Disclosure of HIV status to sex partners and sexual risk behaviours among HIV-positive men and women, Cape Town, South Africa

Simbayi, Leickness C.; Kalichman, Seth C.; Strebel, Anna; Cloete, Allanise; Henda, Nomvo; Mqeketo, Ayanda

doi:10.1136/sti.2006.019893

Cited by 218 publications

(212 citation statements)

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“…One study conducted in Mali found no gender differences, while part of the same study from Burkina Faso found that men were less likely to disclose than women (Ndiaye et al, 2006). Similarly, in South African studies (Olley et al, 2004;Simbayi et al, 2007) it was found that being male was associated with non-disclosure of HIV status. In contrast, Skogmar & colleagues (2006) found slight gender differences in HIV status disclosure to partners (84% of men v. 78% of women), with men more likely to disclose than women.…”

Section: Discussionmentioning

confidence: 99%

Gender differences regarding barriers and motivators of HIV status disclosure among HIV-positive service users

Deribe¹,

Woldemichael

Njau

et al. 2010

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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There are inconsistent findings about the relation between gender and HIV status disclosure. We conducted a facility-based crosssectional study, using qualitative and quantitative data collection methods, to explore gender differences in HIV-positive status disclosure among service users in south-west Ethiopia. Among 705 participants, an equal number of men and women (94.6% men v. 94.3%, women) indicated that they had disclosed their result to someone, and the majority (90.9% men v. 90.7% women) to their current main partner. 'It is customary to tell my partner everything' was the most frequently cited reason for disclosing (62.5% men v. 68.5% women). Reasons for non-disclosure varied by gender: men were concerned about their partner's worry and exposure of their own unfaithfulness. Women feared physical violence, and social and economic pressure in raising their children. Factors that influenced disclosure also indicated gender variation. For men, disclosure of HIV results to a sexual partner was positively associated with knowing the partner's HIV status and discussion about HIV testing prior to seeking services, while for women it was associated with knowing the partner's HIV status, advanced disease stage, having no more than primary education, being married, and perceiving the current relationship as long-lasting.There was no significant difference in the proportion of HIV status disclosure among men and women. However, the contextual barriers and motivators of disclosure varied by gender. Therefore it is important that clinicians, counsellors, and health educators underscore the importance of gender-specific interventions in efforts to dispel barriers to HIV status disclosure. Keywords: HIV, AIDS, disclosure, HIV result, serostatus disclosure, gender.Kebede Deribe (MPH) is a public health specialist working in Ethiopia. He holds a master's degree in public health and his research interests include health in humanitarian settings, migration and health, infectious disease and HIV/AIDS. He has published several journal articles.Kifle Woldemichael (MD, MPH) is an Associate Professor of epidemiology in the Department of Epidemiology, Jimma University, Addis Ababa, where he has been serving as head of the Public Health Faculty. He has authored many articles in national and international journals.Bernard Joseph Njau (MPH) is a public health specialist, and has been working for six years as assistant lecturer and research scientist, currently with KCMC-Duke University AIDS Program, Kilimanjaro Christian Medical College, Department of Community Health, Moshi, Tanzania. His research interests include HIV/AIDS voluntary counselling and testing (VCT), disclosure, and adolescent sexuality.Bereket Yakob is a public health specialist and is currently working as regional co-ordinator for NASTAD Global Programme in Ethiopia on HIV/AIDS prevention. He graduated with a BSc. in Public Health from Alemaya University in 2002, and then with an MPH from Addis Ababa University, Ethiopia, in 2007. He has been working in lea...

