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  2. Vol 8, No 2 (2004)
  3. DJ Stein

Self-Disclosure of HIV Serostatus in Recently Diagnosed Patients with HIV in South Africa

BO Olley, S Seedat, DJ Stein(1),


(1) 
Corresponding Author

Abstract


Failure of people living with HIV/AIDS to disclose their HIV serostatus can place their sexual partners at risk. The current study examined HIV serostatus disclosure and its relationship to risky sexual behaviours in 69 sexually active, heterosexual, married (62%) or cohabiting (38%) patients recently diagnosed as HIV positive. Results show that 78% had not disclosed their HIV serostatus to their sexual partners and 46% had no knowledge of their sexual partner's serostatus. Compared to those who disclosed their serostatus, those who did not disclose were more likely to be male (x2 = 7.02, p = 0.00), to have not used a condom during their last sexual encounter (x2 = 29.64, p = 0.000), to have used alcohol heavily before sex (x2 = 6.79, p = 0.00), to have multiple sexual partners (t = 3.01, p = 0.05), and to have engaged more frequently in sexual intercourse in the six months preceding the study (t = 8.21, p = 0.00). Logistic regression analysis show that being in a married relationship (OR = 0.86, 95% CI = 0.65, 1.15), being male (OR = 1.48, 95% CI = 0.24, 1.99), having more than two multiple partners (OR = 2.03, 95% CI = 1.11, 3.68) and non-use of condom at last sex (OR = 1.53, 95% CI = 0.83, 1.88) were significantly associated with non-disclosure of HIV serostatus. Preventive strategies among HIV- positive patients should place emphasis on the management of self-disclosure and its importance in safe sexual behaviour. (Afr J Reprod Health 2004; 8[2]: 71-76)

 

Keywords: Self disclosure, hetrosexual couple, HIV/AIDS patients

 


References


Centers for Disease Control and Prevention. HIV counseling and testing services from public and private providers - United States, 1990. Morb Mort Wkly Rep 1992; 41: 743-752.

Perry SW, Card CAL, Moffatt M, Ashma T, Fishman B and Jocobsberg LB. Self-disclosure of HIV infection to sexual partners after repeated counseling. AIDS Edu Prev 1994; 6: 403-411.

Stein MD, Freedberg KA, Sullivan LM, Savetsysky JM, Levenson SM, Hingson R and Samet JH. Sexual Ethics: Disclosure of HIV-positive Status to partners. Arch Inter Med 2003; 158(9): 253-257.

Kalichman SC and Nachimson D. Psychological and social factors associated with high risk sexual behaviour among people living with HIV/AIDS. AIDS Care 1999.

Marks G and Crepaz N. HIV-positive men's sexual practices in the context of self-disclosure of HIV status. J AcqImm Def Synd 2001; 27: 79-85.

Crepaz N and Marks G. Serostatus disclosure, sexual communication and safer sex in HIV-positive men. AIDS Care 2003; 15(3): 379-387.

Wein M. Duty to warn. JAMA 1989; 261: 1355-1360.

De Rosa CJ and Marks G. Preventive counseling of HIV-positive men and self-disclosure of serostatus to sex partners; new opportunities for prevention. Health Psychol 1998; 17: 224-231.

Kalichman SC, Kelly JA and Rompa D. Continued high-risk sex among HIV-seropositive gay and bisexual men seeking HIV prevention services. Health Psychol 1997; 16: 369-373.

Simoni JM, Mason HRC, Marks G, Ruiz MS, Reed D and Richardson JL. Women's self-disclosure of HIV infection: rates, reasons and reactions. J Consul ClinPsychol 1995; 63(3): 474-478.

Kennedy CA, Skurnick J, Wan J, Quattrone G, Sheffet A, Quinones M, Wang W and Louria D. Psychological distress, drug and alcohol use as correlates of condom use in HIV-serodicordant heterosexual couples. AIDS 1993; 7: 1493-1499.

Kalichman S.C.Psychological and social correlates of high risk sexual behaviour among men and women living with HIV/AIDS. AIDS Care 1999; 11(4): 415-428.

Ciesla JA, Roberts JE and Hewitt RG. Adult attachment and high-risk sexual behaviour among HIV-positive patients: preliminary findings. J App SocPsychol(In press).

Marks G, Richarson JL and Maldonado N. Self-disclosure of HIV Infection to sexual partners. Am J Pub Health 1991; 81(10): 1321-1322.

Abdool-Kareem Q and Abdool-Kareem S. Epidemiology of HIV in South Africa. www.healthnet.org.za Durban: South Africa Medical Research Council, 2002.

Kelly JA, Murphy DA, Bahr R, Brasfield TL, Davis DR, Hauth AC, Morgan MG, Stevenson LY and Eilers MK. AIDS/HIV risk behaviour among the chronic mentally ill. Am J Psych 1992; 149(7): 886-889.

Mckinnon K, Cournos F, Meyer-Bahlburg HFL, Guido JR, Caraballo LR, Margoshes ES, Herman R, Gruen RS and Exner TM. Reliability of sexual behaviour interviews with psychiatric patients, Am J Psych 1993; 150(6): 972-974.

Kaminer DK, Stein DJ, Mbanga I and Zungu-Dirwayi N. The Truth and Reconciliation Commission in South Africa: relations to psychiatric status and forgiveness among survivors of human rights abuse. Br J Psych 2001; 178: 373- 377.

Swartz Elk R, Teggin AF and Gills LS. Life events in Xhosa, Cape Town. J Psychos Res 1983; 27(3): 223-231.

Carver CS. You want to measure coping but your protocol's too long: consider the brief COPE. Int J Behav Med 1997; 4(1): 92-100.


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