AIDS and Behavior

, Volume 12, Issue 2, pp 232–243

Processes and Outcomes of HIV Serostatus Disclosure to Sexual Partners among People Living with HIV in Uganda

  • Rachel King
  • David Katuntu
  • Julie Lifshay
  • Laura Packel
  • Richard Batamwita
  • Sylvia Nakayiwa
  • Betty Abang
  • Frances Babirye
  • Pille Lindkvist
  • Eva Johansson
  • Jonathan Mermin
  • Rebecca Bunnell
Original Paper

DOI: 10.1007/s10461-007-9307-7

Cite this article as:
King, R., Katuntu, D., Lifshay, J. et al. AIDS Behav (2008) 12: 232. doi:10.1007/s10461-007-9307-7

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.

Keywords

HIV Uganda Counseling and testing Disclosure Prevention with positives Sexual behavior 

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Rachel King
    • 1
    • 2
  • David Katuntu
    • 1
  • Julie Lifshay
    • 3
  • Laura Packel
    • 3
  • Richard Batamwita
    • 1
  • Sylvia Nakayiwa
    • 1
  • Betty Abang
    • 1
  • Frances Babirye
    • 4
  • Pille Lindkvist
    • 5
  • Eva Johansson
    • 5
  • Jonathan Mermin
    • 1
  • Rebecca Bunnell
    • 1
  1. 1.Global AIDS ProgramCDC-Uganda KampalaUganda
  2. 2.Uganda Virus Research InstituteCDC-UgandaEntebbeUganda
  3. 3.University of California, BerkeleyBerkeleyUSA
  4. 4.The AIDS Support Organization (TASO)KampalaUganda
  5. 5.Karolinska InstituteStockholmSweden

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