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<title xml:lang="en">Disclosure, Knowledge of Partner Status, and Condom Use Among HIV-Positive Patients Attending Clinical Care in Tanzania, Kenya, and Namibia</title>
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<name sortKey="Bachanas, Pamela" sort="Bachanas, Pamela" uniqKey="Bachanas P" first="Pamela" last="Bachanas">Pamela Bachanas</name>
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<name sortKey="Medley, Amy" sort="Medley, Amy" uniqKey="Medley A" first="Amy" last="Medley">Amy Medley</name>
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<name sortKey="Pals, Sherri" sort="Pals, Sherri" uniqKey="Pals S" first="Sherri" last="Pals">Sherri Pals</name>
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<nlm:aff id="aff1"></nlm:aff>
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<author>
<name sortKey="Kidder, Daniel" sort="Kidder, Daniel" uniqKey="Kidder D" first="Daniel" last="Kidder">Daniel Kidder</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Antelman, Gretchen" sort="Antelman, Gretchen" uniqKey="Antelman G" first="Gretchen" last="Antelman">Gretchen Antelman</name>
<affiliation>
<nlm:aff id="aff2"></nlm:aff>
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<name sortKey="Benech, Irene" sort="Benech, Irene" uniqKey="Benech I" first="Irene" last="Benech">Irene Benech</name>
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<name sortKey="Deluca, Nicolas" sort="Deluca, Nicolas" uniqKey="Deluca N" first="Nicolas" last="Deluca">Nicolas Deluca</name>
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<name sortKey="Nuwagaba Biribonwoha, Harriet" sort="Nuwagaba Biribonwoha, Harriet" uniqKey="Nuwagaba Biribonwoha H" first="Harriet" last="Nuwagaba-Biribonwoha">Harriet Nuwagaba-Biribonwoha</name>
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<author>
<name sortKey="Muhenje, Odylia" sort="Muhenje, Odylia" uniqKey="Muhenje O" first="Odylia" last="Muhenje">Odylia Muhenje</name>
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<name sortKey="Cherutich, Peter" sort="Cherutich, Peter" uniqKey="Cherutich P" first="Peter" last="Cherutich">Peter Cherutich</name>
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<name sortKey="Kariuki, Pauline" sort="Kariuki, Pauline" uniqKey="Kariuki P" first="Pauline" last="Kariuki">Pauline Kariuki</name>
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<name sortKey="Katuta, Frieda" sort="Katuta, Frieda" uniqKey="Katuta F" first="Frieda" last="Katuta">Frieda Katuta</name>
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<name sortKey="Bukuku, May" sort="Bukuku, May" uniqKey="Bukuku M" first="May" last="Bukuku">May Bukuku</name>
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<title xml:lang="en" level="a" type="main">Disclosure, Knowledge of Partner Status, and Condom Use Among HIV-Positive Patients Attending Clinical Care in Tanzania, Kenya, and Namibia</title>
<author>
<name sortKey="Bachanas, Pamela" sort="Bachanas, Pamela" uniqKey="Bachanas P" first="Pamela" last="Bachanas">Pamela Bachanas</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Medley, Amy" sort="Medley, Amy" uniqKey="Medley A" first="Amy" last="Medley">Amy Medley</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pals, Sherri" sort="Pals, Sherri" uniqKey="Pals S" first="Sherri" last="Pals">Sherri Pals</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kidder, Daniel" sort="Kidder, Daniel" uniqKey="Kidder D" first="Daniel" last="Kidder">Daniel Kidder</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Antelman, Gretchen" sort="Antelman, Gretchen" uniqKey="Antelman G" first="Gretchen" last="Antelman">Gretchen Antelman</name>
<affiliation>
<nlm:aff id="aff2"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Benech, Irene" sort="Benech, Irene" uniqKey="Benech I" first="Irene" last="Benech">Irene Benech</name>
<affiliation>
<nlm:aff id="aff3"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Deluca, Nicolas" sort="Deluca, Nicolas" uniqKey="Deluca N" first="Nicolas" last="Deluca">Nicolas Deluca</name>
<affiliation>
<nlm:aff id="aff4"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nuwagaba Biribonwoha, Harriet" sort="Nuwagaba Biribonwoha, Harriet" uniqKey="Nuwagaba Biribonwoha H" first="Harriet" last="Nuwagaba-Biribonwoha">Harriet Nuwagaba-Biribonwoha</name>
<affiliation>
