HIV Status Disclosure and Associated Characteristics Among HIV-Positive MSM Receiving Antiretroviral Therapy in Jinan, China

Ma, Jing; Jiao, Kedi; Liao, Meizhen; Wang, Chunmei; Kang, Dianmin; Lin, Yuxi; Yan, Yu; Li, Yijun; Cheng, Chunxiao; Jia, Wenwen; Meng, Jing; Wang, Lina; Yang, Xuan; Cao, Yanwen; Zhao, Zhonghui; Wang, Xinting; Ma, Wei

doi:10.1007/s10461-022-03952-7

Cited by 7 publications

(4 citation statements)

References 48 publications

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“…This nding is in line with a study conducted in Nigeria which revealed that patients who had treatment interruption are more likely to have poor adherence than patients who did not have ART interruption (30). In most studies, this interruption was attributed to the fact that patients want to have a break from treatment regimens due to treatment fatigue (31,32). In this study, the association between non-adherence and treatment interruption may be attributed to duration on ART and distance to health facility as more than 70% of patients who had treatment interruption were on ART for more than 5 years and live in the distance of 2 km and above from the health facility.…”

Section: Discussionsupporting

confidence: 79%

The level of non-adherence and its associated factors among adult HIV patients on antiretroviral therapy in Nyamasheke district, Rwanda: a cross-sectional study, 2023

Nkundabaza,

Stamatakis,

Mukamurigo

et al. 2024

Preprint

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Background Antiretroviral therapy (ART) has been crucial in managing HIV, but its success heavily relies on patient adherence. In sub-Saharan African countries, including Rwanda, adherence remains a challenge. Moreover, adults living with HIV (ALHIV) account for the majority of clients on ART in Rwanda, with 3.80% of them in Nyamasheke district. However, information regarding adherence to ART among these ALHIV is limited. This study aimed to assess the level of non-adherence to ART and its associated factors among ALHIV in Nyamasheke district. Methods A cross-sectional study was conducted in 22 randomly selected health facilities and included 416 participants. Data were collected through medical record reviews and interviews. Bivariate and multivariable logistic regression analyses were performed to identify factors associated with non-adherence. Adherence was measured based on pill count. Odds ratio, 95% confidence interval and p-value were reported. Data were managed using MS Excel and analysed using Stata version 16. Results Of the 416 participants, 92.50% had past-month ART adherence level of 95% or higher. The following factors; age of 15–24 years (adjusted odds ratio [AOR]: 5.76, 95% CI: 1.68–19.73), shorter duration on ART (< 5 years) (AOR: 3.10, 95% CI: 1.11– 8.68), those who had treatment interruption (AOR: 4.08, 95% CI: 1.54–10.83), alcohol consumption (AOR: 4.42, 95% CI: 1.79–10.9), and forgetfulness (AOR: 4.53, 95% CI: 1.34–15.22) were significantly associated with non-adherence among ALHIV in Nyamasheke district. Conclusion The overall level of adherence was lower than the World Health Organization (WHO) standard, highlighting the importance of addressing the associated factors to improve adherence rates and treatment outcomes. The study emphasizes the need for more intensive counselling and regular follow-up, particularly for younger HIV patients, patients during their early stages on medication, ALHIV with treatment interruption, forgetfulness, and those who consume alcohol.

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Section: Discussionsupporting

confidence: 79%

The level of non-adherence and its associated factors among adult HIV patients on antiretroviral therapy in Nyamasheke district, Rwanda: a cross-sectional study, 2023

Nkundabaza,

Stamatakis,

Mukamurigo

et al. 2024

Preprint

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“…Similarly, previous studies have alluded to the strong correlation between economic freedom/selfdependence and health seeking behaviour (Ma et al, 2023). HIV/AIDS disproportionally affects more women than men in many African countries including Ghana; on top of this burden is the low-economic freedom women have in the typical Ghanaian society (Ofei-Aboagye, 2000) which potentially culminates into the lack of courage by women to be the rst to disclose HIV status to their partners .…”

Section: Discussionmentioning

confidence: 93%

Predictors of HIV status disclosure among PLHIV in the Volta region of Ghana: the disclosure conundrum and its policy implications.

