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Issues surrounding HIV status disclosure: Experiences of seropositive women in Lagos, Nigeria
| Content Provider | Scilit |
|---|---|
| Author | Okafor, Ifeoma Oseni, Oluwaseun E. Sekoni, Adekemi O. |
| Copyright Year | 2017 |
| Abstract | Background: Disclosure of human immunodeficiency virus (HIV) seropositivity by infected women is crucial in HIV control. To determine the rates, patterns, effects, and determinants of disclosure of status among HIV-positive women in Lagos, Nigeria. Methods: This was a descriptive cross-sectional study. Simple random sampling method was used to select 364 HIV-positive women accessing care in HIV treatment centers in Lagos Island. Data were collected using interviewer-administered questionnaires and analyzed with Epi Info (version 3.5.3). Inferential statistics done was Chi-square test and level of statistical significance was set at <5%. Results: Mean age of respondents was 37.3 ± 3 years, and most were married or cohabiting in monogamous families. The disclosure rates were 81.9% to anyone (excluding a health care professional); 60.4% to spouse/sexual partners; and 67.7% disclosed on the same day of diagnosis. Main reasons for disclosure were failing health (49.3%) and a sense of responsibility to the spouse/sexual partner (33.6%). Major reasons for nondisclosure were negative public opinion (84.8%) and fear of losing relationships (40.3%). Positive reactions following disclosure were mostly acceptance: 75.2% (family member) and 72.3% (spouse/sexual partner) while blame was the main negative outcome. Longer duration of diagnosis significantly improved disclosure to anyone (P < 0.001). Older age (P < 0.001) and awareness of spouse/sexual partner's HIV status (P < 0.001) significantly improved disclosure to spouse/sexual partner. Conclusions: Many respondents had not disclosed their status and require support and counseling to do so. Community education regarding stigmatization should be intensified. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609391/pdf http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2017;volume=8;issue=1;spage=60;epage=60;aulast=Oseni;type=2 |
| File Format | XHTML |
| ISSN | 20087802 |
| DOI | 10.4103/ijpvm.ijpvm_136_15 |
| Journal | International Journal of Preventive Medicine |
| Issue Number | 1 |
| Volume Number | 8 |
| Language | English |
| Publisher | Medknow |
| Access Restriction | Open |
| Subject Keyword | Ethnic Studies Human Immunodeficiency Virus Disclosure Human Immunodeficiency Virus Stigmatization Infectious Disease Control International Journal of Preventive Medicine, Volume 8, Issue 1 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