<nlm:aff id="aff2"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Muhenje, Odylia" sort="Muhenje, Odylia" uniqKey="Muhenje O" first="Odylia" last="Muhenje">Odylia Muhenje</name>
<affiliation>
<nlm:aff id="aff5"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cherutich, Peter" sort="Cherutich, Peter" uniqKey="Cherutich P" first="Peter" last="Cherutich">Peter Cherutich</name>
<affiliation>
<nlm:aff id="aff6"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kariuki, Pauline" sort="Kariuki, Pauline" uniqKey="Kariuki P" first="Pauline" last="Kariuki">Pauline Kariuki</name>
<affiliation>
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</affiliation>
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<name sortKey="Katuta, Frieda" sort="Katuta, Frieda" uniqKey="Katuta F" first="Frieda" last="Katuta">Frieda Katuta</name>
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</affiliation>
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<name sortKey="Bukuku, May" sort="Bukuku, May" uniqKey="Bukuku M" first="May" last="Bukuku">May Bukuku</name>
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<series>
<title level="j">AIDS Patient Care and STDs</title>
<idno type="ISSN">1087-2914</idno>
<idno type="eISSN">1557-7449</idno>
<imprint>
<date when="2013">2013</date>
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<front>
<div type="abstract" xml:lang="en">
<title>Abstract</title>
<p>We describe the frequency of and factors associated with disclosure, knowledge of partner's HIV status, and consistent condom use among 3538 HIV-positive patients attending eighteen HIV care and treatment clinics in Kenya, Namibia, and Tanzania. Overall, 42% of patients were male, and 64% were on antiretroviral treatment. The majority (80%) had disclosed their HIV status to their partners, 64% knew their partner's HIV status, and 77% reported consistent condom use. Of those who knew their partner's status, 18% reported their partner was HIV negative. Compared to men, women were significantly less likely to report disclosing their HIV status to their sex partner(s), to knowing their partner's HIV status, and to using condoms consistently with HIV-negative partners. Other factors negatively associated with consistent condom use include nondisclosure, alcohol use, reporting a casual sex partner, and desiring a pregnancy. Health care providers should target additional risk reduction counseling and support services to patients who report these characteristics.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">AIDS Patient Care STDS</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS Patient Care STDS</journal-id>
<journal-id journal-id-type="publisher-id">apc</journal-id>
<journal-title-group>
<journal-title>AIDS Patient Care and STDs</journal-title>
</journal-title-group>
<issn pub-type="ppub">1087-2914</issn>
<issn pub-type="epub">1557-7449</issn>
<publisher>
<publisher-name>Mary Ann Liebert, Inc.</publisher-name>
<publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23829332</article-id>
<article-id pub-id-type="pmc">3704112</article-id>
<article-id pub-id-type="publisher-id">10.1089/apc.2012.0388</article-id>
<article-id pub-id-type="doi">10.1089/apc.2012.0388</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Behavioral and Psychosocial Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Disclosure, Knowledge of Partner Status, and Condom Use Among HIV-Positive Patients Attending Clinical Care in Tanzania, Kenya, and Namibia</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Bachanas</surname>
<given-names>Pamela</given-names>
</name>
<degrees>PhD, MA</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Medley</surname>
<given-names>Amy</given-names>
</name>
<degrees>PhD, MPH</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pals</surname>
<given-names>Sherri</given-names>
</name>
<degrees>PhD, MS</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kidder</surname>
<given-names>Daniel</given-names>
</name>
<degrees>PhD, MS</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Antelman</surname>
<given-names>Gretchen</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Benech</surname>
<given-names>Irene</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Deluca</surname>
<given-names>Nicolas</given-names>
</name>
<degrees>PhD, MA</degrees>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nuwagaba-Biribonwoha</surname>
<given-names>Harriet</given-names>
</name>
<degrees>PhD, MBChB</degrees>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Muhenje</surname>
