ArticleHealthcare (Basel, Switzerland)2020
Low Disclosure Rates to Sexual Partners and Unsafe Sexual Practices of Youth Recently Diagnosed with HIV; Implications for HIV Prevention Interventions in South Africa.
Article in Healthcare (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Adolescent and young adult research across the HIV prevention and care continua: an international programme analysis and targeted review.Journal of the International AIDS Society · 2023Pooled it
- HIV infection disclosure, treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy.BMC infectious diseases · 2022Trial
- Stress and Coping During an HIV Cure-Related Trial with an Analytical Treatment Interruption: A Qualitative Assessment of the Experiences of Young Women in Durban, South Africa.Journal of the International Association of Providers of AIDS CareTrial
- Article
- Disclosure of positive HIV status to sexual partners among young people receiving treatment at an urban clinic, Kampala, Uganda.AIDS research and therapy · 2025Article
- Article
- Prevalence and correlates of common mental disorders in people living with HIV in primary health care facilities in Ekurhuleni district.African journal of primary health care & family medicine · 2024Article
- Substance Use among School-Going Adolescents and Young Adults in Rural Mpumalanga Province, South Africa.Behavioral sciences (Basel, Switzerland) · 2024Article
- Article
- Exploring Barriers to Accessing Sexual and Reproductive Health Services among Adolescents and Young People with Physical Disabilities in South Africa.International journal of environmental research and public health · 2024Article
- Utilization of sexual and reproductive health services among young people living with HIV and attending selected HIV clinics in selected sub-counties of Nairobi, Kenya.Open research Europe · 2024Article
- Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence.BMC public health · 2023Article
- Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa.International journal of environmental research and public health · 2023Article
- Retrospective Analysis of the Outcome of Hospitalized COVID-19 Patients with Coexisting Metabolic Syndrome and HIV Using Multinomial Logistic Regression.International journal of environmental research and public health · 2023Article
- Article
- Facilitators and barriers associated with breastfeeding among mothers attending primary healthcare facilities in Mpumalanga, South Africa.Frontiers in nutrition · 2023Article
- Dimensions of Sexual Health Conversations among U.S. Black Heterosexual Couples.International journal of environmental research and public health · 2022Article
- Contact Tracing: Barriers and Facilitators.American journal of public health · 2022Article
- Predictors of secondary HIV transmission risk in a cohort of adolescents living with HIV in South Africa.AIDS (London, England) · 2022Article
- Epidemiological risk factors associated with primary infection by Epstein-Barr virus in HIV-1-positive subjects in the Brazilian Amazon region.Scientific reports · 2021Observational
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The study investigated the motivation to disclose or the decision to withhold one's HIV serostatus to one's partners and assessed the implications of non-disclosure on young peoples' sexual behaviour and access to treatment. This was a cross-sectional survey conducted with 253 youth aged 18-25 years receiving antiretroviral therapy in a health district in North West Province, South Africa. The majority were female (75%), the mean time since the HIV diagnosis was 22 months, 40% did not know their partner's HIV status, 32% had more than two sexual partners, and 63% had not used a condom during the last sexual act. The prevalence of disclosure was 40%, 36% delayed disclosure for over a year, and most disclosed to protect the partner from HIV transmission, to receive support, and to be honest and truthful. The prevalence of non-disclosure was high, as 60% withheld disclosure due to fear of abandonment, stigma and discrimination, accusations of unfaithfulness, and partner violence. Over half (55%) had no intentions to disclose at all. The lower disclosure rates imply that HIV transmission continues to persist among sexual partners in these settings. The findings suggest that high levels of perceived stigma impact on disclosure and HIV treatment, which increases the risk of on-going HIV transmission among youth receiving long-term antiretroviral therapy (ART) in South Africa.
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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.