Processes and Outcomes of HIV Serostatus Disclosure to Sexual Partners among People Living with HIV in Uganda
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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.
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- Processes and Outcomes of HIV Serostatus Disclosure to Sexual Partners among People Living with HIV in Uganda
AIDS and Behavior
Volume 12, Issue 2 , pp 232-243
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Counseling and testing
- Prevention with positives
- Sexual behavior
- Industry Sectors
- Author Affiliations
- 1. Global AIDS Program, CDC-Uganda, Kampala, Uganda
- 2. Uganda Virus Research Institute, CDC-Uganda, P.O. Box 49, Entebbe, Uganda
- 3. University of California, Berkeley, Berkeley, CA, USA
- 4. The AIDS Support Organization (TASO), Kampala, Uganda
- 5. Karolinska Institute, Stockholm, Sweden