ArticleBMC public health2013
Do support groups members disclose less to their partners? The dynamics of HIV disclosure in four African countries.
Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of support groups for people living with HIV on clinical outcomes: a systematic review of the literature.Journal of acquired immune deficiency syndromes (1999) · 2015Pooled it
- Healthcare worker perspectives on HIV status sharing intervention components for partnered, Black sexual minority men in South Africa.HIV research & clinical practice · 2024Article
- Incidence of HIV disclosure among HIV affected heterosexual partners using a community health worker led mechanism in rural Uganda; a quasi-experimental study.BMC infectious diseases · 2023Article
- Community Health Workers Improve HIV Disclosure Among HIV-Affected Sexual Partners in Rural Uganda: A Quasi-Experimental Study.Global health, science and practice · 2022Article
- Experiences of HIV Positive Serostatus Disclosure to Sexual Partner Among Individuals in Discordant Couples in Mbarara City, Southwestern Uganda.HIV/AIDS (Auckland, N.Z.) · 2022Article
- Assessing the impact of HIV support groups on antiretroviral therapy adherence and viral suppression in the African cohort study.BMC infectious diseases · 2021Article
- A mixed-methods assessment of disclosure of HIV status among expert mothers living with HIV in rural Nigeria.PloS one · 2020Article
- Prevention of mother-to-child transmission (PMTCT) of HIV: a review of the achievements and challenges in Burkina-Faso.HIV/AIDS (Auckland, N.Z.) · 2019Article
- Patterns and Predictors of HIV-Status Disclosure Among Pregnant Women in South Africa: Dimensions of Disclosure and Influence of Social and Economic Circumstances.AIDS and behavior · 2018Article
- Couple serostatus patterns in sub-Saharan Africa illuminate the relative roles of transmission rates and sexual network characteristics in HIV epidemiology.Scientific reports · 2018Article
- Observational
- Maternal Health Service Disparities Across Incomes and Implications on Prevention of Mother-to-Child Transmission Service Coverage: Current Context in Sub-Saharan Africa.Journal of public health in Africa · 2016Article
- Predictors of couple HIV counseling and testing among adult residents of Bukomero sub-county, Kiboga district, rural Uganda.BMC public health · 2015Article
- Resisting and challenging stigma in Uganda: the role of support groups of people living with HIV.Journal of the International AIDS Society · 2013Article
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Authors and funding
13 authors.
Funding
Abstract
backgroundRecent efforts to curtail the HIV epidemic in Africa have emphasised preventing sexual transmission to partners through antiretroviral therapy. A component of current strategies is disclosure to partners, thus understanding its motivations will help maximise results. This study examines the rates, dynamics and consequences of partner disclosure in Burkina Faso, Kenya, Malawi and Uganda, with special attention to the role of support groups and stigma in disclosure.
methodsThe study employs mixed methods, including a cross-sectional client survey of counselling and testing services, focus groups, and in-depth interviews with HIV-positive individuals in stable partnerships in Burkina Faso, Kenya, Malawi and Uganda, recruited at healthcare facilities offering HIV testing.
resultsRates of disclosure to partners varied between countries (32.7% - 92.7%). The lowest rate was reported in Malawi. Reasons for disclosure included preventing the transmission of HIV, the need for care, and upholding the integrity of the relationship. Fear of stigma was an important reason for non-disclosure. Women reported experiencing more negative reactions when disclosing to partners. Disclosure was positively associated with living in urban areas, higher education levels, and being male, while being negatively associated with membership to support groups.
conclusionsUnderstanding of reasons for disclosure and recognition of the role of support groups in the process can help improve current prevention efforts, that increasingly focus on treatment as prevention as a way to halt new infections. Support groups can help spread secondary prevention messages, by explaining to their members that antiretroviral treatment has benefits for HIV positive individuals and their partners. Home-based testing can further facilitate partner disclosure, as couples can test together and be counselled jointly.
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