Saturday, January 23, 2016

HIV Serostatus Disclosure to Sexual Partners among Sexually Active People Living with HIV in South Africa

This paper explores the prevalence and correlates of HIV seropositive status disclosure to sexual partners by people living with HIV (PLHIV) in South Africa. Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 sexually active PLHIV aged 15 years and older who responded to the question about HIV seropositive status disclosure. 

Overall, a large majority of respondents (77.1 %) reported disclosing their HIV-positive status to all their current sex partners. Multiple regression analysis, after adjustments for sex, marital status and locality type, revealed that those who were living together, going steady, and those who were single were all 60 % [adjusted odds ratio (AOR) = 0.4, 95 % CIs 0.20-0.78; AOR = 0.4, 95 % CIs 0.24-0.77; and AOR = 0.4, 95 % CIs 0.19-1.00, all ps < 0.05] less likely to disclose their HIV positive status to their partners compared to those who were married. 

Those who lived in rural formal areas were 70 % less likely to disclose their HIV status to their partners compared to those who stayed in urban formal areas (AOR = 0.3, 95 % CI 0.17-0.69, p < 0.001). Those who had correct HIV knowledge and rejection of myths were 2.0 times more likely to disclose their HIV status to their partners compared to those who did not have correct HIV knowledge and rejection of myths (AOR = 2.0, 95 % CI 1.04-3.68, p < 0.05). 

In conclusion, intervention programmes which help improve HIV seropositive status disclosure are needed by PLHIV who are not married, live in rural formal areas, and have incorrect HIV knowledge and rejection of myths.

Purchase full article at:   http://goo.gl/BF6tzY

  • 1HAST Programme, Human Sciences Research Council, 13th Floor, Plein Park Building, Private Bag X9182, Cape Town, 8000, South Africa. lsimbayi@hsrc.ac.za.
  • 2University of Cape Town, Cape Town, South Africa. lsimbayi@hsrc.ac.za.
  • 3HAST Programme, Human Sciences Research Council, 13th Floor, Plein Park Building, Private Bag X9182, Cape Town, 8000, South Africa.
  • 4Medical Research Council, Johannesburg, South Africa.
  • 5ICAP South Africa, Pretoria, South Africa.
  • 6Research Methodology & Data Centre, Pretoria, South Africa. 
  •  2016 Jan 14. 





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