Factors correlated with disclosure of HIV infection in the French Antilles and French Guiana: results from the ANRS-EN13-VESPA-DFA Study

Autor: Kim Bouillon, France Lert, Rémi Sitta, Annie Schmaus, Bruno Spire, Rosemary Dray-Spira
Přispěvatelé: Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé, Epidémiologie, sciences sociales, santé publique (IFR 69), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Epidémiologie et Sciences Sociales Appliquées à l'Innovation Médicale, Université de la Méditerranée - Aix-Marseille 2-Institut National de la Santé et de la Recherche Médicale (INSERM), ANRS, Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Kaniewski, Nadine
Jazyk: angličtina
Rok vydání: 2007
Předmět:
Gerontology
Sexually transmitted disease
MESH: Caribbean Region
Cross-sectional study
Immunology
Population
Psychological intervention
MESH: Attitude to Health
Logistic regression
Article
03 medical and health sciences
0302 clinical medicine
MESH: Cross-Sectional Studies
Acquired immunodeficiency syndrome (AIDS)
MESH: Sex Factors
medicine
Immunology and Allergy
030212 general & internal medicine
10. No inequality
education
MESH: Age Factors
education.field_of_study
030505 public health
MESH: Humans
MESH: Middle Aged
business.industry
MESH: Adult
Odds ratio
MESH: HIV Infections
medicine.disease
Confidence interval
MESH: Male
3. Good health
Infectious Diseases
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
MESH: Truth Disclosure
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
0305 other medical science
business
MESH: Female
Demography
MESH: Prejudice
Zdroj: AIDS. Official journal of the international AIDS Society
AIDS. Official journal of the international AIDS Society, 2007, 21 Suppl 1, pp.S89-94. ⟨10.1097/01.aids.0000255091.29050.13⟩
AIDS
AIDS, Lippincott, Williams & Wilkins, 2007, 21 Suppl 1, pp.S89-94. ⟨10.1097/01.aids.0000255091.29050.13⟩
ISSN: 0269-9370
1473-5571
DOI: 10.1097/01.aids.0000255091.29050.13⟩
Popis: OBJECTIVES: To determine the rate, patterns and predictors of HIV disclosure in the French Antilles and French Guiana. METHODS: A cross-sectional survey was carried out among a 15% random sample (n=398) of the hospital caseload in hospitals providing HIV care. Determinants of disclosure to a steady partner and other members of the individual's social network were analysed using logistic regression. RESULTS: From the time of diagnosis, 84.6% of those in a couple (n=173) disclosed their HIV-positive status to their steady partner, 55.6% disclosed to others, and 30.3% did not tell their status to anyone. Disclosure within a steady partnership was less likely among non-French individuals [Haitians: adjusted odds ratio (AOR) 0.11, 95% confidence interval (CI) 0.02-0.72; other nationalities: AOR 0.13, 95% CI 0.02-0.68]; and among those diagnosed with HIV after 1997 (AOR 0.21, 95% CI 0.05-0.86). Determinants of disclosure to others were found to be sex (women: AOR 2.04, 95% CI 1.24-3.36), age at diagnosis (>or=50 versus
Databáze: OpenAIRE