Gender-Related Factors Influencing HIV Serostatus Disclosure in Patients Receiving HAART in West Africa

Ndiaye, Cathy; Boileau, Cathérine; Zunzunégui, Maria-Victoria; Koala, S.; Aboubacrine, S. Ag; Niamba, P.; Nguyen, Vinh-Kim; Rashed, S.

doi:10.12927/whp.2009.20399

Cited by 16 publications

(19 citation statements)

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“…In the present study, the relatively low level of disclosure of HIV status among the respondents was similarly observed in some studies across Africa; Mali, Burkina Faso, Uganda, Zimbabwe, Togo and Nigeria [32][33][34][35][36]. On the other hand, there were other studies in Ethiopia and Uganda that reported relatively high disclosure rates [4,8,19].…”

Section: *Significantsupporting

confidence: 84%

“…These determinants were; being in an older age group [32,40,41], married [5,16,27,35,38,41], not religious [42] having a higher level of education [32,38,41,43] and residing in an urban or semi-urban place [43]. Notwithstanding, some of these socio-demographic determinants for disclosure were on the contrary, not also observed in other studies such as; being in an older age group [5,35], being married [33,40], not religious [32], level of education [5,35,40], occupation [40,41], lower level of income [41] and residing in an urban or semi-urban place [35]. Therefore, it can be further observed that these relationships with disclosure appear to vary within and across studies which is probably due to the influence of a number of peculiar factors and circumstances that motivate disclosure such as the target of disclosure, HIV care and also, the enabling social and environmental conditions that exists.…”

Section: *Significantmentioning

confidence: 99%

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Sexual Behaviour, Sero-Status Disclosure and Willingness to Disclose Status among HIV Positive Male Patients Receiving Care in Hospitals in Imo State, Nigeria

Iwu¹,

Duru²,

Diwe³

et al. 2017

J AIDS Clin Res

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Background: The non-disclosure of HIV positive status has most often been accompanied by risky sexual behaviours which is a complex relationship that facilitates the transmission of sexually transmitted diseases such as HIV.Objective: To determine sexual behaviour, levels of sero-status disclose and willingness to disclose; and the socio-demographic determinants of disclosure and willingness to disclose among HIV positive male patients receiving care in hospitals in Imo State, Nigeria. Methods:A cross sectional analytical design using a simple random sampling technique to select 422 HIV male patients attending the adult HIV clinics of two major hospitals. Data was collected using a pretested, semi structured questionnaire. Descriptive statistics were presented using frequencies and summary indices. Chi square statistics were computed to determine significant relationships and binary logistic regression was used to determine predictors of disclosure and willingness to disclose. A p-value of ≤ 0.05 was considered significant. Results:A majority of the respondents were either traders or artisans (54.6%) with a mean age of 32.0 ± 2.0 years. The results revealed that more than one third of the respondents had two or more sexual partners (35.5%), less than one quarter correctly and consistently use condoms (23.3%) and close to one third had not disclosed their HIV positive status (31.7%); of which, less than two fifths are now willing to disclose (37.8%). It was further revealed that married HIV positive male patients who are traders or artisans above the age of 30 years with monthly income levels less than N40,000 ($110) and living in an urban or semi urban area with family members or other people, were significantly more likely to have disclosed their HIV positive status. Similarly, HIV positive male patients who had not disclosed their status, but are artisans aged above 30 years, were significantly more likely to be willing now to disclose their HIV positive status.

