Predictors of HIV Status Disclosure to Sexual Partners Among People Living with HIV in Brazil

The objective of this study was to identify the factors associated with the non-disclosure of HIV seropositivity among people living with HIV/AIDS undergoing antiretroviral treatment. A cross-sectional study was carried out in five HIV clinics in the interior of the state of São Paulo, Brazil. Logis...

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Bibliographic Details
Published in:AIDS and behavior 2021-11, Vol.25 (11), p.3538-3546
Main Authors: Reis, Renata Karina, Sousa, Laelson Rochelle Milanês, Melo, Elizabete Santos, Fernandes, Nilo Martinez, Sorensen, William, Gir, Elucir
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Antiretroviral agents
Antiretroviral drugs
Brazil
Communication
Cross-Sectional Studies
Disclosure
Disease prevention
Health Psychology
Health risks
HIV
HIV Infections - prevention & control
HIV Seropositivity
Human immunodeficiency virus
Humans
Infectious Diseases
Medical treatment
Medicine
Medicine & Public Health
Original Paper
Prescription drugs
Prevention
Public Health
Regression analysis
Sexual behavior
Sexual Partners
Sexually transmitted diseases
STD
Truth Disclosure
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Summary:The objective of this study was to identify the factors associated with the non-disclosure of HIV seropositivity among people living with HIV/AIDS undergoing antiretroviral treatment. A cross-sectional study was carried out in five HIV clinics in the interior of the state of São Paulo, Brazil. Logistic regression analysis was used to determine independent predictors of HIV status disclosure. It was found that 68.5% revealed their HIV seropositivity to their most recent sexual partner. The variables “casual partner” [OR 19.08, 95% CI (4.08, 20.23), p = 0.001], “sexual partners with negative HIV or unknown HIV” [OR 4.54, 95% CI (1.58, 1.01), p = 0.005], “multiple sexual partners” [OR = 3.17, 95% CI (1.34, 7.35), p = 0.009], and “lack of communication with the partner on HIV prevention”[OR = 8.3, 95% CI (3.88, 16.61), p = 0.001] were independently associated with non-disclosure of the diagnosis. Future HIV prevention interventions should encourage open communication between sexual partners.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-021-03362-1