:0
作者
Alexander, Alex Gabagambi [1 ,2 ]
Relf, Michael [3 ,4 ]
Bosworth, Hayden B. [2 ,5 ,6 ,7 ]
Mmbaga, Blandina T. [1 ,8 ,9 ]
Muiruri, Charles [10 ,11 ,12 ]
机构
[1] Kilimanjaro Clin Res Inst, Moshi, Tanzania
[2] Duke Univ, Populat Hlth Sci, Durham, NC USA
[3] Duke Univ, Nursing & Global Hlth, Durham, NC USA
[4] Duke Univ, Sch Nursing, Global & Community Hlth Affairs, Durham, NC USA
[5] Durham VA Med Ctr, Ctr Innovat Accelerate Discovery & Practice Transf, Durham, NC USA
[6] Duke Univ, Res, Durham, NC USA
[7] Duke Univ, Med Ctr, Med Psychiat & Nursing, Durham, NC USA
[8] Kilimanjaro Christian Med Ctr KCMC, Moshi, Tanzania
[9] Tumaini Univ Makumira KCMUC, Kilimanjaro Christian Med Univ Coll, Moshi, Tanzania
[10] Duke Dept Populat Hlth Sci, Durham, NC USA
[11] Duke Global Hlth Inst, Durham, NC USA
[12] Kilimanjaro Christian Med Univ Coll, Moshi, Tanzania
来源
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2024年 / 35卷 / 05期
基金
美国国家卫生研究院;
关键词
cross-sectional study; HIV status; HIV voluntary disclosure; people living with HIV; sexual partner; SEROSTATUS DISCLOSURE; TRANSMISSION; COUPLES;
D O I
10.1097/JNC.0000000000000486
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
HIV status nondisclosure to sexual partners remains a major challenge in Tanzania's health system. This hospital-based, descriptive, cross-sectional study design recruited 380 people living with HIV (PLWH) to assess voluntary HIV status disclosure to sexual partners, the associated factors, and outcomes among PLWH in Tanzania. Approximately 78% (n = 297) of the study participants reported disclosing their HIV status to their sexual partners. Adjusted multivariable logistic regression analysis revealed that HIV status disclosure to sexual partners was significantly associated with living with a sexual partner (adjusted odds ratio [AOR] = 3.91, 95% CI [1.43-10.72]), knowledge of HIV disclosure (AOR = 11.71, 95% CI [2.88-47.63]), known serostatus of the sexual partner (AOR = 40.20, 95% CI [15.31-105.56]), and HIV disclosure-related stigma (AOR = 0.92, 95% CI [0.85-0.99]). Addressing these significant factors will maximize the magnitude of voluntary disclosure to sexual partners.
引用
收藏
页码:397 / 408
页数:12
相关论文
共 45 条
[1]   Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria [J].
Adebayo, Ayodeji Matthew ;
Ilesanmi, Olayinka Stephen ;
Omotoso, Bridget Ama ;
Ayodeji, Oladele Olufemi ;
Kareem, Adesola Olawumi ;
Alele, Faith Osaretin .
PAN AFRICAN MEDICAL JOURNAL, 2014, 18 :245
[2]   Demographic, clinical and behavioural determinants of HIV serostatus nondisclosure to sex partners among HIV-infected pregnant women in the Eastern Cape, South Africa [J].
Adeniyi, Oladele Vincent ;
Ajayi, Anthony Idowu ;
Selanto-Chairman, Nonkosi ;
Ter Goon, Daniel ;
Boon, Gerry ;
Fuentes, Yusimi Ordaz ;
Hofmeyr, George Justus ;
Avramovic, Gordana ;
Carty, Craig ;
Lambert, John .
PLOS ONE, 2017, 12 (08)
[3]  
Alema HB., 2015, Science Journal of Public Health, V3, P61, DOI [10.11648/j.sjph.20150301.2, DOI 10.11648/J.SJPH.20150301.2]
[4]  
[Anonymous], 2018, Data 2018
[5]   Approaches to Identifying Appropriate Medication Adherence Assessments for HIV Infected Individuals with Comorbid Bipolar Disorder [J].
Badiee, Jayraan ;
Riggs, Patricia K. ;
Rooney, Alexandra S. ;
Vaida, Florin ;
Grant, Igor ;
Atkinson, J. Hampton ;
Moore, David J. .
AIDS PATIENT CARE AND STDS, 2012, 26 (07) :388-394
[6]  
Buma D., 2015, Journal of HIV and AIDS, V1, DOI DOI 10.16966/2380-5536.111
[7]   Understanding HIV disclosure: A review and application of the Disclosure Processes Model [J].
Chaudoir, Stephenie R. ;
Fisher, Jeffrey D. ;
Simoni, Jane M. .
SOCIAL SCIENCE & MEDICINE, 2011, 72 (10) :1618-1629
[8]   HIV-seroconversion among HIV-1 serodiscordant married couples in Tanzania: a cohort study [J].
Colombe, Soledad ;
Beard, James ;
Mtenga, Baltazar ;
Lutonja, Peter ;
Mngara, Julius ;
de Dood, Claudia J. ;
van Dam, Govert J. ;
Corstjens, Paul L. A. M. ;
Kalluvya, Samuel ;
Urassa, Mark ;
Todd, Jim ;
Downs, Jennifer A. .
BMC INFECTIOUS DISEASES, 2019, 19 (1)
[9]   Factors associated with HIV status disclosure to partners and its outcomes among HIV positive women attending Care and Treatment Clinics at Kilimanjaro region, Tanzania [J].
Damian, Damian J. ;
Ngahatilwa, Diana ;
Fadhili, Hatibu ;
Mkiza, Johnston G. ;
Mahande, Michael J. ;
Ngocho, James S. ;
Msuya, Sia E. .
PLOS ONE, 2019, 14 (03)
[10]   Disclosure experience and associated factors among HIV positive men and women clinical service users in southwest Ethiopia [J].
Deribe, Kebede ;
Woldemichael, Kifle ;
Wondafrash, Mekitie ;
Haile, Amaha ;
Amberbir, Alemayehu .
BMC PUBLIC HEALTH, 2008, 8 (1)