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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Test and tell: Correlates and consequences of testing and disclosure of HIV status in South Africa (HPTN 043 project accept)
Journal of Acquired Immune Deficiency Syndromes, Volume 50, No. 2, Year 2009
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Description
Background: As the numbers of HIV-positive diagnoses rise in South Africa, it is important to understand the determinants and consequences of HIV disclosure. Methods: Cross-sectional survey from random community samples of men and women in urban and rural South Africa (n = 217 HIV-positive individuals, 89% female). Results: Two thirds of all known HIV-infected adults in these communities had disclosed their status to sexual partners). On average, individuals who disclosed were 2 years older, higher in socioeconomic assets, and had known their HIV status 7 months longer than those who had not told their sexual partners). The "need for privacy" was the most cited reason (45%) for nondisclosure among those who had never disclosed. People who eventually disclosed their HIV status to sexual partners) were significantly more likely to report always or more frequently using condoms, reducing their number of sexual partners, and/or becoming monogamous. Among individuals who disclosed their HIV status, 77% reported increases in social support, with families providing the most support. Conclusions: Disclosure is associated with reports of consequent safer sexual behavior and greater social support. Interventions might be informed by the costs and benefits of disclosure and differences in disclosure to sexual partner vs. to one's social network. Copyright © 2009 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Wong, Lauren H.
United States, Los Angeles
University of California, Los Angeles
Van-Rooyen, Heidi E.
South Africa, Pretoria
Human Sciences Research Council of South Africa
Modiba, Precious
South Africa, Johannesburg
Chris Hani Baragwanath Hospital
Richter, Linda M.
South Africa, Pretoria
Human Sciences Research Council of South Africa
Gray, Glenda E.
South Africa, Johannesburg
Chris Hani Baragwanath Hospital
McIntyre, James Alasdair
South Africa, Johannesburg
Chris Hani Baragwanath Hospital
Schetter, Christine Dunkel
United States, Los Angeles
University of California, Los Angeles
Coates, Thomas J.
United States, Los Angeles
University of California, Los Angeles
Statistics
Citations: 94
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1097/QAI.0b013e3181900172
ISSN:
15254135
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa
Participants Gender
Male
Female