Test and Tell: Correlates and Consequences of Testing and Disclosure of HIV Status in South Africa (HPTN 043 Project Accept)
Identifieur interne : 000673 ( Ncbi/Merge ); précédent : 000672; suivant : 000674Test and Tell: Correlates and Consequences of Testing and Disclosure of HIV Status in South Africa (HPTN 043 Project Accept)
Auteurs : Lauren H. Wong [États-Unis] ; Heidi Van Rooyen [Afrique du Sud] ; Precious Modiba [Afrique du Sud] ; Linda Richter [Afrique du Sud] ; Glenda Gray [Afrique du Sud] ; James A. Mcintyre [Afrique du Sud] ; Christine Dunkel Schetter [États-Unis] ; Thomas Coates [États-Unis]Source :
- Journal of acquired immune deficiency syndromes (1999) [ 1525-4135 ] ; 2009.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Entretiens comme sujet, Femelle, Humains, Infections à VIH (diagnostic), Jeune adulte, Mâle, Partenaire sexuel, Population rurale, Population urbaine, République d'Afrique du Sud, Révélation de soi, Soutien social, Stéréotypage, Sérodiagnostic du SIDA, Séropositivité VIH (psychologie).
- MESH :
- diagnostic : Infections à VIH.
- psychologie : Séropositivité VIH.
- Adolescent, Adulte, Entretiens comme sujet, Femelle, Humains, Jeune adulte, Mâle, Partenaire sexuel, Population rurale, Population urbaine, République d'Afrique du Sud, Révélation de soi, Soutien social, Stéréotypage, Sérodiagnostic du SIDA.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- MESH :
- geographic : South Africa.
- diagnosis : HIV Infections.
- psychology : HIV Seropositivity.
- AIDS Serodiagnosis, Adolescent, Adult, Female, Humans, Interviews as Topic, Male, Rural Population, Self Disclosure, Sexual Partners, Social Support, Stereotyping, Urban Population, Young Adult.
Abstract
As the numbers of HIV-positive diagnoses rise in South Africa, it is important to understand the determinants and consequences of HIV disclosure.
Cross-sectional survey from random community samples of men and women in urban and rural South Africa (n = 217 HIV-positive individuals, 89% female).
Two thirds of all known HIV-infected adults in these communities had disclosed their status to sexual partner(s). On average, individuals who disclosed were 2 years older, higher in socioeconomic assets, and had known their HIV status 7 months longer than those who had not told their sexual partner(s). The “need for privacy” was the most cited reason (45%) for nondisclosure among those who had never disclosed. People who eventually disclosed their HIV status to sexual partner(s) were significantly more likely to report always or more frequently using condoms, reducing their number of sexual partners, and/or becoming monogamous. Among individuals who disclosed their HIV status, 77% reported increases in social support, with families providing the most support.
Disclosure is associated with reports of consequent safer sexual behavior and greater social support. Interventions might be informed by the costs and benefits of disclosure and differences in disclosure to sexual partner vs. to one’s social network.
Url:
DOI: 10.1097/QAI.0b013e3181900172
PubMed: 19131885
PubMed Central: 2729272
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PMC:2729272Le document en format XML
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<term>HIV Infections (diagnosis)</term>
<term>HIV Seropositivity (psychology)</term>
<term>Humans</term>
<term>Interviews as Topic</term>
<term>Male</term>
<term>Rural Population</term>
<term>Self Disclosure</term>
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<term>Adulte</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Infections à VIH (diagnostic)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Partenaire sexuel</term>
<term>Population rurale</term>
<term>Population urbaine</term>
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<term>Stéréotypage</term>
<term>Sérodiagnostic du SIDA</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Séropositivité VIH</term>
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<term>Adult</term>
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<term>Humans</term>
<term>Interviews as Topic</term>
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<term>Adulte</term>
<term>Entretiens comme sujet</term>
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<term>Humains</term>
<term>Jeune adulte</term>
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<term>Population urbaine</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">As the numbers of HIV-positive diagnoses rise in South Africa, it is important to understand the determinants and consequences of HIV disclosure.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">Cross-sectional survey from random community samples of men and women in urban and rural South Africa (n = 217 HIV-positive individuals, 89% female).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Two thirds of all known HIV-infected adults in these communities had disclosed their status to sexual partner(s). On average, individuals who disclosed were 2 years older, higher in socioeconomic assets, and had known their HIV status 7 months longer than those who had not told their sexual partner(s). The “need for privacy” was the most cited reason (45%) for nondisclosure among those who had never disclosed. People who eventually disclosed their HIV status to sexual partner(s) were significantly more likely to report always or more frequently using condoms, reducing their number of sexual partners, and/or becoming monogamous. Among individuals who disclosed their HIV status, 77% reported increases in social support, with families providing the most support.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Disclosure is associated with reports of consequent safer sexual behavior and greater social support. Interventions might be informed by the costs and benefits of disclosure and differences in disclosure to sexual partner vs. to one’s social network.</p>
