Erschienen in:
01.03.2008 | Original Paper
Processes and Outcomes of HIV Serostatus Disclosure to Sexual Partners among People Living with HIV in Uganda
verfasst von:
Rachel King, David Katuntu, Julie Lifshay, Laura Packel, Richard Batamwita, Sylvia Nakayiwa, Betty Abang, Frances Babirye, Pille Lindkvist, Eva Johansson, Jonathan Mermin, Rebecca Bunnell
Erschienen in:
AIDS and Behavior
|
Ausgabe 2/2008
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Abstract
Disclosure of HIV serostatus to sexual partners supports risk reduction and facilitates access to prevention and care services for people living with HIV/AIDS. To assess health and social predictors of disclosure as well as to explore and describe the process, experiences and outcomes related to disclosure of HIV-infected men and women in Eastern Uganda, we conducted a study among HIV-infected men and women who were clients of The AIDS Support Organization (TASO) in Jinja, Uganda. We enrolled TASO clients in a cross-sectional study on transmission risk behavior. Demographic and behavioral data and CD4 cell count measurements were collected. Among 1,092 participants, 42% were currently sexually active and 69% had disclosed their HIV serostatus to their most recent sexual partner. Multivariate logistic regression analysis showed that disclosure of HIV-status was associated with being married, having attended TASO for more than 2 years, increased condom use, and knowledge of partner’s serostatus. From these clients, 45 men and women were purposefully selected and interviewed in-depth on disclosure issues. Positive outcomes included risk reduction behavior, partner testing, increased care-seeking behavior, anxiety relief, increased sexual communication, and motivation to plan for the future.