Evidence map›Paper›PMID 30768642›Full record

ArticlePloS one2019

HIV Disclosure: HIV-positive status disclosure to sexual partners among individuals receiving HIV care in Addis Ababa, Ethiopia.

Noah G Dessalegn, Rahel G Hailemichael, Aster Shewa-Amare, Shailendra Sawleshwarkar, Bereket Lodebo, Alemayehu Amberbir, Richard J Hillman

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
6.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 95 citations in OpenAlex.

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  18. Recent South African court rulings on failing to disclose HIV status to sexual partners.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Noah G DessalegnThe University of Sydney Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.ORCID 0000-0003-2206-4198
Rahel G HailemichaelMyungsung Medical College, Addis Ababa, Ethiopia.
Aster Shewa-AmareZewditu Memorial Hospital, Addis Ababa, Ethiopia.
Shailendra SawleshwarkarThe University of Sydney Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Bereket LodeboWellstar Atlanta Medical Centre, Atlanta, Georgia, United States of America.
Alemayehu AmberbirDignitas International, Medical and Research Department, Zomba, Malawi.
Richard J HillmanWestern Sydney Sexual Health Centre, Western Sydney Local Health District, Sydney Medical School, Parramatta, New South Wales, Australia.
The University of Sydney · AUAtlanta Medical Center · USDignitas International · MWSt Vincent's Hospital Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDisclosure of HIV status to sexual partners can help HIV prevention efforts and enable HIV positive people to receive social support, as well as increasing access and adherence to treatment. This study was conducted to determine the rate, processes, outcomes, and correlates of HIV status disclosure to sexual partners among HIV positive individuals.

methodA cross-sectional study was conducted between September and November 2015 at two HIV outpatient clinics in Addis Ababa, Ethiopia. Data were collected using an interviewer- administered semi-structured questionnaire. Logistic analysis was used to determine the independent correlates of serostatus disclosure.

resultsOf 742 participants, (371 men and 371 women), 727 (98%) were on antiretroviral therapy and 676 (91.1%) had at least one sexual partner since their HIV diagnosis, of whom 558 (82.5%) had disclosed their HIV status to their most recent sexual partner. Of those who reported having disclosed their status to their most recent sexual partner, 82 (14.7%) had at least one unprotected sexual encounter with the partner, after HIV diagnosis but prior to disclosure. The most commonly reported initial outcome of disclosure was gaining emotional and/or financial support. Some (11.3%) also reported that their disclosure immediately initiated their partner for HIV testing. Negative outcomes to disclosure, such as stigma and discrimination, were more common among females (26.2%) compared to males (12.7%). In the multiple regression analysis, disclosure was associated with greater condom use, greater social support, knowing the partner's HIV status, having a good relationship with the partner, and cohabiting with the partner.

conclusionHIV disclosure was common amongst participants, although sometimes delayed, with possible consequences for onward transmission. Fear of negative outcomes, such as verbal abuse and physical violence, were major barriers to disclosure. Efforts to support disclosure have the potential to contribute to HIV control and prevention by encouraging safer sexual practice, initiating partners for HIV testing, and enhancing support for people living with HIV.

Indexed as

AdultAgedCross-Sectional StudiesEthiopiaFemaleHIV InfectionsHIV SeropositivityHumansLogistic ModelsMaleMiddle AgedSafe SexSelf DisclosureSexual BehaviorSexual PartnersSocial Stigma

Identifiers

PMID30768642
PMCPMC6415764
OpenAlexW2913266568

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.