Skip to main content
Erschienen in: AIDS and Behavior 1/2017

14.01.2016 | Original Paper

HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey

verfasst von: Leickness C. Simbayi, Nompumelelo Zungu, Meredith Evans, Vuyelwa Mehlomakulu, Takura Kupamupindi, Goitseone Mafoko, Khangelani Zuma

Erschienen in: AIDS and Behavior | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

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.
Literatur
1.
Zurück zum Zitat Shisana O, Rehle T, Simbayi LC, Zuma K, Jooste S, Zungu N, Labadarios D, Onoya D, et al. South African national HIV prevalence, incidence and behaviour survey, 2012. Cape Town: HSRC; 2014. Shisana O, Rehle T, Simbayi LC, Zuma K, Jooste S, Zungu N, Labadarios D, Onoya D, et al. South African national HIV prevalence, incidence and behaviour survey, 2012. Cape Town: HSRC; 2014.
2.
Zurück zum Zitat UNAIDS. UNAIDS report on the global AIDS epidemic 2013. Geneva: UNAIDS, 2013. UNAIDS. UNAIDS report on the global AIDS epidemic 2013. Geneva: UNAIDS, 2013.
3.
Zurück zum Zitat Gebrekristos H, Abdool Karim Q, Lurie M. Disclosure of HIV status for patients on HAART: implications for treatment adherence and sexual behaviour. Paper presented at the South African AIDS conference, Durban, 3–6 Aug 2003. Gebrekristos H, Abdool Karim Q, Lurie M. Disclosure of HIV status for patients on HAART: implications for treatment adherence and sexual behaviour. Paper presented at the South African AIDS conference, Durban, 3–6 Aug 2003.
4.
Zurück zum Zitat Olley BO, Seedat S, Stein DJ. Self-disclosure of HIV serostatus in recently diagnosed patients with HIV in South Africa. Afr J Reprod Health. 2004;8:71–6.PubMedCrossRef Olley BO, Seedat S, Stein DJ. Self-disclosure of HIV serostatus in recently diagnosed patients with HIV in South Africa. Afr J Reprod Health. 2004;8:71–6.PubMedCrossRef
5.
Zurück zum Zitat Sethosa E, Petlzer K. Evaluation of HIV counselling and testing, self-disclosure, social support and sexual behaviour change among a rural sample of HIV reactive patients in South Africa. Curationis. 2005;28(1):29–41.PubMedCrossRef Sethosa E, Petlzer K. Evaluation of HIV counselling and testing, self-disclosure, social support and sexual behaviour change among a rural sample of HIV reactive patients in South Africa. Curationis. 2005;28(1):29–41.PubMedCrossRef
6.
Zurück zum Zitat Makin JD, Forsyth BWC, Visser MJ, Sikkema KJ, Neufeld S, Jeffery B. Factors affecting disclosure in South African HIV-positive pregnant women. AIDS Patient Care STDS. 2008;22(11):907–16.PubMedPubMedCentralCrossRef Makin JD, Forsyth BWC, Visser MJ, Sikkema KJ, Neufeld S, Jeffery B. Factors affecting disclosure in South African HIV-positive pregnant women. AIDS Patient Care STDS. 2008;22(11):907–16.PubMedPubMedCentralCrossRef
7.
Zurück zum Zitat Simbayi LC, Kalichman SC, Strebel A, Cloete A, Henda N, Mqeketo A. Disclosure of HIV status to sex partners and sexual risk behaviors among HIV positive men and women in Cape Town, South Africa. Sex Transm Infect. 2007;83(1):29–34.PubMedCrossRef Simbayi LC, Kalichman SC, Strebel A, Cloete A, Henda N, Mqeketo A. Disclosure of HIV status to sex partners and sexual risk behaviors among HIV positive men and women in Cape Town, South Africa. Sex Transm Infect. 2007;83(1):29–34.PubMedCrossRef
8.
Zurück zum Zitat Vu L, Andrinopoulos K, Mathews C, Chopra M, Kendall C, Eisele TP. Disclosure of HIV status to sex partners among HIV-infected men and women in Cape Town, South Africa. AIDS Behav. 2012;16(1):132–8.PubMedCrossRef Vu L, Andrinopoulos K, Mathews C, Chopra M, Kendall C, Eisele TP. Disclosure of HIV status to sex partners among HIV-infected men and women in Cape Town, South Africa. AIDS Behav. 2012;16(1):132–8.PubMedCrossRef
9.
