Barcelona 2013
Barcelona 2013
Abstract book - Abstract - 68
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Abstract #68  -  Disclosure
Session:
  37.3: Disclosure (Parallel) on Tuesday @ 14.30-16.00 in Mirador Chaired by George Palattiyil,
Ashraf Kagee

Authors:
  Presenting Author:   Dr Cissé Mamadou - ARCAD-SIDA Mali, Mali
 
  Additional Authors:  Mr. Michael Olaogbebikan,  
Aim:
In Mali, public awareness campaigns widely disseminate HIV information. However, disclosing seropositivity to one?s stable sexual partner (SSP) remains difficult. Disclosure is a public health concern with serious implications, especially for prevention. The objective was to analyze factors associated with HIV disclosure to one?s SSP.
 
Method / Issue:
This is a cross-sectional multi-center study on 300 people, >18 years, aware of their seropositivity for >6 months. Standardized questionnaires were used. Analysis was restricted to 219 people who reported having a SSP answered the ?disclosure to SSP? question. A weighted logistic regression helped determine variables independently associated with disclosure
 
Results / Comments:
73% (160/219) of the study sample reported HIV disclosure to their SSP. Factors positively and independently associated with disclosure in multivariate analysis were: being accompanied to the survey site (OR 95%CI : 3.67 [1.01-13.32]), having children (OR 95%CI : 4.52 [1.84-11.12]), knowing others who had publicly disclosed their own seropositivity (OR 95%CI : 3.12 [1.59-6.12]) and having higher self-esteem (OR 95%CI : 1.55 [1.09-2.19]). Using non-ARV means to treat HIV (OR 95%CI: 0.33 [0.11-1]) was negatively associated with disclosure.
 
Discussion:
To increase disclosure to SSP, interventions giving greater visibility to HIV positive individuals, integrating disclosure issues within PMTCT programs and focusing on self-esteem should be strengthened.
 
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