FACTORS ASSOCIATED WITH HIV VOLUNTARY DISCLOSURE TO ONE'S STEADY SEXUAL PARTNER IN MALI: RESULTS FROM A COMMUNITY-BASED STUDY
Mamadou Cissé
(1)
,
Samba Diop
(2)
,
Alise Abadie
(3, 4)
,
Emilie Henry
(5)
,
Adeline Bernier
(6)
,
Lionel Fugon
(6)
,
Bintou Dembele
(7)
,
Joanne Otis
(8)
,
Marie Preau
(9, 10)
1
LADYSS -
Laboratoire Dynamiques Sociales et Recomposition des Espaces
2 CHNU Fann
3 Laboratoire d'Océanologie - Centre MARE
4 FRES 3041 - Fédération de recherche Environnement et Société
5 Programme Recherche Communautaire - Coalition Internationale Sida [Pantin, France]
6 Coalition PLUS
7 UB - Université de Bordeaux
8 UQAM - Université du Québec à Montréal = University of Québec in Montréal
9 SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
10 GRePS - Groupe de Recherche en Psychologie Sociale
2 CHNU Fann
3 Laboratoire d'Océanologie - Centre MARE
4 FRES 3041 - Fédération de recherche Environnement et Société
5 Programme Recherche Communautaire - Coalition Internationale Sida [Pantin, France]
6 Coalition PLUS
7 UB - Université de Bordeaux
8 UQAM - Université du Québec à Montréal = University of Québec in Montréal
9 SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
10 GRePS - Groupe de Recherche en Psychologie Sociale
Marie Preau
- Fonction : Auteur
- PersonId : 171105
- IdHAL : preau-marie
- ORCID : 0000-0002-6239-1671
- IdRef : 084340525
Résumé
Despite the widespread dissemination of HIV information through
public awareness campaigns in Mali, disclosing seropositivity to one’s steady
sexual partner (SSP) remains difficult for people living with HIV (PLHIV). Disclosure
is a public health concern with serious implications and is also strongly
linked to the quality of life of PLHIV. This study aimed to analyse factors
associated with voluntary HIV disclosure to one’s SSP, using a community-based
cross-sectional study on 300 adult PLHIV in contact with a Malian communitybased
organization working in the field of AIDS response. A 125-item questionnaire
was administered by trained personnel to study participants between May
and October 2011. Analysis was restricted to the 219 participants who both
reported having a SSP and answered to the question on disclosure to their
SSP. A weighted multivariate logistic regression was used to determine variables
independently associated with disclosure. In total, 161 participants (73%) reported
HIV disclosure to their SSP. Having children (odds ratio [95% confidence
interval]: 4.52 [1.84–11.12]), being accompanied to the survey site (3.66
[1.00–13.33]), knowing others who had publicly declared their seropositivity
(3.12 [1.59–6.12]), having higher self-esteem (1.55 [1.09–2.19]) and using means
other than anti-retroviral treatment to treat HIV (0.33 [0.11–1.00]) were independently
associated with disclosure. This study identified several factors that
should be considered for the design of interventions aimed at facilitating disclosure
if/when desired in this cultural context.
Format du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
FACTORS ASSOCIATED WITH HIV VOLUNTARY DISCLOSURE TO ONE'S STEADY SEXUAL PARTNER IN MALI: RESULTS FROM A COMMUNITY-BASED STUDY
|
Résumé |
en
Despite the widespread dissemination of HIV information through
public awareness campaigns in Mali, disclosing seropositivity to one’s steady
sexual partner (SSP) remains difficult for people living with HIV (PLHIV). Disclosure
is a public health concern with serious implications and is also strongly
linked to the quality of life of PLHIV. This study aimed to analyse factors
associated with voluntary HIV disclosure to one’s SSP, using a community-based
cross-sectional study on 300 adult PLHIV in contact with a Malian communitybased
organization working in the field of AIDS response. A 125-item questionnaire
was administered by trained personnel to study participants between May
and October 2011. Analysis was restricted to the 219 participants who both
reported having a SSP and answered to the question on disclosure to their
SSP. A weighted multivariate logistic regression was used to determine variables
independently associated with disclosure. In total, 161 participants (73%) reported
HIV disclosure to their SSP. Having children (odds ratio [95% confidence
interval]: 4.52 [1.84–11.12]), being accompanied to the survey site (3.66
[1.00–13.33]), knowing others who had publicly declared their seropositivity
(3.12 [1.59–6.12]), having higher self-esteem (1.55 [1.09–2.19]) and using means
other than anti-retroviral treatment to treat HIV (0.33 [0.11–1.00]) were independently
associated with disclosure. This study identified several factors that
should be considered for the design of interventions aimed at facilitating disclosure
if/when desired in this cultural context.
|
Auteur(s) |
Mamadou Cissé
1
, Samba Diop
2
, Alise Abadie
3, 4
, Emilie Henry
5
, Adeline Bernier
6
, Lionel Fugon
6
, Bintou Dembele
7
, Joanne Otis
8
, Marie Preau
9, 10
1
LADYSS -
Laboratoire Dynamiques Sociales et Recomposition des Espaces
( 1096 )
- Université Paris Ouest Nanterre La Défense Bâtiment T 200 avenue de la République 92001 Nanterre cedex
- France
2
CHNU Fann
( 348390 )
- Sénégal
3
Laboratoire d'Océanologie - Centre MARE
( 259564 )
- Allée de la Chimie 3, 4000 Liège (Sart-Tilman)
- Belgique
4
FRES 3041 -
Fédération de recherche Environnement et Société
( 419537 )
- Université de Corse
BP 52
20250 Corte
- France
5
Programme Recherche Communautaire -
Coalition Internationale Sida [Pantin, France]
( 555704 )
- France
6
Coalition PLUS
( 356750 )
-
- France
7
UB -
Université de Bordeaux
( 259761 )
- 35, place Pey Berland - 33076 Bordeaux
- France
8
UQAM -
Université du Québec à Montréal = University of Québec in Montréal
( 360045 )
- Université du Québec à Montréal CP 8888, succursale Centre-ville Montréal (Québec) H3C 3P8
- Canada
9
SESSTIM - U912 INSERM - Aix Marseille Univ - IRD -
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
( 540465 )
- Faculté de Médecine - Site Timone - 27 Bd Jean Moulin 13385 – Marseille Cedex 05
- France
10
GRePS -
Groupe de Recherche en Psychologie Sociale
( 49955 )
- Université Lyon 2 - Institut de Psychologie 5 avenue Pierre Mendès-France - 69676 BRON cedex
- France
|
Langue du document |
Anglais
|
Nom de la revue |
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Date de publication |
2015
|
Volume |
48
|
Numéro |
1
|
Page/Identifiant |
51-65
|
Domaine(s) |
|
Mots-clés |
en
HIV, disclosure, community-based research , disclosure, community-based research
|
DOI | 10.1017/S0021932014000546 |
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