Zurück zum Zitat Medley A, Garcia-Moreno C, McGill S, Maman S. Rates, barriers and outcomes of HIV serostatus disclosure among women in developing countries: implications for prevention of mother-to-child transmission programmes. Bull WHO. 2004;82:299–307.PubMedPubMedCentral Medley A, Garcia-Moreno C, McGill S, Maman S. Rates, barriers and outcomes of HIV serostatus disclosure among women in developing countries: implications for prevention of mother-to-child transmission programmes. Bull WHO. 2004;82:299–307.PubMedPubMedCentral
10.
Zurück zum Zitat Eisele TP, Mathews C, Chopra M, Brown L, Silvestre E, Daries V, Kendall C. High levels of risk behavior among people living with HIV Initiating and waiting to start antiretroviral therapy in Cape Town, South Africa. AIDS Behav. 2008;12(4):570–7.PubMedCrossRef Eisele TP, Mathews C, Chopra M, Brown L, Silvestre E, Daries V, Kendall C. High levels of risk behavior among people living with HIV Initiating and waiting to start antiretroviral therapy in Cape Town, South Africa. AIDS Behav. 2008;12(4):570–7.PubMedCrossRef
11.
Zurück zum Zitat Eisele TP, Mathews C, Chopra M, Lurie MN, Brown L, Dewing S, Kendall C. Changes in risk behavior among HIV-positive patients during their first year of antiretroviral therapy in Cape Town, South Africa. AIDS Behav. 2009;13(6):1097–105.PubMedCrossRef Eisele TP, Mathews C, Chopra M, Lurie MN, Brown L, Dewing S, Kendall C. Changes in risk behavior among HIV-positive patients during their first year of antiretroviral therapy in Cape Town, South Africa. AIDS Behav. 2009;13(6):1097–105.PubMedCrossRef
12.
Zurück zum Zitat Lee RS, Kochman A, Sikkema KJ. Internalized stigma among people living with HIV/AIDS. AIDS Behav. 2002;6:309–19.CrossRef Lee RS, Kochman A, Sikkema KJ. Internalized stigma among people living with HIV/AIDS. AIDS Behav. 2002;6:309–19.CrossRef
13.
Zurück zum Zitat Nachega JB, Lehman DA, Hlatshwayo D, Mothopeng R, Chaisson RE, Karstaedt AS. HIV/AIDS and antiretroviral treatment knowledge, attitudes, beliefs, and practices in HIV-infected adults in Soweto, South Africa. J Acquir Immune Defic Syndr. 2005;38(2):196–201.PubMedCrossRef Nachega JB, Lehman DA, Hlatshwayo D, Mothopeng R, Chaisson RE, Karstaedt AS. HIV/AIDS and antiretroviral treatment knowledge, attitudes, beliefs, and practices in HIV-infected adults in Soweto, South Africa. J Acquir Immune Defic Syndr. 2005;38(2):196–201.PubMedCrossRef
14.
Zurück zum Zitat Wolfe WR, Weiser SD, Bangsberg DR, Thior I, Makhema JM, Dickinson DB, Mompati KF, Marlink RG. Effects of HIV-related stigma among an early sample of patients receiving antiretroviral therapy in Botswana. AIDS Care. 2006;18:931–3.PubMedCrossRef Wolfe WR, Weiser SD, Bangsberg DR, Thior I, Makhema JM, Dickinson DB, Mompati KF, Marlink RG. Effects of HIV-related stigma among an early sample of patients receiving antiretroviral therapy in Botswana. AIDS Care. 2006;18:931–3.PubMedCrossRef
15.
Zurück zum Zitat King R, Katuntu D, Lifshay J, Packel L, Batamwita R, Nakayiwa S, Abang B, Babirye F, Lindkvist P, Johansson E, Mermin J, Bunnell R. Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda. AIDS Behav. 2008;12(2):232–43.PubMedCrossRef King R, Katuntu D, Lifshay J, Packel L, Batamwita R, Nakayiwa S, Abang B, Babirye F, Lindkvist P, Johansson E, Mermin J, Bunnell R. Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda. AIDS Behav. 2008;12(2):232–43.PubMedCrossRef
16.
