Barcelona 2013
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| Abstract #68 - Disclosure | ||||
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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 |
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| 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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