Impact of HIV Comprehensive Care and Treatment on Serostatus Disclosure among Cameroonian Patients in Rural District Hospitals

Autor: Bruno Spire, Marie Suzan-Monti, Jérôme Blanche, Renée-Cécile Bonono, Charles Kouanfack, Eric Delaporte, Christian Laurent, Jean-Paul Moatti, Sylvie Boyer, Stratall Anrs, Patrizia Carrieri
Rok vydání: 2013
Předmět:
Viral Diseases
Non-Clinical Medicine
lcsh:Medicine
Friends
HIV Infections
Global Health
law.invention
Randomized controlled trial
law
HIV Seropositivity
Cameroon
Health Systems Strengthening
lcsh:Science
education.field_of_study
Multidisciplinary
Obstetrics and Gynecology
Infectious Diseases
Anti-Retroviral Agents
Self-disclosure
symbols
Regression Analysis
Medicine
Comprehensive Health Care
Public Health
Behavioral and Social Aspects of Health
Research Article
medicine.medical_specialty
Self Disclosure
Urology
Population
Developing country
Context (language use)
Interviews as Topic
symbols.namesake
Nursing
medicine
Humans
Family
Poisson regression
education
Health Care Policy
Genitourinary Infections
business.industry
lcsh:R
HIV
Communication in Health Care
Family medicine
lcsh:Q
Rural area
Serostatus
business
Zdroj: PLoS ONE, Vol 8, Iss 1, p e55225 (2013)
PLoS ONE
ISSN: 1932-6203
Popis: This work aimed to analyze the rate of disclosure to relatives and friends over time and to identify factors affecting disclosure among seropositive adults initiating antiretroviral therapy (ART) in rural district hospitals in the context of decentralized, integrated HIV care and task-shifting to nurses in Cameroon. Stratall was a 24-month, randomized, open-label trial comparing the effectiveness of clinical monitoring alone with laboratory plus clinical monitoring on treatment outcomes. It enrolled 459 HIV-infected ART-naive adults in 9 rural district hospitals in Cameroon. Participants in both groups were sometimes visited by nurses instead of physicians. Patients with complete data both at enrolment (M0) and at least at one follow-up visit were included in the present analysis. A mixed Poisson regression was used to estimate predictors of the evolution of disclosure index over 24 months (M24).The study population included 385 patients, accounting for 1733 face-to-face interviews at follow-up visits from M0 to M24. The median [IQR] number of categories of relatives and friends to whom patients had disclosed was 2 [1]–[3] and 3 [2]–[5] at M0 and M24 (p-trend
Databáze: OpenAIRE
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