Zurück zum Zitat Pinkerton SD, Galletly CL. Reducing HIV transmission risk by increasing serostatus disclosure: a mathematical modeling analysis. AIDS Behav. 2007;11(5):698–705.PubMedCrossRef Pinkerton SD, Galletly CL. Reducing HIV transmission risk by increasing serostatus disclosure: a mathematical modeling analysis. AIDS Behav. 2007;11(5):698–705.PubMedCrossRef
17.
Zurück zum Zitat Collins LM, MacKinnon DP, Reeve BB. Some methodological considerations in theory-based health behaviour research. Health Psychol. 2013;32:586–91.PubMedCrossRef Collins LM, MacKinnon DP, Reeve BB. Some methodological considerations in theory-based health behaviour research. Health Psychol. 2013;32:586–91.PubMedCrossRef
18.
Zurück zum Zitat Kalichman SC, Nachimson D. Self-efficacy and disclosure of HIV-positive serostatus to sex partners. Health Psychol. 1999;18(3):281–7.PubMedCrossRef Kalichman SC, Nachimson D. Self-efficacy and disclosure of HIV-positive serostatus to sex partners. Health Psychol. 1999;18(3):281–7.PubMedCrossRef
19.
Zurück zum Zitat Kalichman SC, DiMarco M, Austin J, Luke W, DiFonzo K. Stress, social support and HIV-status disclosure to family and friends among HIV-positive men and women. J Behav Med. 2003;4:15–332. Kalichman SC, DiMarco M, Austin J, Luke W, DiFonzo K. Stress, social support and HIV-status disclosure to family and friends among HIV-positive men and women. J Behav Med. 2003;4:15–332.
21.
Zurück zum Zitat Stirratt MJ, Remien RH, Smith A, Copeland OQ, Dolezal C, Krieger D, SMART Couples Study Team. The role of HIV serostatus disclosure in antiretroviral medication adherence. AIDS Behav. 2006;10(5):483–93.PubMedCrossRef Stirratt MJ, Remien RH, Smith A, Copeland OQ, Dolezal C, Krieger D, SMART Couples Study Team. The role of HIV serostatus disclosure in antiretroviral medication adherence. AIDS Behav. 2006;10(5):483–93.PubMedCrossRef
22.
Zurück zum Zitat Waddell EN, Messeri PA. Social support, disclosure, and use of antiretroviral therapy. AIDS Behav. 2006;10(3):263–72.PubMedCrossRef Waddell EN, Messeri PA. Social support, disclosure, and use of antiretroviral therapy. AIDS Behav. 2006;10(3):263–72.PubMedCrossRef
23.
Zurück zum Zitat Kalichman SC, Simbayi LC, Jooste S, Toefy Y, Cain D, Cherry C, Kagee A. Development of a brief scale to measure AIDS-related stigma in South Africa. AIDS Behav. 2005;9(2):135–43.PubMedCrossRef Kalichman SC, Simbayi LC, Jooste S, Toefy Y, Cain D, Cherry C, Kagee A. Development of a brief scale to measure AIDS-related stigma in South Africa. AIDS Behav. 2005;9(2):135–43.PubMedCrossRef
24.
Zurück zum Zitat Kalichman SC, Simbayi LC, Cloete C, Ginindza T, Mthembu P, Nkambule T, Cherry C, Cain D. Measuring AIDS stigmas in people living with HIV/AIDS: the internalized AIDS-related stigma scale. AIDS Care. 2009;21(1):87–93.PubMedCrossRef Kalichman SC, Simbayi LC, Cloete C, Ginindza T, Mthembu P, Nkambule T, Cherry C, Cain D. Measuring AIDS stigmas in people living with HIV/AIDS: the internalized AIDS-related stigma scale. AIDS Care. 2009;21(1):87–93.PubMedCrossRef
25.
Zurück zum Zitat Simbayi LC, Kalichman SC, Strebel A, Cloete A, Henda N, Mqeketo A. Internalized AIDS stigma, AIDS discrimination, and depression among men and women living with HIV/AIDS, Cape Town, South Africa. Soc Sci Med. 2007;64:1823–31.PubMedPubMedCentralCrossRef Simbayi LC, Kalichman SC, Strebel A, Cloete A, Henda N, Mqeketo A. Internalized AIDS stigma, AIDS discrimination, and depression among men and women living with HIV/AIDS, Cape Town, South Africa. Soc Sci Med. 2007;64:1823–31.PubMedPubMedCentralCrossRef
26.