<given-names>Odylia</given-names>
</name>
<degrees>MA</degrees>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cherutich</surname>
<given-names>Peter</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kariuki</surname>
<given-names>Pauline</given-names>
</name>
<degrees>BA, RN</degrees>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Katuta</surname>
<given-names>Frieda</given-names>
</name>
<degrees>BSc, RN</degrees>
<xref ref-type="aff" rid="aff8">
<sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bukuku</surname>
<given-names>May</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="aff9">
<sup>9</sup>
</xref>
</contrib>
<on-behalf-of>for the PwP Study Group</on-behalf-of>
<aff id="aff1">
<label>
<sup>1</sup>
</label>
Division of Global HIV/AIDS,
<institution>U.S. Centers for Disease Control and Prevention</institution>
, Atlanta, Georgia.</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>
ICAP-Tanzania,
<institution>Columbia University</institution>
, Dar Es Salaam,
<country>United Republic of Tanzania</country>
.</aff>
<aff id="aff3">
<label>
<sup>3</sup>
</label>
Division of Global HIV/AIDS,
<institution>U.S. Centers for Disease Control and Prevention</institution>
, Dar Es Salaam,
<country>United Republic of Tanzania</country>
.</aff>
<aff id="aff4">
<label>
<sup>4</sup>
</label>
<institution>Division of Global HIV/AIDS U.S. Centers for Disease Control and Prevention</institution>
, Windhoek,
<country>Namibia</country>
.</aff>
<aff id="aff5">
<label>
<sup>5</sup>
</label>
Division of Global HIV/AIDS,
<institution>U.S. Centers for Disease Control and Prevention</institution>
, Nairobi,
<country>Kenya</country>
.</aff>
<aff id="aff6">
<label>
<sup>6</sup>
</label>
<institution>National AIDS/STD Control Programme (NASCOP)</institution>
, Ministry of Health, Nairobi,
<country>Kenya</country>
.</aff>
<aff id="aff7">
<label>
<sup>7</sup>
</label>
ICAP-Kenya,
<institution>Columbia University</institution>
, Nairobi,
<country>Kenya</country>
.</aff>
<aff id="aff8">
<label>
<sup>8</sup>
</label>
HIV Prevention,
<institution>Ministry of Health and Social Services</institution>
, Windhoek,
<country>Namibia</country>
.</aff>
<aff id="aff9">
<label>
<sup>9</sup>
</label>
HIV Prevention,
<institution>Ministry of Health and Social Welfare</institution>
, Dar Es Salaam,
<country>United Republic of Tanzania</country>
.</aff>
</contrib-group>
<author-notes>
<corresp>Address correspondence to:
<italic>Pamela Bachanas, PhD, Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, 1600 Clifton Road, MS E04, Atlanta, GA 30329. E-mail:</italic>
<email xlink:href="mailto:pbachanas@cdc.gov">pbachanas@cdc.gov</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2013</year>
<pmc-comment>string-date: July 2013</pmc-comment>
</pub-date>
<volume>27</volume>
<issue>7</issue>
<fpage>425</fpage>
<lpage>435</lpage>
<permissions>
<copyright-statement>Copyright 2013, Mary Ann Liebert, Inc.</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<self-uri xlink:type="simple" xlink:href="apc.2012.0388.pdf"></self-uri>
<abstract>
<title>Abstract</title>
<p>We describe the frequency of and factors associated with disclosure, knowledge of partner's HIV status, and consistent condom use among 3538 HIV-positive patients attending eighteen HIV care and treatment clinics in Kenya, Namibia, and Tanzania. Overall, 42% of patients were male, and 64% were on antiretroviral treatment. The majority (80%) had disclosed their HIV status to their partners, 64% knew their partner's HIV status, and 77% reported consistent condom use. Of those who knew their partner's status, 18% reported their partner was HIV negative. Compared to men, women were significantly less likely to report disclosing their HIV status to their sex partner(s), to knowing their partner's HIV status, and to using condoms consistently with HIV-negative partners. Other factors negatively associated with consistent condom use include nondisclosure, alcohol use, reporting a casual sex partner, and desiring a pregnancy. Health care providers should target additional risk reduction counseling and support services to patients who report these characteristics.</p>
</abstract>
<counts>
<table-count count="5"></table-count>
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<page-count count="11"></page-count>
</counts>
</article-meta>
</front>
</pmc>
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