Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda

被引：153

作者：

King, Rachel ^{[1
,2
]}

Katuntu, David ^{[2
]}

Lifshay, Julie ^{[3
]}

Packel, Laura ^{[3
]}

Batamwita, Richard ^{[2
]}

Nakayiwa, Sylvia ^{[2
]}

Abang, Betty ^{[2
]}

Babirye, Frances ^{[4
]}

Lindkvist, Pille ^{[5
]}

Johansson, Eva ^{[5
]}

Mermin, Jonathan ^{[2
]}

Bunnell, Rebecca ^{[2
]}

机构：

[1] CDC, Uganda Virus Res Inst, Entebbe, Uganda

[2] CDC, Global AIDS Program, Entebbe, Uganda

[3] Univ Calif Berkeley, Berkeley, CA 94720 USA

[4] TASO, Kampala, Uganda

[5] Karolinska Inst, S-10401 Stockholm, Sweden

来源：

AIDS AND BEHAVIOR | 2008年 / 12卷 / 02期

关键词：

HIV; Uganda; counseling and testing; disclosure; prevention with positives; sexual behavior;

D O I：

10.1007/s10461-007-9307-7

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Disclosure of HIV serostatus to sexual partners supports risk reduction and facilitates access to prevention and care services for people living with HIV/AIDS. To assess health and social predictors of disclosure as well as to explore and describe the process, experiences and outcomes related to disclosure of HIV-infected men and women in Eastern Uganda, we conducted a study among HIV-infected men and women who were clients of The AIDS Support Organization (TASO) in Jinja, Uganda. We enrolled TASO clients in a cross-sectional study on transmission risk behavior. Demographic and behavioral data and CD4 cell count measurements were collected. Among 1,092 participants, 42% were currently sexually active and 69% had disclosed their HIV serostatus to their most recent sexual partner. Multivariate logistic regression analysis showed that disclosure of HIV-status was associated with being married, having attended TASO for more than 2 years, increased condom use, and knowledge of partner's serostatus. From these clients, 45 men and women were purposefully selected and interviewed in-depth on disclosure issues. Positive outcomes included risk reduction behavior, partner testing, increased care-seeking behavior, anxiety relief, increased sexual communication, and motivation to plan for the future.

引用

页码：232 / 243

页数：12

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