</sec>
</div>
</front>
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</affiliation>
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<author><name sortKey="Van Rooyen, Heidi" sort="Van Rooyen, Heidi" uniqKey="Van Rooyen H" first="Heidi" last="Van Rooyen">Heidi Van Rooyen</name>
<affiliation wicri:level="1"><nlm:aff id="A2"> Human Sciences Research Council, Pretoria, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea> Human Sciences Research Council, Pretoria</wicri:regionArea>
<wicri:noRegion>Pretoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Modiba, Precious" sort="Modiba, Precious" uniqKey="Modiba P" first="Precious" last="Modiba">Precious Modiba</name>
<affiliation wicri:level="1"><nlm:aff id="A3"> Perinatal HIV Research Unit, University of Witwatersrand, Chris Hani Baragwanath Hospital, Soweto, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea> Perinatal HIV Research Unit, University of Witwatersrand, Chris Hani Baragwanath Hospital, Soweto</wicri:regionArea>
<wicri:noRegion>Soweto</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Richter, Linda" sort="Richter, Linda" uniqKey="Richter L" first="Linda" last="Richter">Linda Richter</name>
<affiliation wicri:level="1"><nlm:aff id="A2"> Human Sciences Research Council, Pretoria, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea> Human Sciences Research Council, Pretoria</wicri:regionArea>
<wicri:noRegion>Pretoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gray, Glenda" sort="Gray, Glenda" uniqKey="Gray G" first="Glenda" last="Gray">Glenda Gray</name>
<affiliation wicri:level="1"><nlm:aff id="A3"> Perinatal HIV Research Unit, University of Witwatersrand, Chris Hani Baragwanath Hospital, Soweto, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea> Perinatal HIV Research Unit, University of Witwatersrand, Chris Hani Baragwanath Hospital, Soweto</wicri:regionArea>
<wicri:noRegion>Soweto</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mcintyre, James A" sort="Mcintyre, James A" uniqKey="Mcintyre J" first="James A." last="Mcintyre">James A. Mcintyre</name>
<affiliation wicri:level="1"><nlm:aff id="A3"> Perinatal HIV Research Unit, University of Witwatersrand, Chris Hani Baragwanath Hospital, Soweto, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea> Perinatal HIV Research Unit, University of Witwatersrand, Chris Hani Baragwanath Hospital, Soweto</wicri:regionArea>
<wicri:noRegion>Soweto</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Schetter, Christine Dunkel" sort="Schetter, Christine Dunkel" uniqKey="Schetter C" first="Christine Dunkel" last="Schetter">Christine Dunkel Schetter</name>
<affiliation wicri:level="2"><nlm:aff id="A1"> Department of Psychology, University of California, Los Angeles, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea> Department of Psychology, University of California, Los Angeles</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Coates, Thomas" sort="Coates, Thomas" uniqKey="Coates T" first="Thomas" last="Coates">Thomas Coates</name>
<affiliation wicri:level="2"><nlm:aff id="A4"> Program in Global Health, University of California, Los Angeles, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea> Program in Global Health, University of California, Los Angeles</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of acquired immune deficiency syndromes (1999)</title>
<idno type="ISSN">1525-4135</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">As the numbers of HIV-positive diagnoses rise in South Africa, it is important to understand the determinants and consequences of HIV disclosure.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">Cross-sectional survey from random community samples of men and women in urban and rural South Africa (n = 217 HIV-positive individuals, 89% female).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Two thirds of all known HIV-infected adults in these communities had disclosed their status to sexual partner(s). On average, individuals who disclosed were 2 years older, higher in socioeconomic assets, and had known their HIV status 7 months longer than those who had not told their sexual partner(s). The “need for privacy” was the most cited reason (45%) for nondisclosure among those who had never disclosed. People who eventually disclosed their HIV status to sexual partner(s) were significantly more likely to report always or more frequently using condoms, reducing their number of sexual partners, and/or becoming monogamous. Among individuals who disclosed their HIV status, 77% reported increases in social support, with families providing the most support.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Disclosure is associated with reports of consequent safer sexual behavior and greater social support. Interventions might be informed by the costs and benefits of disclosure and differences in disclosure to sexual partner vs. to one’s social network.</p>
</sec>
</div>
</front>
</TEI>
</pmc>
<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Test and tell: correlates and consequences of testing and disclosure of HIV status in South Africa (HPTN 043 Project Accept).</title>
