Self-Disclosure of HIV serostatus in recently diagnosed patients with HIV in South Africa

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dc.contributor.authorOlley, B.O.
dc.contributor.authorSeedat, S.
dc.contributor.authorStein, D.J.
dc.contributor.department1MRC Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, Cape-Town, South Africa.en_US
dc.date.accessioned2020-07-03T10:14:38Z
dc.date.available2020-07-03T10:14:38Z
dc.date.epub2004
dc.date.issued2004
dc.description.abstractFailure of people living with HIV/AIDS to disclose their HIV serostatus can place their sexual partners at risk. The current study examined HIV serostatus disclosure and its relationship to risky sexual behaviours in 69 sexually active, heterosexual, married (62%) or cohabiting (38%) patients recently diagnosed as HIV positive. Results show that 78% had not disclosed their HIV serostatus to their sexual partners and 46% had no knowledge of their sexual partner's serostatus. Compared to those who disclosed their serostatus, those who did not disclose were more likely to be male ($\chi ^{2}=7.02$, p = 0.00), to have not used a condom during their last sexual encounter ($\chi ^{2}=29.64$, p = 0.000), to have used alcohol heavily before sex ($\chi ^{2}=6.79$, p = 0.00), to have multiple sexual partners (t = 3.01, p = 0.05), and to have engaged more frequently in sexual intercourse in the six months preceding the study (t = 8.21, p = 0.00). Logistic regression analysis show that being in a married relationship (OR = 0.86, 95% CI = 0.65, 1.15), being male (OR = 1.48, 95% CI = 0.24, 1.99), having more than two multiple partners (OR = 2.03, 95% CI = 1.11, 3.68) and non-use of condom at last sex (OR = 1.53, 95% CI = 0.83, 1.88) were significantly associated with non-disclosure of HIV serostatus. Preventive strategies among HIV- positive patients should place emphasis on the management of self-disclosure and its importance in safe sexual behaviour. /// L'nicapacité des gens vivant avec la VIH/SIDA de révéler leur situation sérologique du VIH peut mettre leurs partenaires sexuels en péril. Cette présente étude a examiné la révélation de la situation sérologique et son rapport avec le comportement sexuel à risque chez 69 patients sexuellement actifs, hétérosexuels, mariés (62%) ou qui cohabitent (38%) récemment diagnostiqués comme étant VIH positifs. Les résultats ont montré que 78% n'ont pas révélé leur situation sérologique du VIH à leurs partenaires. Par rapport à ceux qui ont révélé leur situation sérologique, ceux qui ne l'ont pas avaient plus la possibilité d'étre des mâles ($\chi ^{2}=7,02$, p = 0,00), de ne pas avoir utilisé un préservatif au cours de leur dernier rapport sexuel ($\chi ^{2}=29$, 64, p = 0,00), d'avoir bu trop d'alcool avant d'avoir un rapport sexuel ($\chi ^{2}=6,79$, p = 0,00), d'avoir des partenaires sexuels multiples (t = 3,01, p = 0,05) et d'être engagés plus fréquemment dans des rapports sexuels dans les six mois qui ont piécédé l'étude (t = 8,21, p = 0,00). L'analyse de la regression logistique a montré qu'étant dans un rapport conjugal (OR = 0,86, 95% CI = 0,24, 0,99), ayant plus de deux partenaires multiples (OR = 1,53, 95% CI = 0,31, 0,88) ont été liés de manière significative à l'incapacité de révéler la situation rérologique du VIH. Les stratégies préventives chez les patients séropositifs devraient mettre l'accent sur la conduite à tenir devant l'auto-révélation et son importance dans le comportement sexuel sans risque..en_US
dc.description.sponsorshipThis work was supported by the Medical Research Council of South Africa and by a SAAVI Fellowship.en_US
dc.identifier.citationB. O. Olley, S. Seedat, D. J. Stein. Self-Disclosure of HIV Serostatus in Recently Diagnosed Patients with HIV in South Africa. African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductiveen_US
dc.identifier.issn11184841.
dc.identifier.journalAfrican Journal of Reproductive Healthen_US
dc.identifier.urihttps://infospace.mrc.ac.za/handle/11288/595259
dc.language.isoenen_US
dc.publisherWomen's Health and Action Research Centreen_US
dc.relation.urlhttps://www.jstor.org/stable/3583180 .en_US
dc.research.unitClosed Unitsen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subjectSelf disclosureen_US
dc.subjectHetrosexual coupleen_US
dc.subjectHIV/AIDS patientsen_US
dc.subjectMenen_US
dc.subjectSexual partnersen_US
dc.subjectPrimate lentivirusesen_US
dc.subjectBarrier contraceptionen_US
dc.subjectAIDSen_US
dc.subjectCohabitationen_US
dc.subjectAlcoholsen_US
dc.subjectLogistic regressionen_US
dc.subjectLife eventsen_US
dc.subjectSexual intercourse.en_US
dc.titleSelf-Disclosure of HIV serostatus in recently diagnosed patients with HIV in South Africaen_US
dc.typeArticleen_US
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