Zurück zum Zitat Yang H, Li X, Stanton B, Fang X, Lin D, Naar-King S. HIV-related knowledge, stigma, and willingness to disclose: a mediation analysis. AIDS Care. 2006;18(7):717–24.PubMedPubMedCentralCrossRef Yang H, Li X, Stanton B, Fang X, Lin D, Naar-King S. HIV-related knowledge, stigma, and willingness to disclose: a mediation analysis. AIDS Care. 2006;18(7):717–24.PubMedPubMedCentralCrossRef
27.
Zurück zum Zitat Smith R, Rossetto K, Peterson BL. A meta-analysis of disclosure of one’s HIV-positive status, stigma and social support. AIDS Care. 2008;20(10):1266–75.PubMedCrossRef Smith R, Rossetto K, Peterson BL. A meta-analysis of disclosure of one’s HIV-positive status, stigma and social support. AIDS Care. 2008;20(10):1266–75.PubMedCrossRef
28.
Zurück zum Zitat Zungu N. Social representations of AIDS and narratives of risk among Xhosa men Unpublished doctoral thesis submitted to the Department of Psychology, University of Cape Town, 2013. Zungu N. Social representations of AIDS and narratives of risk among Xhosa men Unpublished doctoral thesis submitted to the Department of Psychology, University of Cape Town, 2013.
29.
Zurück zum Zitat Leclerc-Madlala S, Simbayi LC, Cloete A. The sociocultural aspects of HIV/AIDS in South Africa (Chap. 2). In: Rohleder In, et al., editors. HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer; 2009. p. 13–25.CrossRef Leclerc-Madlala S, Simbayi LC, Cloete A. The sociocultural aspects of HIV/AIDS in South Africa (Chap. 2). In: Rohleder In, et al., editors. HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer; 2009. p. 13–25.CrossRef
30.
Zurück zum Zitat Petros G, Airhihenbuwa CO, Simbayi L, Ramlagan S, Brown B. HIV/AIDS and ‘othering’ in South Africa: the blame goes on! Cult Health Sex. 2006;8(1):67–77.PubMedCrossRef Petros G, Airhihenbuwa CO, Simbayi L, Ramlagan S, Brown B. HIV/AIDS and ‘othering’ in South Africa: the blame goes on! Cult Health Sex. 2006;8(1):67–77.PubMedCrossRef
31.
Zurück zum Zitat Sigxashe TA, Baggaley R, Mathews C. Attitudes to disclosure of HIV status to sexual partners. S Afr Med J. 2001;91:908–9.PubMed Sigxashe TA, Baggaley R, Mathews C. Attitudes to disclosure of HIV status to sexual partners. S Afr Med J. 2001;91:908–9.PubMed
32.
Zurück zum Zitat Gielen AC, O’Campo P, Faden RR, Eke A. Women’s disclosure of HIV status: experiences of mistreatment and violence in an urban setting. Women Health. 1997;25:19–31.PubMedCrossRef Gielen AC, O’Campo P, Faden RR, Eke A. Women’s disclosure of HIV status: experiences of mistreatment and violence in an urban setting. Women Health. 1997;25:19–31.PubMedCrossRef
33.
Zurück zum Zitat Gielen AC, McDonell KA, Burke JG, O’Campo P. Women’s lives after an HIV-positive diagnosis: disclosure and violence. Matern Child Health J. 2000;4:111–9.PubMedCrossRef Gielen AC, McDonell KA, Burke JG, O’Campo P. Women’s lives after an HIV-positive diagnosis: disclosure and violence. Matern Child Health J. 2000;4:111–9.PubMedCrossRef
34.
Zurück zum Zitat Antelman G, Smith-Fawzi MC, Kaaya S, Mbwambo J, Msamanga GI, Hunter DJ, Fawzi WW. Predictors of HIV-1 serostatus disclosure: a prospective study among HIV-infected pregnant women in Dar-es-Salaam, Tanzania. AIDS. 2001;15:1865–74.PubMedCrossRef Antelman G, Smith-Fawzi MC, Kaaya S, Mbwambo J, Msamanga GI, Hunter DJ, Fawzi WW. Predictors of HIV-1 serostatus disclosure: a prospective study among HIV-infected pregnant women in Dar-es-Salaam, Tanzania. AIDS. 2001;15:1865–74.PubMedCrossRef
35.
