ReviewSAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance2013
The social and gender context of HIV disclosure in sub-Saharan Africa: a review of policies and practices.
Review in SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Increasing HIV serostatus disclosure in low and middle-income countries: a systematic review of intervention evaluations.AIDS (London, England) · 2015Pooled it
- The HIV Empowering Adults' Decisions to Share: UK/Uganda (HEADS-UP) Study-A Randomised Feasibility Trial of an HIV Disclosure Intervention for Young Adults with Perinatally Acquired HIV.AIDS and behavior · 2024Trial
- Nurses and policymakers role in preparing adolescents with HIV for self-disclosure in Eswatini.African journal of primary health care & family medicine · 2024Article
- Effect of status disclosure on quality of life among people living with HIV/AIDS in Ghana: A health facility-based cross-sectional study.PLOS mental health · 2024Article
- Positive Status Disclosure and Sexual Risk Behavior Changes among People Living with HIV in the Northern Region of Ghana.Infectious disease reports · 2023Article
- HIV serostatus disclosure to sexual partner: a survey among women in Tehran, Iran.European journal of medical research · 2022Article
- From "Secret" to "Sensitive Issue": Shifting Ideas About HIV Disclosure Among Middle-Aged and Older Rural South Africans in the Era of Antiretroviral Treatment.Journal of aging and health · 2022Article
- Disclosure of HIV status among patients new to HIV care in Southern Ethiopia: role of perceived social support and other factors.AIDS care · 2021Article
- Describing, analysing and understanding the effects of the introduction of HIV self-testing in West Africa through the ATLAS programme in Côte d'Ivoire, Mali and Senegal.BMC public health · 2021Article
- Challenges of HIV Self-Test Distribution for Index Testing When HIV Status Disclosure Is Low: Preliminary Results of a Qualitative Study in Bamako (Mali) as Part of the ATLAS Project.Frontiers in public health · 2021Article
- A randomised feasibility trial of an intervention to support sharing of HIV status for 18-25-year olds living with perinatally acquired HIV compared with standard care: HIV Empowering Adults' Decisions to Share-UK/Uganda Project (HEADS-UP).Pilot and feasibility studies · 2020Article
- Missed opportunities for HIV control: Gaps in HIV testing for partners of people living with HIV in Lima, Peru.PloS one · 2017Article
- Article
- The Role of Relationship Dynamics and Gender Inequalities As Barriers to HIV-Serostatus Disclosure: Qualitative Study among Women and Men Living with HIV in Durban, South Africa.Frontiers in public health · 2017Article
- Beyond HIV-serodiscordance: Partnership communication dynamics that affect engagement in safer conception care.PloS one · 2017Article
- Exploring gender perceptions of risk of HIV infection and related behaviour among elderly men and women of Ga-Rankuwa, Gauteng Province, South Africa.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2016Article
- AIDS impact special issue 2015: interpersonal factors associated with HIV partner disclosure among HIV-infected people in China.AIDS care · 2016Article
- Article
- Addressing gender inequalities to improve the sexual and reproductive health and wellbeing of women living with HIV.Journal of the International AIDS Society · 2015Article
- Sexual inactivity and sexual satisfaction among women living with HIV in Canada in the context of growing social, legal and public health surveillance.Journal of the International AIDS Society · 2015Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
This paper reviews the legal and policy context of HIV disclosure in sub-Saharan Africa, as well as what is known about rates, consequences and social context of disclosure, with special attention to gender issues and the role of health services. Persistent rates of nondisclosure by those diagnosed with HIV raise difficult ethical, public health and human rights questions about how to protect the medical confidentiality, health and well-being of people living with HIV on the one hand, and how to protect partners and children from HIV transmission on the other. Both globally and within the sub-Saharan African region, a spate of recent laws, policies and programmes have tried to encourage or - in some cases - mandate HIV disclosure. These policies have generated ethical and policy debates. While there is consensus that the criminalization of transmission and nondisclosure undermines rights while serving little public health benefit, there is less clarity about the ethics of third party notification, especially in resource-constrained settings. Despite initiatives to encourage voluntary HIV disclosure and to increase partner testing in sub-Saharan Africa, health workers continue to grapple with difficult challenges in the face of nondisclosure, and often express a need for more guidance and support in this area. A large body of research indicates that gender issues are key to HIV disclosure in the region, and must be considered within policies and programmes. Taken as a whole, this evidence suggests a need for more attention to the challenges and dilemmas faced by both clients and providers in relation to HIV disclosure in this region and for continued efforts to consider the perspectives and rights of all those affected.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.