HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey
This paper explores the prevalence and correlates of HIV seropositive status disclosure to sexual partners by people living with HIV (PLHIV) in South Africa. Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 s...
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| Veröffentlicht in: | AIDS and behavior 2017, Vol.21 (1), p.82-92 |
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| creator | Simbayi, Leickness C. Zungu, Nompumelelo Evans, Meredith Mehlomakulu, Vuyelwa Kupamupindi, Takura Mafoko, Goitseone Zuma, Khangelani |
| description | This paper explores the prevalence and correlates of HIV seropositive status disclosure to sexual partners by people living with HIV (PLHIV) in South Africa. Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 sexually active PLHIV aged 15 years and older who responded to the question about HIV seropositive status disclosure. Overall, a large majority of respondents (77.1 %) reported disclosing their HIV-positive status to all their current sex partners. Multiple regression analysis, after adjustments for sex, marital status and locality type, revealed that those who were living together, going steady, and those who were single were all 60 % [adjusted odds ratio (AOR) = 0.4, 95 % CIs 0.20–0.78; AOR = 0.4, 95 % CIs 0.24–0.77; and AOR = 0.4, 95 % CIs 0.19–1.00, all ps |
| doi_str_mv | 10.1007/s10461-015-1278-5 |
| format | Article |
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Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 sexually active PLHIV aged 15 years and older who responded to the question about HIV seropositive status disclosure. Overall, a large majority of respondents (77.1 %) reported disclosing their HIV-positive status to all their current sex partners. Multiple regression analysis, after adjustments for sex, marital status and locality type, revealed that those who were living together, going steady, and those who were single were all 60 % [adjusted odds ratio (AOR) = 0.4, 95 % CIs 0.20–0.78; AOR = 0.4, 95 % CIs 0.24–0.77; and AOR = 0.4, 95 % CIs 0.19–1.00, all ps < 0.05] less likely to disclose their HIV positive status to their partners compared to those who were married. Those who lived in rural formal areas were 70 % less likely to disclose their HIV status to their partners compared to those who stayed in urban formal areas (AOR = 0.3, 95 % CI 0.17–0.69, p < 0.001). Those who had correct HIV knowledge and rejection of myths were 2.0 times more likely to disclose their HIV status to their partners compared to those who did not have correct HIV knowledge and rejection of myths (AOR = 2.0, 95 % CI 1.04–3.68, p < 0.05). In conclusion, intervention programmes which help improve HIV seropositive status disclosure are needed by PLHIV who are not married, live in rural formal areas, and have incorrect HIV knowledge and rejection of myths.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-015-1278-5</identifier><identifier>PMID: 26767538</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; African Continental Ancestry Group ; Age Factors ; AIDS ; Disclosure ; Family Characteristics ; Female ; Health Psychology ; HIV ; HIV Infections ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Knowledge ; Lentivirus ; Logistic Models ; Male ; Marital Status ; Medicine ; Medicine & Public Health ; Middle Aged ; Multiple regression analysis ; Mythology ; Odds Ratio ; Original Paper ; Polls & surveys ; Prevalence ; Public Health ; Rejection ; Retroviridae ; Risk factors ; Rural areas ; Secondary analysis ; Self Disclosure ; Sex ; Sexual behavior ; Sexual Partners ; Sexually transmitted diseases ; South Africa ; STD ; Surveys and Questionnaires ; Young Adult</subject><ispartof>AIDS and behavior, 2017, Vol.21 (1), p.82-92</ispartof><rights>Springer Science+Business Media New York 2016</rights><rights>AIDS and Behavior is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-dc9a1bd198be545797cee644fde80bd6c95ec53c1e1225e11988a41bb219e2e43</citedby><cites>FETCH-LOGICAL-c405t-dc9a1bd198be545797cee644fde80bd6c95ec53c1e1225e11988a41bb219e2e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-015-1278-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-015-1278-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26767538$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simbayi, Leickness C.</creatorcontrib><creatorcontrib>Zungu, Nompumelelo</creatorcontrib><creatorcontrib>Evans, Meredith</creatorcontrib><creatorcontrib>Mehlomakulu, Vuyelwa</creatorcontrib><creatorcontrib>Kupamupindi, Takura</creatorcontrib><creatorcontrib>Mafoko, Goitseone</creatorcontrib><creatorcontrib>Zuma, Khangelani</creatorcontrib><title>HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>This paper explores the prevalence and correlates of HIV seropositive status disclosure to sexual partners by people living with HIV (PLHIV) in South Africa. Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 sexually active PLHIV aged 15 years and older who responded to the question about HIV seropositive status disclosure. Overall, a large majority of respondents (77.1 %) reported disclosing their HIV-positive status to all their current sex partners. Multiple regression analysis, after adjustments for sex, marital status and locality type, revealed that those who were living together, going steady, and those who were single were all 60 % [adjusted odds ratio (AOR) = 0.4, 95 % CIs 0.20–0.78; AOR = 0.4, 95 % CIs 0.24–0.77; and AOR = 0.4, 95 % CIs 0.19–1.00, all ps < 0.05] less likely to disclose their HIV positive status to their partners compared to those who were married. Those who lived in rural formal areas were 70 % less likely to disclose their HIV status to their partners compared to those who stayed in urban formal areas (AOR = 0.3, 95 % CI 0.17–0.69, p < 0.001). Those who had correct HIV knowledge and rejection of myths were 2.0 times more likely to disclose their HIV status to their partners compared to those who did not have correct HIV knowledge and rejection of myths (AOR = 2.0, 95 % CI 1.04–3.68, p < 0.05). In conclusion, intervention programmes which help improve HIV seropositive status disclosure are needed by PLHIV who are not married, live in rural formal areas, and have incorrect HIV knowledge and rejection of myths.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>African Continental Ancestry Group</subject><subject>Age Factors</subject><subject>AIDS</subject><subject>Disclosure</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>HIV Infections</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Knowledge</subject><subject>Lentivirus</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Marital Status</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multiple regression analysis</subject><subject>Mythology</subject><subject>Odds Ratio</subject><subject>Original Paper</subject><subject>Polls & surveys</subject><subject>Prevalence</subject><subject>Public Health</subject><subject>Rejection</subject><subject>Retroviridae</subject><subject>Risk factors</subject><subject>Rural areas</subject><subject>Secondary analysis</subject><subject>Self Disclosure</subject><subject>Sex</subject><subject>Sexual behavior</subject><subject>Sexual Partners</subject><subject>Sexually transmitted diseases</subject><subject>South Africa</subject><subject>STD</subject><subject>Surveys and Questionnaires</subject><subject>Young 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Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey</title><author>Simbayi, Leickness C. ; Zungu, Nompumelelo ; Evans, Meredith ; Mehlomakulu, Vuyelwa ; Kupamupindi, Takura ; Mafoko, Goitseone ; Zuma, Khangelani</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-dc9a1bd198be545797cee644fde80bd6c95ec53c1e1225e11988a41bb219e2e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>African Continental Ancestry Group</topic><topic>Age Factors</topic><topic>AIDS</topic><topic>Disclosure</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>Health Psychology</topic><topic>HIV</topic><topic>HIV Infections</topic><topic>Human immunodeficiency 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Population-Based Household Survey</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2017</date><risdate>2017</risdate><volume>21</volume><issue>1</issue><spage>82</spage><epage>92</epage><pages>82-92</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>This paper explores the prevalence and correlates of HIV seropositive status disclosure to sexual partners by people living with HIV (PLHIV) in South Africa. Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 sexually active PLHIV aged 15 years and older who responded to the question about HIV seropositive status disclosure. Overall, a large majority of respondents (77.1 %) reported disclosing their HIV-positive status to all their current sex partners. Multiple regression analysis, after adjustments for sex, marital status and locality type, revealed that those who were living together, going steady, and those who were single were all 60 % [adjusted odds ratio (AOR) = 0.4, 95 % CIs 0.20–0.78; AOR = 0.4, 95 % CIs 0.24–0.77; and AOR = 0.4, 95 % CIs 0.19–1.00, all ps < 0.05] less likely to disclose their HIV positive status to their partners compared to those who were married. Those who lived in rural formal areas were 70 % less likely to disclose their HIV status to their partners compared to those who stayed in urban formal areas (AOR = 0.3, 95 % CI 0.17–0.69, p < 0.001). Those who had correct HIV knowledge and rejection of myths were 2.0 times more likely to disclose their HIV status to their partners compared to those who did not have correct HIV knowledge and rejection of myths (AOR = 2.0, 95 % CI 1.04–3.68, p < 0.05). In conclusion, intervention programmes which help improve HIV seropositive status disclosure are needed by PLHIV who are not married, live in rural formal areas, and have incorrect HIV knowledge and rejection of myths.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26767538</pmid><doi>10.1007/s10461-015-1278-5</doi><tpages>11</tpages></addata></record> |
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| source | MEDLINE; Sociological Abstracts; SpringerNature Complete Journals |
| subjects | Acquired immune deficiency syndrome Adolescent Adult African Continental Ancestry Group Age Factors AIDS Disclosure Family Characteristics Female Health Psychology HIV HIV Infections Human immunodeficiency virus Humans Infectious Diseases Knowledge Lentivirus Logistic Models Male Marital Status Medicine Medicine & Public Health Middle Aged Multiple regression analysis Mythology Odds Ratio Original Paper Polls & surveys Prevalence Public Health Rejection Retroviridae Risk factors Rural areas Secondary analysis Self Disclosure Sex Sexual behavior Sexual Partners Sexually transmitted diseases South Africa STD Surveys and Questionnaires Young Adult |
| title | HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey |
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