Zurück zum Zitat Maman S, Mbwambo J, Hogan NM, Kilonzo GP, Sweat M. Women’s barriers to HIV-1 testing and disclosure: challenges for HIV-1 voluntary counselling and testing. AIDS Care. 2001;13:595–603.PubMedCrossRef Maman S, Mbwambo J, Hogan NM, Kilonzo GP, Sweat M. Women’s barriers to HIV-1 testing and disclosure: challenges for HIV-1 voluntary counselling and testing. AIDS Care. 2001;13:595–603.PubMedCrossRef
36.
Zurück zum Zitat D’Angelo LJ, Abdalian SE, Sarr M, Hoffman N, Belzer M. Disclosure of serostatus by HIV infected youth: the experience of the REACH study. Reaching for excellence in adolescent care and health. J Adolesc Health. 2001;29:72–9.PubMedCrossRef D’Angelo LJ, Abdalian SE, Sarr M, Hoffman N, Belzer M. Disclosure of serostatus by HIV infected youth: the experience of the REACH study. Reaching for excellence in adolescent care and health. J Adolesc Health. 2001;29:72–9.PubMedCrossRef
37.
Zurück zum Zitat Duru OK, Collins RL, Ciccarone DH, Morton SC, Stall R, Beckman R, Miu A, Kanouse DE. Correlates of sex without serostatus disclosure among a national probability sample of HIV patients. AIDS Behav. 2006;10:495–507.PubMedPubMedCentralCrossRef Duru OK, Collins RL, Ciccarone DH, Morton SC, Stall R, Beckman R, Miu A, Kanouse DE. Correlates of sex without serostatus disclosure among a national probability sample of HIV patients. AIDS Behav. 2006;10:495–507.PubMedPubMedCentralCrossRef
38.
Zurück zum Zitat Saggurti N, Raj A, Mahapatra B, Cheng DM, Coleman S, Bridden C, Battala M, Silverman JG, Pardeshi MH, Samet JH. Prevalence and correlates of non-disclosure of HIV serostatus to sex partners among HIV-infected female sex workers and HIV-infected male clients of female sex workers in India. AIDS Behav. 2013;17(1):399–406.PubMedPubMedCentralCrossRef Saggurti N, Raj A, Mahapatra B, Cheng DM, Coleman S, Bridden C, Battala M, Silverman JG, Pardeshi MH, Samet JH. Prevalence and correlates of non-disclosure of HIV serostatus to sex partners among HIV-infected female sex workers and HIV-infected male clients of female sex workers in India. AIDS Behav. 2013;17(1):399–406.PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Skunodom N, Linkins RW, Culnane ME, Prymanee J, Kannasoot C, Suwannapha W, Suwanmaitre S, Utenpitak C, Yuvasevee C, Teeraratkul A, Simonds RJ, Tappero JW. Factors associated with non-disclosure of HIV infection status of new mothers in Bangkok. Southeast Asian J Trop Med Public Health. 2006;37:690–703.PubMed Skunodom N, Linkins RW, Culnane ME, Prymanee J, Kannasoot C, Suwannapha W, Suwanmaitre S, Utenpitak C, Yuvasevee C, Teeraratkul A, Simonds RJ, Tappero JW. Factors associated with non-disclosure of HIV infection status of new mothers in Bangkok. Southeast Asian J Trop Med Public Health. 2006;37:690–703.PubMed
40.
Zurück zum Zitat Menon A, Glazebrook C, Campain N, Ngoma M. Mental health and disclosure of HIV status in Zambian adolescents with HIV infection: implications for peer-support programs. J Acquir Immune Defic Syndr. 2007;46(3):349–54.PubMedCrossRef Menon A, Glazebrook C, Campain N, Ngoma M. Mental health and disclosure of HIV status in Zambian adolescents with HIV infection: implications for peer-support programs. J Acquir Immune Defic Syndr. 2007;46(3):349–54.PubMedCrossRef
41.
Zurück zum Zitat Klitzman R, Exner T, Correale J, Kirshenbaum SB, Remien R, Ehrhardt AA, Lightfoot M, Catz SL, Weinhardt LS, Johnson MO, Morin SF, Rotheram-Borus MJ, Kelly JA, Charlebois E. It’s not just what you say: relationships of HIV disclosure and risk reduction among MSM in the post-HAART era. AIDS Care. 2007;19(6):749–56.PubMedCrossRef Klitzman R, Exner T, Correale J, Kirshenbaum SB, Remien R, Ehrhardt AA, Lightfoot M, Catz SL, Weinhardt LS, Johnson MO, Morin SF, Rotheram-Borus MJ, Kelly JA, Charlebois E. It’s not just what you say: relationships of HIV disclosure and risk reduction among MSM in the post-HAART era. AIDS Care. 2007;19(6):749–56.PubMedCrossRef
42.