Alhassan¹

2023

Preprint

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Background Globally, over 40 million lives have been claimed by HIV/AIDS. In Ghana, more than 350,000 people are currently living with HIV with 66% of them being females; out of this number, 71% know their status and 99% of the people diagnosed with HIV in Ghana received sustained antiretroviral therapy (ART), and 79% on ART have achieved viral suppression. Non-disclosure of HIV status is a major barrier to HIV/AIDS eradication; yet, little is known on the determinants of HIV status disclosure among the adult population of people living with HIV (PLHIV) in Ghana. Objective Determine the predictors of HIV status disclosure among the adult population of PLHIV and stimulate national policy discourse on support systems for self-disclosure in Ghana. Methods The study is a descriptive cross-sectional design among PLHIV (n = 181) in a tertiary hospital in the Volta region of Ghana. Bivariate analysis with Pearson Chi-square and Fisher’s Exact tests were run alongside stepwise forward logistic regression to determine factors associated with HIV status disclosure among PLHIV at 95% confidence level. Results HIV status disclosure was reported by 50% of the respondents; nearly 65% disclosed their status to non-family members. HIV status disclosure was significantly associated with marital status (p = 0.000), level of education (p = 0.035), divorce due to HIV (p = 0.000), monthly income (p = 0.019), occupation (p = 0.010) and partner being HIV positive. The odds of disclosing HIV status was higher among single/never married persons (OR = 0.012; p-value = 0.017, 95% [CI = 0.000 0.447), persons of Catholic denomination (OR = 0.060; p-value = 0.057, 95% [CI = 0.003 1.089), persons with monthly income of approximately (USD 44–88) (OR = 0.068; p-value = 0.011, 95% [CI = 0.009 0.543]) and persons adherent to ART (OR = 6.161; p-value = 0.058, 95% [CI = 0.937 40.490]). Conclusions HIV status disclosure is low in Ghana due to socio-economic and religious factors. There is the need for a national debate on policy guidelines for HIV status disclosure for PLHIV; targeted support systems for vulnerable groups within PLHIV would also help ameliorate their predicaments.

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“…The young and middle-aged MSM who disclosed their HIV status were more likely to be in the non-depression group. Studies have demonstrated that disclosing one’s HIV status to others is a protective factor against depressive symptoms in patients ( 44 , 45 ). The sexual culture of MSM is relatively open and diversified, and HIV-positive MSM are more likely to disclose their infection status to close friends, regular partners, and family members to obtain more emotional support ( 46 , 47 ).…”

Section: Discussionmentioning

confidence: 99%

Trajectories of depressive symptoms in young and middle-aged men who have sex with men with new HIV-diagnosis: a 1-year prospective cohort study in Beijing, China

Li,

Liu,

Han

et al. 2023

Front. Public Health

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IntroductionDue to the sexual orientation and HIV diagnosis, young and middle-aged men who have sex with men (MSM) with new HIV-diagnosis may experience more depressive syndromes and face greater psychological stress. The study explored trajectories of depressive symptoms of young and middle-aged MSM within 1 year after new HIV-diagnosis and analyze the related factors.MethodsFrom January 2021 to March 2021, 372 young and middle-aged MSM who were newly diagnosed as HIV-infection were recruited in two hospitals in Beijing. Self-rating Depression Scale was used to measure the participants’ depressive symptom in 1st month, 3rd month, 6th month, 9th month and 12th month after HIV diagnosis. The latent class growth model was used to identify trajectories of the participants’ depressive symptoms. Multinomial logistic regression was used to analyse factors related with the trajectories.ResultsThree hundred and twenty-eight young and middle-aged MSM with new HIV-diagnosis completed the research. Depressive symptom in 328 young and middle-aged MSM was divided into three latent categories: non-depression group (56.4%), chronic-mild depression group (28.1%), and persistent moderate–severe depression group (15.5%). The participants assessed as non-depression (non-depression group) or mild depression (chronic-mild depression group) at the baseline were in a non-depression state or had a downward trend within one-year, and the participants assessed as moderate and severe depression (persistent moderate–severe depression group) at the time of diagnosis were in a depression state continuously within 1-year. Multinomial logistic regression analysis showed that, compared with the non-depression group, monthly income of 5,000 ~ 10,000 RMB (equal to 690 ~ 1,380 USD) was the risk factor for the chronic-mild depression group, and self-rating status being fair/good and self-disclosure of HIV infection were protective factors for the persistent moderate–severe depression group while HIV-related symptoms was the risk factor.ConclusionDepressive symptoms in young and middle-aged MSM is divided into three latent categories. Extra care must be given to young and middle-aged MSM assessed as moderate or severe depression at the time of HIV-diagnosis, especially to those who had poor self-rating health status, did not tell others about their HIV-infection and experienced HIV-related symptoms.

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HIV Status Disclosure and Associated Characteristics Among HIV-Positive MSM Receiving Antiretroviral Therapy in Jinan, China

Cited by 7 publications

References 48 publications

The level of non-adherence and its associated factors among adult HIV patients on antiretroviral therapy in Nyamasheke district, Rwanda: a cross-sectional study, 2023

The level of non-adherence and its associated factors among adult HIV patients on antiretroviral therapy in Nyamasheke district, Rwanda: a cross-sectional study, 2023

Predictors of HIV status disclosure among PLHIV in the Volta region of Ghana: the disclosure conundrum and its policy implications.

Trajectories of depressive symptoms in young and middle-aged men who have sex with men with new HIV-diagnosis: a 1-year prospective cohort study in Beijing, China

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