A cross-sectional study of the magnitude, barriers, and outcomes of HIV status disclosure among women participating in a perinatal HIV transmission study, “the Nevirapine Repeat Pregnancy study”

BMC Public Health

Research Article

Paul M Bakaki¹  Mary Glenn Fowler²  Frances Nakayiwa³  Michael C Mubiru³  Maria Musisi³  Fiona Kusasira³  Constance Namirembe³  Dorothy Nakintu³  Flavia M Kiweewa⁴  Philippa Musoke⁵  Michelle S McConnell⁶ 

[1] Case Western Reserve University, Ohio, USA;Johns Hopkins University School of Medicine, Baltimore, MD, USA;Makerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda;Makerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda;Department of Epidemiology and Biostatistics, Makerere University School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda;Makerere University - Johns Hopkins University Research Collaboration, MU-JHU Research Building, Old Mulago Hill Road, P.O. Box 23491, Kampala, Uganda;Makerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda;Department of Pediatrics and Child Health, Makerere University School of Medicine, University College of Health Sciences, Makerere, Uganda;US Department of Health and Human Services, Centers for Disease Control and Prevention, Hanoi, Vietnam;

关键词: HIV status;    Disclosure;    Perinatal;    Mother-to-child;    Partner;   

DOI  :  10.1186/s12889-015-2345-6

 received in 2015-04-01, accepted in 2015-09-23,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundHIV status disclosure is a difficult emotional task for HIV-infected persons and may create the opportunity for both social support and rejection. In this study, we evaluated the proportions, patterns, barriers and outcomes of HIV- 1 status disclosure among a group of women in Uganda.MethodsAn exit interview was conducted one year post-partum for 85 HIV-infected women who participated in a study of HIV-1 transmission rates among NVP-experienced compared with NVP-naïve women in “The Nevirapine Repeat Pregnancy (NVP-RP) Study” at the Makerere University-Johns Hopkins University Research Collaboration, Kampala-Uganda, between June 2004 and June 2006.ResultsOf the 85 women interviewed, 99 % had disclosed their HIV status to at least one other person. Disclosure proportions ranged between 1 % to employer(s) and 69 % to a relative other than a parent. Only 38 % of the women had disclosed to their sex partners. Women with an HIV-infected baby were more likely than those with an uninfected baby to disclose to their sex partner, OR 4.9 (95 % CI, 2.0 –11.2), and women were less likely to disclose to a partner if they had previously disclosed to another relative than if they had not, OR 0.19 (95 % CI, 0.14–0.52). The most common reasons for non-disclosure included fear of separation from the partner and subsequent loss of financial support 34 %, and not living with the partner (not having opportunities to disclose) 26 %. While most women (67 %) reported getting social support following disclosure, 22 % reported negative outcomes (neglect, separation from their partners, and loss of financial support). Following disclosure of HIV status, 9 % of women reported that their partner (s) decided to have an HIV test.ConclusionResults from this study show high overall HIV disclosure proportions and how this disclosure of HIV status can foster social support. However, proportions of disclosure specifically to male sex partners were low, which suggests the need for interventions aimed at increasing male involvement in perinatal care, along with supportive counseling.

【 授权许可】

CC BY   
© Kiweewa et al. 2015