Disclosure of HIV Status to Sexual Partners Among People With HIV in Singida Regional Referral Hospital of Tanzania: A Cross-Sectional Study.

Autor: Alexander AG; Alex Gabagambi Alexander, MD, MSc, is a Medical Doctor and a Clinical Researcher at Kilimanjaro Clinical Research Institute, Moshi, Republic of Tanzania, and is a Former Graduate Student at the Duke University Population Health Sciences, Durham, North Carolina, USA. Michael Relf, PhD, RN, AACRN, ANEF, FAAN, is a Professor of Nursing and Global Health, Duke University and the Associate Dean for Global and Community Health Affairs, Duke University School of Nursing, Durham, North Carolina, USA. Hayden B. Bosworth, BA, MS, PhD, is a Deputy Director of the Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) at the Durham VA Medical Center, Durham, North Carolina, USA, is a Vice Chair of Research and Professor of Population Health Sciences at Duke University, Durham, North Carolina, USA, and is a Professor of Medicine, Psychiatry, and Nursing at Duke University Medical Center, Durham, North Carolina, USA. Blandina T. Mmbaga, MD, MMED, PhD, is a Pediatrician at Kilimanjaro Christian Medical Center (KCMC), Lecturer at the Kilimanjaro Christian Medical University College of the Tumaini University Makumira (KCMUC), Associate Professor, and Director of the Kilimanjaro Clinical Research Institute, Moshi, Republic of Tanzania. Charles Muiruri, BSC, MPH, PhD, is a Health Services Researcher, Assistant Professor at the Duke Department of Population Health Sciences, Assistant Research Professor in the Duke Global Health Institute, Durham, North Carolina, USA and is an Adjunct Lecturer at the Kilimanjaro Christian Medical University College, Moshi, Republic of Tanzania., Relf M, Bosworth HB, Mmbaga BT, Muiruri C
Jazyk: angličtina
Zdroj: The Journal of the Association of Nurses in AIDS Care : JANAC [J Assoc Nurses AIDS Care] 2024 Sep-Oct 01; Vol. 35 (5), pp. 397-408. Date of Electronic Publication: 2024 Aug 06.
DOI: 10.1097/JNC.0000000000000486
Abstrakt: Abstract: HIV status nondisclosure to sexual partners remains a major challenge in Tanzania's health system. This hospital-based, descriptive, cross-sectional study design recruited 380 people living with HIV (PLWH) to assess voluntary HIV status disclosure to sexual partners, the associated factors, and outcomes among PLWH in Tanzania. Approximately 78% ( n = 297) of the study participants reported disclosing their HIV status to their sexual partners. Adjusted multivariable logistic regression analysis revealed that HIV status disclosure to sexual partners was significantly associated with living with a sexual partner (adjusted odds ratio [AOR] = 3.91, 95% CI [1.43-10.72]), knowledge of HIV disclosure (AOR = 11.71, 95% CI [2.88-47.63]), known serostatus of the sexual partner (AOR = 40.20, 95% CI [15.31-105.56]), and HIV disclosure-related stigma (AOR = 0.92, 95% CI [0.85-0.99]). Addressing these significant factors will maximize the magnitude of voluntary disclosure to sexual partners.
(Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of Association of Nurses in AIDS Care.)
Databáze: MEDLINE