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Factors Associated with HIV Status Disclosure to One’s Steady Sexual Partner in PLHIV in Morocco

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Abstract

The objective of the present study was to determine the factors independently associated with disclosure of seropositivity to one’s steady sexual partner in people living with HIV (PLHIV) who are recipients of services provided by Association de Lutte Contre le Sida, a Moroccan community-based organization (CBO) working on AIDS response. Between May and October 2011, 300 PLHIV were interviewed about their sociodemographic and economic characteristics, their sexual life and disclosure of their serostatus to their friends, family and to their steady sexual partner. A weighted logistic regression was used to study factors associated with serostatus disclosure to one’s steady sexual partner. We restricted the analysis to people who declared they had a steady sexual partner (n = 124). Median age was 36 years old, 56 % were men and 62 % declared that they had disclosed their serostatus to their steady sexual partner. The following factors were independently associated with disclosure: living with one’s steady sexual partner [OR 95 % CI: 9.85 (2.86–33.98)], having a higher living-standard index [2.06 (1.14–3.72)], regularly discussing HIV with friends [6.54 (1.07–39.77)] and CBO members [4.44 (1.27–15.53)], and having a higher social exclusion score [1.24 (1.07–1.44)]. Unemployment (as opposed to being a housewife) was negatively associated with disclosure [0.12 (0.02–0.87)]. Despite the potential positive effects for the prevention of HIV transmission and for adherence to HIV treatment, many PLHIV had not disclosed their serostatus to their steady sexual partner. Some factors shown here to be significantly associated with such disclosure will help in the development of future support interventions.

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Notes

  1. IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.

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Acknowledgments

This research study was performed thanks to the financial support of the French National Agency for Research on AIDS and Viral Hepatitis (ANRS), Coalition PLUS and Sidaction. The authors thank all those who responded to the questionnaire on disclosure and all those who participated in data collection in the 5 Moroccan cities included in the study. The authors would also like to thank the members of the PARTAGES group for their contribution in the implementation of this project. Finally, we would like to thank Jude Sweeney for the English translation of this manuscript.

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Authors and Affiliations

  1. Faculty of Science Semlalia, Université Cadi Ayyad, Marrakech, Morocco

    Mohamed Loukid & Mohamed Kamal Hilali

  2. Coalition Plus Sida, Pantin, France

    Alise Abadie, Emilie Henry & Lionel Fugon

  3. Association de Lutte Contre le SIDA, Marrakech, Morocco

    Alise Abadie, Nadia Rafif & Othoman Mellouk

  4. International Treatment Prepardness Coalition MENA, Marrakech, Morocco

    Othoman Mellouk

  5. Association de Lutte Contre le SIDA, Agadir, Morocco

    Ouarsas Lahoucine

  6. Canada Research Chair in Health Education, Université du Québec à Montréal, Montreal, Canada

    Joanne Otis

  7. Institute of Psychology, Université Lumière Lyon 2, Lyon, France

    Marie Préau

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  1. Mohamed Loukid
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  2. Alise Abadie
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Correspondence to Mohamed Loukid.

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Loukid, M., Abadie, A., Henry, E. et al. Factors Associated with HIV Status Disclosure to One’s Steady Sexual Partner in PLHIV in Morocco. J Community Health 39, 50–59 (2014). https://doi.org/10.1007/s10900-013-9739-0

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