Types and predictors of partner reactions to HIV status disclosure among HIV-infected adult Nigerians in a tertiary hospital in the Niger Delta

Dimie Ogoina, Peter Ikuabe, Ikenna Ebuenyi, Tubonye Harry, Otonyo Inatimi, Ogechi Chukwueke

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    BACKGROUND AND OBJECTIVE: Our aim was to describe the types and determinants of partner reactions to HIV-status disclosure among adults attending an antiretroviral therapy-(ART) clinic in the Bayelsa State, Nigeria.

    METHODS: A cross-sectional study was undertaken between January and March 2013 among consecutive adult patients who had disclosed their HIV-status to their current sexual partner. Sociodemograhic data and types of initial and subsequent partner reactions to disclosure were obtained using interviewer-administered standardized-questionnaire. Independent determinants of reactions to disclosure were ascertained by unconditional logistic regression.

    RESULTS: Out of 123 study participants, 57.7% were females, 92% were receiving ART and 86.1% were currently married. Majority of the participants reported predominant positive or supportive initial (72.4%) and subsequent (89.5%) partner reactions to disclosure, with significant increase in positive reactions over time. Positive initial partner reactions were independently associated with prior post-test counselling-(Odds ratio [OR]-6.5, 95% Confidence interval [CI]-1.3-31.6-p=0.02), age>35 years-(OR-5.8, 95% CI-1.6-20.9-p=0.008) and being healthy at time of disclosure-(OR-7.8, 95% CI-1.7-35.4-p=0.008). Subsequent positive partner reactions were significantly associated with receiving antiretroviral therapy and having only one lifetime sexual partner.

    CONCLUSION: Our results indicate that partner reactions to HIV-status disclosure are predominantly supportive. Disclosure counselling and early initiation of ART may be effective in improving HIV-status disclosure in Nigeria.

    Original languageEnglish
    Pages (from-to)10-8
    Number of pages9
    JournalAfrican health sciences
    Volume15
    Issue number1
    DOIs
    Publication statusPublished - Mar 2015

    Keywords

    • Adolescent
    • Adult
    • African Continental Ancestry Group
    • Cross-Sectional Studies
    • Female
    • HIV Seropositivity
    • Hospitals, University
    • Humans
    • Logistic Models
    • Male
    • Middle Aged
    • Nigeria
    • Self Disclosure
    • Sexual Partners
    • Socioeconomic Factors
    • Surveys and Questionnaires
    • Truth Disclosure
    • Evaluation Studies
    • Journal Article

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