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Section: *Significantsupporting

confidence: 84%

Section: *Significantmentioning

confidence: 99%

Sexual Behaviour, Sero-Status Disclosure and Willingness to Disclose Status among HIV Positive Male Patients Receiving Care in Hospitals in Imo State, Nigeria

Iwu¹,

Duru²,

Diwe³

et al. 2017

J AIDS Clin Res

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“…Odds of non-disclosure to partner also were consistently higher among participants older than 40, perhaps due to fear of blame for bringing sexually transmitted disease to the family; a finding which merits further in-depth inquiry. Prior research from Sub-Saharan Africa reported inconsistent associations between age and HIV status disclosure (higher likelihood of disclosure among older [29, 30] and younger [4, 31] persons), but our results suggest that older patients could benefit from tailored interventions in support of HIV status disclosure to partners.…”

Section: Discussioncontrasting

confidence: 72%

Disclosure History Among Persons Initiating Antiretroviral Treatment at Six HIV Clinics in Oromia, Ethiopia, 2012–2013

et al. 2016

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HIV status disclosure can help patients obtain support which may influence treatment adherence and subsequent healthcare needs. We examined the extent of disclosure and correlates of non-disclosure among 1180 adults newly initiating antiretroviral treatment (ART). While 91 % of those in a relationship shared their status with their partners, 14 % of the overall sample had not disclosed to anyone. Non- disclosure was positively associated with older age; control over household resources; and concerns about unintended disclosure, life disruptions, and family reactions. Knowing other HIV-positive people and longer time since diagnosis were associated with lower odds of non-disclosure. Most respondents reporting disclosure experienced supportive responses, frequently including decision to get an HIV test by confidants who had not known their own status. Although HIV status disclosure prior to ART initiation was high, some individuals cited concerns about unintended disclosure, gossip, and partner violence, and may benefit from additional disclosure support.

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“…Male attitudes and beliefs : Fear of receiving an HIV positive result and confidentiality concerns prevent some men from coming for VCT. In many studies men were mentioned being concerned about HIV-associated stigma and disclosure [12,49,50]. Men may be afraid of HIV status disclosure in a health system facility, in the context of weak health system [51].…”

Section: Resultsmentioning

confidence: 99%

Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review

et al. 2012

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IntroductionMale participation is a crucial component in the optimization of Maternal and Child Health (MCH) services. This is especially so where prevention strategies to decrease Mother-to-Child Transmission (MTCT) of Human Immunodeficiency Virus (HIV) are sought. This study aims to identify determinants of male partners’ involvement in MCH activities, focusing specifically on HIV prevention of maternal to child transmission (PMTCT) in sub-Saharan Africa.MethodsLiterature review was conducted using the following data bases: Pubmed/MEDLINE; CINAHL; EMBASE; COCHRANE; Psych INFORMATION and the websites of the International AIDS Society (IAS), the International AIDS Conference and the International Conference on AIDS in Africa (ICASA) 2011.ResultsWe included 34 studies in this review, which reported on male participation in MCH and PMTCT services. The majority of studies defined male participation as male involvement solely during antenatal HIV testing. Other studies defined male involvement as any male participation in HIV couple counseling. We identified three main determinants for male participation in PMTCT services: 1) Socio-demographic factors such as level of education, income status; 2) health services related factors such as opening hours of services, behavior of health providers and the lack of space to accommodate male partners; and 3) Sociologic factors such as beliefs, attitudes and communication between men and women.ConclusionThere are many challenges to increase male involvement/participation in PMTCT services. So far, few interventions addressing these challenges have been evaluated and reported. It is clear however that improvement of antenatal care services by making them more male friendly, and health education campaigns to change beliefs and attitudes of men are absolutely needed.

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Gender-Related Factors Influencing HIV Serostatus Disclosure in Patients Receiving HAART in West Africa

Cited by 16 publications

References 0 publications

Sexual Behaviour, Sero-Status Disclosure and Willingness to Disclose Status among HIV Positive Male Patients Receiving Care in Hospitals in Imo State, Nigeria

Sexual Behaviour, Sero-Status Disclosure and Willingness to Disclose Status among HIV Positive Male Patients Receiving Care in Hospitals in Imo State, Nigeria

Disclosure History Among Persons Initiating Antiretroviral Treatment at Six HIV Clinics in Oromia, Ethiopia, 2012–2013

Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review

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