Zurück zum Zitat Skogmar S, Shakely D, Lans M, Danell J, Andersson R, Tshandu N, Odén A, Roberts S, Francois Venter WD. Effect of antiretroviral treatment and counselling on disclosure of HIV-serostatus in Johannesburg, South Africa. AIDS Care. 2006;18(7):725–30.PubMedCrossRef Skogmar S, Shakely D, Lans M, Danell J, Andersson R, Tshandu N, Odén A, Roberts S, Francois Venter WD. Effect of antiretroviral treatment and counselling on disclosure of HIV-serostatus in Johannesburg, South Africa. AIDS Care. 2006;18(7):725–30.PubMedCrossRef
43.
Zurück zum Zitat SANAC. The national HIV counselling and testing campaign strategy: SANAC: Pretoria, 2010. SANAC. The national HIV counselling and testing campaign strategy: SANAC: Pretoria, 2010.
44.
Zurück zum Zitat Mbengashe T, Nevhutalu Z, Chipimo M, Chidarikire T, Diseko L. The national HIV counselling and testing campaign and treatment expansion in South Africa: a return on investments in combination prevention. Oral poster discussion during the XIX international AIDS conference held in Washington, DC, 22–27 July, 2012. Mbengashe T, Nevhutalu Z, Chipimo M, Chidarikire T, Diseko L. The national HIV counselling and testing campaign and treatment expansion in South Africa: a return on investments in combination prevention. Oral poster discussion during the XIX international AIDS conference held in Washington, DC, 22–27 July, 2012.
45.
Zurück zum Zitat UNAIDS. Regional report—getting to zero: HIV in Eastern and Southern Africa. Geneva: UNAIDS; 2013. UNAIDS. Regional report—getting to zero: HIV in Eastern and Southern Africa. Geneva: UNAIDS; 2013.
46.
Zurück zum Zitat Babor TF, Higgins-Biddle JC, Saunders JB & Monteiro MG. The Alcohol Use Disorder Identiction Test (AUDIT). Guidelines for use in primary care. 2nd ed. World Health Organization. Department of Mental Health and Substance Dependence, 2001. Babor TF, Higgins-Biddle JC, Saunders JB & Monteiro MG. The Alcohol Use Disorder Identiction Test (AUDIT). Guidelines for use in primary care. 2nd ed. World Health Organization. Department of Mental Health and Substance Dependence, 2001.
47.
Zurück zum Zitat Peltzer K, Ramlagan S. Alcohol Use Trends in South Africa. J Soc Sci. 2009;18(1):1–12. Peltzer K, Ramlagan S. Alcohol Use Trends in South Africa. J Soc Sci. 2009;18(1):1–12.
48.
Zurück zum Zitat Peltzer K, Simbayi L, Kalichman S, Jooste S, Cloete A, Mbelle N. Alcohol use in three different inner cities in South Africa: AUDIT-C and CAGE. J Psychol Afr. 2007;17(1):95–100. Peltzer K, Simbayi L, Kalichman S, Jooste S, Cloete A, Mbelle N. Alcohol use in three different inner cities in South Africa: AUDIT-C and CAGE. J Psychol Afr. 2007;17(1):95–100.
49.
Zurück zum Zitat Shisana O, Rehle T, Simbayi L, Parker W, Bhana A, Zuma K, Connoly C, Jooste S, Pillay V, et al. South African National HIV prevalence, incidence, behaviour and communication survey 2005. Cape Town: HSRC; 2005. Shisana O, Rehle T, Simbayi L, Parker W, Bhana A, Zuma K, Connoly C, Jooste S, Pillay V, et al. South African National HIV prevalence, incidence, behaviour and communication survey 2005. Cape Town: HSRC; 2005.
50.
Zurück zum Zitat Shisana O, Peltzer K, Zungu-Dirwayi N, Louw J, editors. The Health of our educators: a focus on HIV/AIDS in South African public schools. Cape Town: HSRC; 2005. Shisana O, Peltzer K, Zungu-Dirwayi N, Louw J, editors. The Health of our educators: a focus on HIV/AIDS in South African public schools. Cape Town: HSRC; 2005.
51.
