» Articles » PMID: 23829332

Disclosure, Knowledge of Partner Status, and Condom Use Among HIV-positive Patients Attending Clinical Care in Tanzania, Kenya, and Namibia

Abstract

We describe the frequency of and factors associated with disclosure, knowledge of partner's HIV status, and consistent condom use among 3538 HIV-positive patients attending eighteen HIV care and treatment clinics in Kenya, Namibia, and Tanzania. Overall, 42% of patients were male, and 64% were on antiretroviral treatment. The majority (80%) had disclosed their HIV status to their partners, 64% knew their partner's HIV status, and 77% reported consistent condom use. Of those who knew their partner's status, 18% reported their partner was HIV negative. Compared to men, women were significantly less likely to report disclosing their HIV status to their sex partner(s), to knowing their partner's HIV status, and to using condoms consistently with HIV-negative partners. Other factors negatively associated with consistent condom use include nondisclosure, alcohol use, reporting a casual sex partner, and desiring a pregnancy. Health care providers should target additional risk reduction counseling and support services to patients who report these characteristics.

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References
1.
Deribe K, Woldemichael K, Wondafrash M, Haile A, Amberbir A . Disclosure experience and associated factors among HIV positive men and women clinical service users in Southwest Ethiopia. BMC Public Health. 2008; 8:81. PMC: 2275263. DOI: 10.1186/1471-2458-8-81. View

2.
Stirratt M, Gordon C . Adherence to biomedical HIV prevention methods: considerations drawn from HIV treatment adherence research. Curr HIV/AIDS Rep. 2008; 5(4):186-92. DOI: 10.1007/s11904-008-0027-z. View

3.
King R, Katuntu D, Lifshay J, Packel L, Batamwita R, Nakayiwa S . Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda. AIDS Behav. 2007; 12(2):232-43. DOI: 10.1007/s10461-007-9307-7. View

4.
Lingappa J, Kahle E, Mugo N, Mujugira A, Magaret A, Baeten J . Characteristics of HIV-1 discordant couples enrolled in a trial of HSV-2 suppression to reduce HIV-1 transmission: the partners study. PLoS One. 2009; 4(4):e5272. PMC: 2671170. DOI: 10.1371/journal.pone.0005272. View

5.
Donnell D, Baeten J, Kiarie J, Thomas K, Stevens W, Cohen C . Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysis. Lancet. 2010; 375(9731):2092-8. PMC: 2922041. DOI: 10.1016/S0140-6736(10)60705-2. View