Parental Disclosure of Own HIV Status to Children in Two Ghanaian Regions; Examining the Determinants within a Child Vulnerability Context

Appiah, Seth Christopher Yaw; Adekunle, Adeyemi O.; Oladokun, Adesina; Dapaah, Jonathan Mensah; Nicholas, Karikari Mensah

doi:10.4236/health.2019.1110104

Cited by 2 publications

(1 citation statement)

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“…Also, researchers in Ethiopia found among other factors that social support and good spousal relationship were strongly associated with HIV status disclosure [ 25 ]. Other factors that are associated with HIV status disclosure are being married and living with a sexual partner [ 24 ], regular condom use, and awareness of the sexual partner’s HIV status [ 26 ]. However, our finding of ethnicity and religious affiliation as significant predictors of HIV status disclosure is inconsistent with the findings reported here and in the literature and may constitute new knowledge that needs to be researched further.…”

Section: Discussionmentioning

confidence: 99%

HIV Stigma and Status Disclosure in Three Municipalities in Ghana

Adam

Fusheini

Ayanore

et al. 2021

Annals of Global Health

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Background: HIV-related stigma and HIV status disclosure are important elements in the continuous fight against HIV as these impact the prevention efforts and antiretroviral treatment adherence among people living with HIV/AIDS (PLWHA) in many communities. Objectives: The objectives of the study were to examine the prevalence and experience of various types of HIV-related stigma and HIV status disclosure among PLWHA in Volta region. Methods: A cross-sectional design was used to collect quantitative data from 301 PLWHA. Descriptive statistics were used to analyze and present data on socio-demographic variables. Correlation analysis was done to determine factors associated with HIV stigma and status disclosure while a Mann-Whitney U test was used to determine differences in internalized HIV stigma. Findings: The mean age of the participants was 44.82 (SD: 12.22), 224 (74.4%) were female, and 90% attained at least primary education. A Pearson r analysis revealed that ethnicity (r[299] = 0.170, p = 0.003), religious affiliation (r[299] = –0.205, p = 0.001) and social support (r[299] = 0.142, p = 0.014) significantly predicted disclosure of HIV status. Fear of family rejection (62%) and shame (56%) were reasons for non-disclosure of HIV status. A Mann-Whitney’s U-test revealed that females are more likely than males to internalize HIV stigma. Community-related HIV stigma in the form of gossip (56.1%), verbal harassment (30.9%), and physical harassment (8.6%) was reported. Conclusion: A high rate of HIV status disclosure was found with social support, ethnicity, and religious affiliation being the associated factors. Internalized HIV stigma is prevalent among PLWHA while community-related stigma impacts HIV status disclosure. Strengthening social support systems and implementing culturally appropriate educational interventions may help in reducing community-related HIV stigma.

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Section: Discussionmentioning

confidence: 99%