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FACTORS ASSOCIATED WITH HIV VOLUNTARY DISCLOSURE TO ONE'S STEADY SEXUAL PARTNER IN MALI: RESULTS FROM A COMMUNITY-BASED STUDY

Published online by Cambridge University Press:  08 January 2015

MAMADOU CISSÉ ,
SAMBA DIOP ,
ALISE ABADIE ,
EMILIE HENRY ,
ADELINE BERNIER ,
LIONEL FUGON ,
BINTOU DEMBELE ,
JOANNE OTIS  and
MARIE PREAU
MAMADOU CISSÉ
Affiliation:
ARCAD-SIDA, Bamako, Mali
SAMBA DIOP
Affiliation:
Faculté de médecine, USTTB, Bamako, Mali
ALISE ABADIE
Affiliation:
Coalition Internationale Sida, Pantin, France
EMILIE HENRY
Affiliation:
Coalition Internationale Sida, Pantin, France
ADELINE BERNIER*
Affiliation:
Coalition Internationale Sida, Pantin, France
LIONEL FUGON
Affiliation:
Coalition Internationale Sida, Pantin, France
BINTOU DEMBELE
Affiliation:
ARCAD-SIDA, Bamako, Mali
JOANNE OTIS
Affiliation:
Université du Québec à Montréal, CREcES, Montréal, Canada
MARIE PREAU
Affiliation:
GRePS, Université Lumière Lyon 2, Lyon, France
*
1Corresponding author. Email: abernier@coalitionplus.org
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Summary

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 community-based 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.

Type
Articles
Information
Journal of Biosocial Science , Volume 48 , Issue 1 , January 2016 , pp. 51 - 65
Copyright
Copyright © Cambridge University Press 2015 

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