Effect of antiretroviral treatment and counselling on disclosure of HIV-serostatus in Johannesburg, South Africa

Skogmar, Sten; Shakely, Delér; Lans, M.; Danell, J.; Andersson, Rune; Tshandu, N.; Odén, Anders; Roberts, Sandra; Venter, François

doi:10.1080/09540120500307248

Cited by 69 publications

(72 citation statements)

References 12 publications

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“…Differences in health care utilization by marital status have been reported previously, 23 and high IPT default rates among the widowed, divorced or separated reported in this study might suggest that people in broken relationships might be less compliant due to a gap in support of close relatives which is fundamental in coping with HIV/AIDS and sustaining compliance. [23][24][25][26] Higher risk in the widowed, separated and divorced group might also be linked to increased household responsibilities which require shouldering workload that could have been shared between two household heads.…”

Section: Discussionmentioning

confidence: 99%

Loss to follow up from isoniazid preventive therapy among adults attending HIV voluntary counseling and testing sites in Uganda

Namuwenge

Mukonzo

Kiwanuka

et al. 2012

Transactions of the Royal Society of Tropical Medicine and Hygi

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Section: Discussionmentioning

confidence: 99%

Loss to follow up from isoniazid preventive therapy among adults attending HIV voluntary counseling and testing sites in Uganda

Namuwenge

Mukonzo

Kiwanuka

et al. 2012

Transactions of the Royal Society of Tropical Medicine and Hygi

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“…In a recent South African study rate of disclosure to sexual partner was found to be higher among men compared with women (84% v. 78 %) (Skogmar et al, 2006). However, in another South African study (Olley, Seedat & Stein, 2004), as well as one in Burkina Faso (Ndiaye et al, 2006), it was found that men were less likely to disclose their HIV status.…”

Section: Introductionmentioning

confidence: 90%

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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“…Many studies have examined the causes and consequences of disclosure in PLWH (e.g., Chandra et al, 2003;Chaudoir & Fisher, 2010;Pachankis, 2007;Sandelowski et al, 2004). Some studies suggest that disclosing one's HIV status can have beneficial effects such as increased social support, decreased experienced stigma, improved treatment adherence, greater well-being, and healthier behaviors (Peretti-Watel et al, 2006;Skogmar et al, 2006;Smith et al, 2008). Other studies point out that disclosure may also result in stigmatization Valle & Levy, 2009) manifest as, for example, avoidance, rejection, exclusion, blaming, physical distance, and awkward social interaction (Shamos et al, 2009;Stutterheim et al, 2009Stutterheim et al, , 2012.…”

Section: Introductionmentioning

confidence: 99%

“…Emlet, 2006;Skogmar et al, 2006). However, a common analytical choice is to add up positive answers to obtain a total score representing the extent of disclosure (e.g., Armistead et al, 1999;Emlet, 2006;Wohl et al, 2011), or merge them into a dichotomous variable assessing whether the person disclosed to no one versus to at least one person (Nachega et al, 2012;Wohl et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent

Dima

Stutterheim

Lyimo

et al. 2014

Social Science & Medicine

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Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent Dima, A.L.; Stutterheim, S.E.; Lyimo, R.; de Bruin, M. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Acknowledgements:The authors appreciatively acknowledge the financial assistance from RVVZ from the Netherlands, the participation of PLWH in our target group, and the cooperation of the management in the ART clinics where we conducted the study. Abstract:Disclosure of HIV status has been the focus of three decades of research, which have revealed its complex relations to many behaviors involved in HIV prevention and treatment, and exposed its central role in managing the HIV epidemic. The causes and consequences of disclosure acts have recently been the subject of several theoretical models. Although it is acknowledged that individual disclosure events are part of a broader process of disclosing one's HIV status to an increasing number of people, this process has received less theoretical attention. In quantitative studies of disclosure, researchers have often implicitly assumed that disclosure is a single unidimensional process appropriately measured via the total number of one's disclosure acts. However, there is also evidence that disclosure may have different causes and consequences depending on the types of actors involved (e.g. family members, friends) and on the presence or absence of the discloser's intention, suggesting that the unidimensionality assumption may not hold. We quantitatively examined the dimensionality of voluntary and involuntary disclosure to different categories of actors, using data collected via structured interviews in the spring of 2010 from 158 people living with HIV in Kilimanjaro, Tanzania. For voluntary disclosure, nonparametric item response analyses identified two multi-category clusters, family and community, and two single-category dimensions, partner and children. Involuntary disclosure consisted of several single-or twocategory dimensions. Correlation analyses between the resulting disclosure dimensions and stigma and social support revealed distinct relationships for each disclosure dimension. Our results suggest that treating disclosure as a unidimensional construct is a simplification of disclosure...

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Effect of antiretroviral treatment and counselling on disclosure of HIV-serostatus in Johannesburg, South Africa

Cited by 69 publications

References 12 publications

Loss to follow up from isoniazid preventive therapy among adults attending HIV voluntary counseling and testing sites in Uganda

Loss to follow up from isoniazid preventive therapy among adults attending HIV voluntary counseling and testing sites in Uganda

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

Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent

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