Gender Perspective of Risk Factors Associated with Disclosure of HIV Status, a Cross-Sectional Study in Soweto, South Africa
Identifieur interne : 002871 ( Ncbi/Curation ); précédent : 002870; suivant : 002872Gender Perspective of Risk Factors Associated with Disclosure of HIV Status, a Cross-Sectional Study in Soweto, South Africa
Auteurs : Elisa Longinetti [Suède] ; Michele Santacatterina [Suède] ; Ziad El-Khatib [Suède, Canada]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Human Immunodeficiency Virus (HIV) status disclosure has been shown to provide several benefits, both at the individual and societal levels.
To determine risk factors associated with disclosing HIV status among antiretroviral therapy (ART) recipients in South Africa.
A cross-sectional study on risk factors for viremia and drug resistance took place at two outpatient HIV clinics in 2008, at a large hospital located in Soweto, South Africa.
We conducted a secondary data analysis on socio-economic characteristics and HIV status disclosure to anyone, focusing on gender differences. Descriptive and multivariable logistic regression analyses were performed to model the associations between risk factors and HIV status disclosure. Additionally, descriptive analysis was conducted to describe gender differences of HIV status disclosure to partner, parents, parents in law, partner, child, family, employer, and other.
A total of 883 patients were interviewed. The majority were women (73%) with median age of 39 years.
Employed patients were less likely to disclose than unemployed (odds ratio (OR) 0.36; 95% confidence interval (CI) 0.1–1.0; p = 0.05)). Women with higher income were more likely to disclose (OR 3.25; 95% CI 0.90–11.7; p = 0.07) than women with lower income, while men with higher income were less likely (OR 0.20; 95% CI 0.02–1.99; p = 0.17) than men with lower income. Men were more likely than women to disclose to their partner (p<0.01), and to partner and family (p<0.01), women were more likely than men to disclose to child and family (p<0.01), to child, family and others (p = 0.01).
Being employed imposed a risk factor for HIV status disclosure, additionally we found an interaction effect of gender and income on disclosure. Interventions designed to reduce workplace discrimination and gender-sensitive interventions promoting disclosure are strongly recommended.
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DOI: 10.1371/journal.pone.0095440
PubMed: 24743189
PubMed Central: 3990640
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id="aff2"><addr-line>Unit of Biostatistics – Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Unit of Biostatistics – Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="El Khatib, Ziad" sort="El Khatib, Ziad" uniqKey="El Khatib Z" first="Ziad" last="El-Khatib">Ziad El-Khatib</name><affiliation wicri:level="3"><nlm:aff id="aff3"><addr-line>Health Systems and Policy Research Group (Global Health), Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Health Systems and Policy Research Group (Global Health), Department of Public Health Sciences, Karolinska Institutet, 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wicri:corpus="PMC">002A95</idno><idno type="wicri:Area/Pmc/Curation">002A94</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002A94</idno><idno type="wicri:Area/Pmc/Checkpoint">001368</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001368</idno><idno type="wicri:Area/Ncbi/Merge">002871</idno><idno type="wicri:Area/Ncbi/Curation">002871</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Gender Perspective of Risk Factors Associated with Disclosure of HIV Status, a Cross-Sectional Study in Soweto, South Africa</title><author><name sortKey="Longinetti, Elisa" sort="Longinetti, Elisa" uniqKey="Longinetti E" first="Elisa" last="Longinetti">Elisa Longinetti</name><affiliation wicri:level="3"><nlm:aff id="aff1"><addr-line>Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Public Health Sciences, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Santacatterina, Michele" sort="Santacatterina, Michele" uniqKey="Santacatterina M" first="Michele" last="Santacatterina">Michele Santacatterina</name><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>Unit of Biostatistics – Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Unit of Biostatistics – Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="El Khatib, Ziad" sort="El Khatib, Ziad" uniqKey="El Khatib Z" first="Ziad" last="El-Khatib">Ziad El-Khatib</name><affiliation wicri:level="3"><nlm:aff id="aff3"><addr-line>Health Systems and Policy Research Group (Global Health), Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Health Systems and Policy Research Group (Global Health), Department of Public Health Sciences, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Global Health, Université du Québec en Abitibi-Témiscamingue, Rouyn-Noranda, Québec, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Global Health, Université du Québec en Abitibi-Témiscamingue, Rouyn-Noranda, Québec</wicri:regionArea><wicri:noRegion>Québec</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Human Immunodeficiency Virus (HIV) status disclosure has been shown to provide several benefits, both at the individual and societal levels.</p></sec><sec><title>Aim</title><p>To determine risk factors associated with disclosing HIV status among antiretroviral therapy (ART) recipients in South Africa.</p></sec><sec><title>Setting</title><p>A cross-sectional study on risk factors for viremia and drug resistance took place at two outpatient HIV clinics in 2008, at a large hospital located in Soweto, South Africa.</p></sec><sec><title>Methods</title><p>We conducted a secondary data analysis on socio-economic characteristics and HIV status disclosure to anyone, focusing on gender differences. Descriptive and multivariable logistic regression analyses were performed to model the associations between risk factors and HIV status disclosure. Additionally, descriptive analysis was conducted to describe gender differences of HIV status disclosure to partner, parents, parents in law, partner, child, family, employer, and other.</p></sec><sec><title>Patients</title><p>A total of 883 patients were interviewed. The majority were women (73%) with median age of 39 years.</p></sec><sec><title>Results</title><p>Employed patients were less likely to disclose than unemployed (odds ratio (OR) 0.36; 95% confidence interval (CI) 0.1–1.0; p = 0.05)). Women with higher income were more likely to disclose (OR 3.25; 95% CI 0.90–11.7; p = 0.07) than women with lower income, while men with higher income were less likely (OR 0.20; 95% CI 0.02–1.99; p = 0.17) than men with lower income. Men were more likely than women to disclose to their partner (p<0.01), and to partner and family (p<0.01), women were more likely than men to disclose to child and family (p<0.01), to child, family and others (p = 0.01).</p></sec><sec><title>Conclusion</title><p>Being employed imposed a risk factor for HIV status disclosure, additionally we found an interaction effect of gender and income on disclosure. 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sortKey="Rosen, S" uniqKey="Rosen S">S Rosen</name></author><author><name sortKey="Ketlhapile, M" uniqKey="Ketlhapile M">M Ketlhapile</name></author><author><name sortKey="Sanne, I" uniqKey="Sanne I">I Sanne</name></author><author><name sortKey="Desilva, Mb" uniqKey="Desilva M">MB DeSilva</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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