Zurück zum Zitat UNAIDS. Global AIDS response progress reporting 2013: construction of core indicators for monitoring the 2011 UN Political Declaration of HIV/AIDS. Geneva: UNAIDS; 2013. UNAIDS. Global AIDS response progress reporting 2013: construction of core indicators for monitoring the 2011 UN Political Declaration of HIV/AIDS. Geneva: UNAIDS; 2013.
52.
Zurück zum Zitat Coates TJ, Kulich M, Celentano DD, Zelaya CE, Chariyalertsak S, Chingono A, Gray G, Mbwambo JK, Morin SF, Richter L, Sweat M, van Rooyen H, McGrath N, Fiamma A, Laeyendecker O, Piwowar-Manning E, Szekeres G, Donnell D, Eshleman SH, NIMH Project Accept (HPTN 043) Study Team. Effect of community-based voluntary counselling and testing on HIV incidence and social and behavioural outcomes (NIMH Project Accept; HPTN 043): a cluster-randomised trial. Lancet Glob Health. 2014;2(5):267–77. doi:10.1016/S2214-109X(14)70032-4.CrossRef Coates TJ, Kulich M, Celentano DD, Zelaya CE, Chariyalertsak S, Chingono A, Gray G, Mbwambo JK, Morin SF, Richter L, Sweat M, van Rooyen H, McGrath N, Fiamma A, Laeyendecker O, Piwowar-Manning E, Szekeres G, Donnell D, Eshleman SH, NIMH Project Accept (HPTN 043) Study Team. Effect of community-based voluntary counselling and testing on HIV incidence and social and behavioural outcomes (NIMH Project Accept; HPTN 043): a cluster-randomised trial. Lancet Glob Health. 2014;2(5):267–77. doi:10.​1016/​S2214-109X(14)70032-4.CrossRef
53.
Zurück zum Zitat Przybyla SM, Golin CE, Widman L, Grodensky CA, Earp JA, Suchindran C. Serostatus disclosure to sexual partners among people living with HIV: examining the roles of partner characteristics and stigma. AIDS Care. 2013;25(5):566–72.PubMedCrossRef Przybyla SM, Golin CE, Widman L, Grodensky CA, Earp JA, Suchindran C. Serostatus disclosure to sexual partners among people living with HIV: examining the roles of partner characteristics and stigma. AIDS Care. 2013;25(5):566–72.PubMedCrossRef
55.
Zurück zum Zitat Obermeyer CM, Bott S, Carrieri P, Parsons M, Pulerwitz J, Rutenberg N, Sarna A. HIV testing, treatment and prevention: generic tools for operational research. Geneva: World Health Organization; 2009. Obermeyer CM, Bott S, Carrieri P, Parsons M, Pulerwitz J, Rutenberg N, Sarna A. HIV testing, treatment and prevention: generic tools for operational research. Geneva: World Health Organization; 2009.
56.
Zurück zum Zitat Zuch M, Lurie M. ‘A virus and nothing else: the effect of ART on HIV-related stigma in rural South Africa. AIDS Behav. 2012;16(3):564–70.PubMedCrossRef Zuch M, Lurie M. ‘A virus and nothing else: the effect of ART on HIV-related stigma in rural South Africa. AIDS Behav. 2012;16(3):564–70.PubMedCrossRef
57.
Zurück zum Zitat Bryan A, Schmiege SJ, Broaddus MR. Mediational analysis in HIV/AIDS research: estimating multivariate path analytic models in a structural equation modelling framework. AIDS Behav. 2007;11:365–83.PubMedCrossRef Bryan A, Schmiege SJ, Broaddus MR. Mediational analysis in HIV/AIDS research: estimating multivariate path analytic models in a structural equation modelling framework. AIDS Behav. 2007;11:365–83.PubMedCrossRef
58.
Zurück zum Zitat Maxwell SE, Cole DA, Mitchell MA. Bias in cross-sectional analyses of longitudinal mediation: partial and complete mediation under an autoregressive model. Multivariate Behav Res. 2011;46:816–41.PubMedCrossRef Maxwell SE, Cole DA, Mitchell MA. Bias in cross-sectional analyses of longitudinal mediation: partial and complete mediation under an autoregressive model. Multivariate Behav Res. 2011;46:816–41.PubMedCrossRef
59.