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Section: Discussionmentioning

confidence: 99%

Gender differences regarding barriers and motivators of HIV status disclosure among HIV-positive service users

Deribe¹,

Woldemichael

Njau

et al. 2010

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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“…Such factors were identified in a study conducted in South Africa, and consist of: fear of discrimination; lack of information about HIV transmission and protection; a desire to protect the self, and not to be stigmatized (Simbayi et al, 2007). In this possibility horizon, the process of unveiling the serostatus becomes quite stressful and stressful, even in cases with positive outcomes.distressing, causing some subjects to relive the moment of diagnosis: "Look, fella,, this month I lived the experience of telling a lad I was hopelessly in love with!…”

Section: "And All Of a Sudden Disappeared": The Other's (Re)actions Imentioning

confidence: 99%

“Mas não tive coragem de contar”: a revelação da condição sorológica na experiência amorosa de pessoas que vivem com HIV

2017

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"Mas não tive coragem de contar": a revelação da condição sorológica na experiência amorosa de pessoas que vivem com HIV AbstractThis article presents a socio-anthropological study, of qualitative approach, that addresses love relationships of people living with HIV/aids (PLWHA) in the current context of infection's chronicity and discursive restraint on the epidemic. From brief narratives, comments on posts about loving experiences of PLWHA in a personal blog, this study aims to understand the meanings attributed to strategies for serostatus disclosure and the ways of coping with love partners' reactions facing this attitude. From the thematic analysis of the empirical material, two categories emerged: "but I didn't have the courage to tell": the unveiling of the serostatus; and "and all of a sudden disappeared": the other's (re) actions in the relationship. The narratives showed the experiences of living with the secret about the own serostatus, and the feelings involved in revealing it when dealing with the possibility of a love relationship. In this sense, the secret is expressed by the lack of "courage to tell" the partner. Moreover, we highlight the meaning attributed to the other's reaction on knowing about the serostatus, which is mainly distinguished as a "door" that opens up and allows (or not) the love experience. ResumoEstudo socioantropológico de abordagem qualitativa que aborda os relacionamentos amorosos de pessoas que vivem com HIV/aids (PVHA) no atual contexto de cronicidade da infecção e de restrição discursiva sobre a epidemia. A partir de narrativas breves em forma de comentários às postagens sobre experiências amorosas de PVHA publicadas em um blog pessoal, este artigo objetiva compreender os significados atribuídos às estratégias para revelação da condição sorológica e as formas de enfrentamento das reações dos parceiros amorosos diante dessa atitude. Da análise temática do material empírico emergiram duas categorias: "mas não tive coragem de contar" -o desvelar da condição sorológica; e "e do nada sumiu" -as (re)ações do outro da relação. As narrativas evidenciaram as experiências na convivência com o segredo em torno de suas condições sorológicas e os sentimentos envolvidos em sua revelação, diante da possibilidade de um relacionamento amoroso. Nesse sentido, o segredo se expressou pela inexistência da "coragem de contar" ao(à) parceiro(a). Além disso, destaca-se o significado atribuído às reações do outro perante o conhecimento da condição sorológica, apontado, principalmente, como uma "porta" que se abre e permite (ou não) a experiência amorosa.

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“…Despite the progress in understanding of HIV/AIDS, managing stigma and discrimination continued to be a serious issue in Juba, South Sudan the consequences of discrimination against PLHIV results in poor quality of care and services for those who are infected or ill or suspected of being infected [8,9], frightened away potential clients in need of care by limiting individual access to use of healthcare services such as Voluntary Counselling and Testing and early enrolment for Antiretroviral drugs. The access and use of these lifesaving services will depend on the degree to which health facilitator's welcome and respect the rights of HIV/ AIDS clients [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Stigma and Discrimination against People Living with HIV in Juba, South Sudan

Lino¹

2015

J Community Med Health Educ

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Disclosure of HIV status to sex partners and sexual risk behaviours among HIV-positive men and women, Cape Town, South Africa

Cited by 218 publications

References 20 publications

Gender differences regarding barriers and motivators of HIV status disclosure among HIV-positive service users

Gender differences regarding barriers and motivators of HIV status disclosure among HIV-positive service users

“Mas não tive coragem de contar”: a revelação da condição sorológica na experiência amorosa de pessoas que vivem com HIV

Stigma and Discrimination against People Living with HIV in Juba, South Sudan

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