<author><name sortKey="Wong, Lauren H" sort="Wong, Lauren H" uniqKey="Wong L" first="Lauren H" last="Wong">Lauren H. Wong</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Psychology, University of California, Los Angeles, CA 90095-1563, USA. lhwong@ucla.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychology, University of California, Los Angeles, CA 90095-1563</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rooyen, Heidi Van" sort="Rooyen, Heidi Van" uniqKey="Rooyen H" first="Heidi Van" last="Rooyen">Heidi Van Rooyen</name>
</author>
<author><name sortKey="Modiba, Precious" sort="Modiba, Precious" uniqKey="Modiba P" first="Precious" last="Modiba">Precious Modiba</name>
</author>
<author><name sortKey="Richter, Linda" sort="Richter, Linda" uniqKey="Richter L" first="Linda" last="Richter">Linda Richter</name>
</author>
<author><name sortKey="Gray, Glenda" sort="Gray, Glenda" uniqKey="Gray G" first="Glenda" last="Gray">Glenda Gray</name>
</author>
<author><name sortKey="Mcintyre, James A" sort="Mcintyre, James A" uniqKey="Mcintyre J" first="James A" last="Mcintyre">James A. Mcintyre</name>
</author>
<author><name sortKey="Schetter, Christine Dunkel" sort="Schetter, Christine Dunkel" uniqKey="Schetter C" first="Christine Dunkel" last="Schetter">Christine Dunkel Schetter</name>
</author>
<author><name sortKey="Coates, Thomas" sort="Coates, Thomas" uniqKey="Coates T" first="Thomas" last="Coates">Thomas Coates</name>
</author>
</titleStmt>
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<date when="2009">2009</date>
<idno type="RBID">pubmed:19131885</idno>
<idno type="pmid">19131885</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Test and tell: correlates and consequences of testing and disclosure of HIV status in South Africa (HPTN 043 Project Accept).</title>
<author><name sortKey="Wong, Lauren H" sort="Wong, Lauren H" uniqKey="Wong L" first="Lauren H" last="Wong">Lauren H. Wong</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Psychology, University of California, Los Angeles, CA 90095-1563, USA. lhwong@ucla.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychology, University of California, Los Angeles, CA 90095-1563</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rooyen, Heidi Van" sort="Rooyen, Heidi Van" uniqKey="Rooyen H" first="Heidi Van" last="Rooyen">Heidi Van Rooyen</name>
</author>
<author><name sortKey="Modiba, Precious" sort="Modiba, Precious" uniqKey="Modiba P" first="Precious" last="Modiba">Precious Modiba</name>
</author>
<author><name sortKey="Richter, Linda" sort="Richter, Linda" uniqKey="Richter L" first="Linda" last="Richter">Linda Richter</name>
</author>
<author><name sortKey="Gray, Glenda" sort="Gray, Glenda" uniqKey="Gray G" first="Glenda" last="Gray">Glenda Gray</name>
</author>
<author><name sortKey="Mcintyre, James A" sort="Mcintyre, James A" uniqKey="Mcintyre J" first="James A" last="Mcintyre">James A. Mcintyre</name>
</author>
<author><name sortKey="Schetter, Christine Dunkel" sort="Schetter, Christine Dunkel" uniqKey="Schetter C" first="Christine Dunkel" last="Schetter">Christine Dunkel Schetter</name>
</author>
<author><name sortKey="Coates, Thomas" sort="Coates, Thomas" uniqKey="Coates T" first="Thomas" last="Coates">Thomas Coates</name>
</author>
</analytic>
<series><title level="j">Journal of acquired immune deficiency syndromes (1999)</title>
<idno type="ISSN">1525-4135</idno>
<imprint><date when="2009" type="published">2009</date>
</imprint>
</series>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS Serodiagnosis</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>HIV Infections (diagnosis)</term>
<term>HIV Seropositivity (psychology)</term>
<term>Humans</term>
<term>Interviews as Topic</term>
<term>Male</term>
<term>Rural Population</term>
<term>Self Disclosure</term>
<term>Sexual Partners</term>
<term>Social Support</term>
<term>South Africa</term>
<term>Stereotyping</term>
<term>Urban Population</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Entretiens comme sujet</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à VIH (diagnostic)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Partenaire sexuel</term>
<term>Population rurale</term>
<term>Population urbaine</term>
<term>République d'Afrique du Sud</term>
<term>Révélation de soi</term>
<term>Soutien social</term>
<term>Stéréotypage</term>
<term>Sérodiagnostic du SIDA</term>
<term>Séropositivité VIH (psychologie)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Africa</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à VIH</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Séropositivité VIH</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Seropositivity</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>AIDS Serodiagnosis</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Interviews as Topic</term>
<term>Male</term>
<term>Rural Population</term>
<term>Self Disclosure</term>
<term>Sexual Partners</term>
<term>Social Support</term>
<term>Stereotyping</term>
<term>Urban Population</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Entretiens comme sujet</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Partenaire sexuel</term>
<term>Population rurale</term>
<term>Population urbaine</term>
<term>République d'Afrique du Sud</term>
<term>Révélation de soi</term>
<term>Soutien social</term>
<term>Stéréotypage</term>
<term>Sérodiagnostic du SIDA</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afrique du Sud</term>
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<front><div type="abstract" xml:lang="en">As the numbers of HIV-positive diagnoses rise in South Africa, it is important to understand the determinants and consequences of HIV disclosure.</div>
</front>
</TEI>
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