Zurück zum Zitat Johnson S, Kincaid L, Figueroa M, Delate R, Mahlasela L, Magni S. The third national HIV communication survey, 2012. Pretoria: Johns Hopkins Health and Education (JHHESA); 2013. Johnson S, Kincaid L, Figueroa M, Delate R, Mahlasela L, Magni S. The third national HIV communication survey, 2012. Pretoria: Johns Hopkins Health and Education (JHHESA); 2013.
60.
Zurück zum Zitat Kalichman SC. The other side of the healthy relationships intervention: mental health outcomes and correlates of sexual risk behavior change. AIDS Educ Prev. 2005;17(1 Suppl A):66–75.PubMedCrossRef Kalichman SC. The other side of the healthy relationships intervention: mental health outcomes and correlates of sexual risk behavior change. AIDS Educ Prev. 2005;17(1 Suppl A):66–75.PubMedCrossRef
61.
Zurück zum Zitat Kalichman SC, Rompa D, Cage M. Group intervention to reduce HIV transmission risk behavior among persons living with HIV/AIDS. Behav Modif. 2005;29(2):256–85.PubMedCrossRef Kalichman SC, Rompa D, Cage M. Group intervention to reduce HIV transmission risk behavior among persons living with HIV/AIDS. Behav Modif. 2005;29(2):256–85.PubMedCrossRef
62.
Zurück zum Zitat Kalichman SC, Rompa D, Cage M, DiFonzo K, Simpson D, Austin J, Luke W, Buckles J, Kyomugisha F, Benotsch E, Pinkerton S, Graham J. Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. Am J Prev Med. 2001;21(2):84–92.PubMedCrossRef Kalichman SC, Rompa D, Cage M, DiFonzo K, Simpson D, Austin J, Luke W, Buckles J, Kyomugisha F, Benotsch E, Pinkerton S, Graham J. Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. Am J Prev Med. 2001;21(2):84–92.PubMedCrossRef
63.
Zurück zum Zitat Heitgerd JL, Kalayil EJ, Patel-Larson A, Uhl G, Williams WO, Griffin T, Smith BD. Reduced sexual risk behaviors among people living with HIV: results from the healthy relationships outcome monitoring project. AIDS Behav. 2011;15(8):1677–90.PubMedCrossRef Heitgerd JL, Kalayil EJ, Patel-Larson A, Uhl G, Williams WO, Griffin T, Smith BD. Reduced sexual risk behaviors among people living with HIV: results from the healthy relationships outcome monitoring project. AIDS Behav. 2011;15(8):1677–90.PubMedCrossRef
64.
Zurück zum Zitat Cloete A, Simbayi LC. Public health evaluation of the healthy relationships positive prevention programme in four municipalities of the OR Tambo District in the Eastern Cape, South Africa. Oral presentation at the HSRC social sciences conference held at Birchwood Conference Centre in Benoni on 7–8 Sep 2011. Cloete A, Simbayi LC. Public health evaluation of the healthy relationships positive prevention programme in four municipalities of the OR Tambo District in the Eastern Cape, South Africa. Oral presentation at the HSRC social sciences conference held at Birchwood Conference Centre in Benoni on 7–8 Sep 2011.
65.
Zurück zum Zitat Cloete A, Jooste S, Simbayi LC. A public health evaluation of the implementation of healthy relationships: results from a pilot study. Paper presented at the 9th AIDS impact international conference held at the Grand Palm Hotel in Gaborone, Botswana on 22–25 Sep 2009. Cloete A, Jooste S, Simbayi LC. A public health evaluation of the implementation of healthy relationships: results from a pilot study. Paper presented at the 9th AIDS impact international conference held at the Grand Palm Hotel in Gaborone, Botswana on 22–25 Sep 2009.
66.
Zurück zum Zitat WHO. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. Geneva: WHO; 2013. WHO. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. Geneva: WHO; 2013.
67.
Zurück zum Zitat SANAC. National strategic plan on HIV, STIs and TB 2012–2016. Pretoria: SANAC; 2011. SANAC. National strategic plan on HIV, STIs and TB 2012–2016. Pretoria: SANAC; 2011.
Metadaten
Titel
HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey
verfasst von
Leickness C. Simbayi
Nompumelelo Zungu
Meredith Evans
Vuyelwa Mehlomakulu
Takura Kupamupindi
Goitseone Mafoko
Khangelani Zuma
Publikationsdatum
14.01.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1278-5

Weitere Artikel der Ausgabe 1/2017

AIDS and Behavior 1/2017 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.