Evidence map›Paper›PMID 41060901›Full record

ArticlePloS one2025

Disclosing HIV status to sexual partner: Findings from a People Living with HIV Stigma Index 2.0 study in the country Georgia.

Tamar Zurashvili, Mariam Pashalishvili, Valerie A Earnshaw, Hyungrok Do, Natalia Zakareishvili, Jack DeHovitz, Suzan M Walters, Mamuka Djibuti

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

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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

8 authors.

Tamar ZurashviliFaculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia.ORCID https://orcid.org/0009-0005-0384-5249
Mariam PashalishviliFaculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia.
Valerie A EarnshawDepartment of Human Development and Family Sciences, University of Delaware, Newark, Delaware, United States of America.
Hyungrok DoNew York University Grossman School of Medicine, New York, New York, United States of America.
Natalia ZakareishviliUNFPA Georgia, United Nations Population Fund, Tbilisi, Georgia.
Jack DeHovitzDepartment of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, United States of America.
Suzan M WaltersNew York University Grossman School of Medicine, New York, New York, United States of America.
Mamuka DjibutiPartnership for Research and Action for Health, Tbilisi, Georgia.ORCID https://orcid.org/0000-0002-1614-854X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHIV status disclosure to sexual partner plays an important role in fostering transparency and reducing stigma, yet it remains a complex issue influenced by various sociodemographic, psychosocial, and experiential factors. This study investigated factors associated with HIV status disclosure to sexual partner among people living with HIV (PLHIV) in Georgia.

methodsWe conducted a secondary analysis of data from the PLHIV Stigma Index 2.0 study conducted in 2022-2023. Participants were recruited from HIV care centers and community-based organizations. Data collection utilized standardized questionnaires assessing sociodemographic factors, stigma, discrimination, and interactions with the healthcare system. Statistical analysis employed descriptive statistics, bivariate, and multivariate logistic regression to examine associations between stigma, sociodemographic factors, and status disclosure to sexual partner.

resultsOut of 765 participants, the mean age was 40.6 years, with a majority being male (67.4%). More than a fifth of respondents reported treatment interruptions, with 35.3% not disclosing their status to sexual partner. Disclosure was more common to close contacts than to others. Indicators of internalized stigma were common, with participants reporting feelings of guilt (40.1%), shame (36.1%), worthlessness (28.4%), and feeling 'dirty' (12.4%). Common behavioral reactions to stigma included avoiding medical visits (13.1%) and refraining from social support (10.5%). Over 40% did not disclose their status to sexual partner. Logistic regression highlighted that older age, knowing partner's HIV status, positive disclosure experiences and enacted stigma were positively associated with status disclosure.

conclusionThe complex dynamics between stigma and HIV status disclosure highlight the importance of providing decision support to PLHIV, helping them navigate disclosure process while considering potential risks and benefits. The findings emphasize the need for focused interventions that promote disclosure to sexual partner, especially among individuals with treatment interruptions, as it can significantly impact personal health and broader public health objectives, including the prevention of HIV transmission.

Indexed as

DisclosureHIV InfectionsSexual PartnersSocial StigmaTruth DisclosureAdultFemaleGeorgia (Republic)HumansMaleMiddle AgedSurveys and QuestionnairesYoung Adult

Identifiers

PMID41060901
PMCPMC12507297

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LicenceCC BY
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Registered trials

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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.