International Journal of HIV/AIDS Prevention, Education and Behavioural Science

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Rates, Factors, Timing and Outcomes of HIV Status Disclosure Among Patients Attending the Special Treatment Clinic of the National Hospital Abuja Nigeria

Received: 28 September 2016    Accepted: 12 October 2016    Published: 19 October 2016
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Abstract

Disclosure of private information is likely to be emotional and complex, and even more so in the context of disclosing one’s HIV status, which involves sensitive, potentially life-changing information and the possibility of invoking stigmatization and discrimination. The objective of the study was to determine the prevalence, factors, timing and outcomes of HIV status disclosure among HIV positive patients receiving care at the Special Treatment Clinic of the National Hospital Abuja, Nigeria. The study was a descriptive cross sectional involving 240 conveniently sampled HIV positive patients enrolled in care. A self-administered structured questionnaire was used for data collection. Data was analyzed with the SPSS version 16. Tools used for analysis included descriptive statistics and Chi square test. Results showed that majority of respondents 228 (95.0%) had disclosed their HIV status, of which most 121 (50.4%) had disclosed to their sexual partners. A significant association was seen between level of education and status disclosure; x 2= 0.001. A significant association (x2= 0.001) was seen between timing of status disclosure and age and also between level of education and timing of status disclosure (x2= 0.001). Overall majority 122 (53.3%) of respondents received positive reaction from the first person to whom they first disclosed their HIV status. Minority 2 (0.9%) experienced violence and majority 136 (56.7%) had no intention of further disclosure of their status. With most respondents experiencing positive responses to their HIV status disclosure; indicating clear benefits, minority experiencing negative reactions and a significant proportion having no intention of further disclosure, more studies are needed for wider recommendation on how to manage disclosure issues.

DOI 10.11648/j.ijhpebs.20160203.11
Published in International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 2, Issue 3, October 2016)
Page(s) 13-19
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

HIV Status Disclosure, Rates, Timing, Factors, Outcomes, Nigeria

References
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[3] Joint United Nations Programme on HIV/AIDS (UNAIDS) and ... - RC Online. rconline.undg.org/wp-content/uploads/2012/09/UNAIDS_InfoBrief2012.pdf. Assessed March 2012
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[5] World Health Organization (2004). HIV status disclosure to sexual partners: rates, barriers and outcomes for women. http://www.who.int/gender/documents/en/. Accessed February 2013
[6] Salami AK, Fadeyi A, Ogunmodede JA. and Desalu OO. Status disclosure among people living with HIV/AIDS in Ilorin Nigeria. West Africa Journal of Medicine. 2011; 30(5): 359-363.
[7] Amoran O. Predictors of disclosure of sero-status to sexual partners among people living with HIV/AIDS in Ogun State Nigeria. Nigerian Journal of Clinical Medicine. 2012; 15(4): 385–390.
[8] Adeyemo AT, Adediran A, Umeh C, Akinbami A, Unigwe O and Akanmu AS. Psychosocial impact of disclosure of HIV serostatus in heterosexual relationship at the Lagos university teaching hospital, Nigeria. Niger Med J. 2011; 52(1): 55-59.
[9] O’Brien ME, Richardson-Alston G, Ayoub M, Magnus M, Peterman TA and Kissinger P. Prevalence and correlates of HIV sero-status disclosure. Sexually Transmitted Diseases. 2003; 30 (9): 31-735.
[10] Medley A, Garcia-Moreno C, McGill S and Maman S. Rates, barriers and outcomes of HIV sero-status disclosure among women in developing countries: Implications for prevention of mother-to-child Transmission programmes. Bulletin of the World Health Organization. 2004; 8, 4.
[11] Kadowa I. and Nuwaha F. Factors influencing disclosure of HIV Positive status in Mityana district of Uganda. African Health Sciences. 2009; 9 (1): 26-33.
[12] Gaskins S. Disclosure decisions of rural African-American men living with HIV disease. Assoc. Nurses AIDS Care. 2006; 17(6): 38-46.
[13] Deribe K, Woldemichael K, Wondafrash M, Hail A and Amberbir A. (2007). Disclosure experience and associated factors among HIV positive men and women clinical service users in Southwest Ethiopia 2007. http://www.ncbi.nlm.nih.gov/pubmed/18312653. Assessed April 2012.
[14] Gari T, Habte D and Markos E. HIV positive status disclosure to sexual partners among women attending ART clinic at Hawassa University Referral Hospital, SNNPR, Ethiopia. Ethiopia Journal of Health Development. 2010; 24 (1): 9-14.
[15] Chaudoir SR., Fisher JD and Simoni JM. Understanding HIV disclosure: A review and application of the disclosure processes model. Social Science & Medicine. 2011; 72: 1618-1629.
[16] Visser MJ, Neafeld S, de Villiers A, Makin JD and Forsyth BWC. (2007). To tell or not to tell: South African women’s disclosure of HIV status during pregnancy. http://www.up.ac.za/dspace/handle/2263/10190. Assessed March 2012.
[17] Skogmar S, Shakley D, Lans M, Danell J, Anderson R, Tshandu N, Oden A, Roberts S and Francois- Venter WD. Effects of antiretroviral treatment and counselling on disclosure of Hiv- serostatus in Johannesburg, South Africa. AIDS care. 2006; 18(7): 725-730.
[18] Seid, M., Wasie, B. and Admassu, M. (2012). Disclosure of HIV positive result to a sexual partner among adult clinical service users in Kemissie District, Northeast Ethopia. African Journ of Rep Health; 16(1): 97-104.
[19] Taraphdar P, Dasgupta A and Saha B. Disclosure among people living with HIV/AIDS. Indian J Community Medicine [serial online] 2007 [cited 2013 Dec 5]; 32-280-2. http://www.ijcm.org.in/tst.asp?2007/32/4/280/37695. Accessed December 2013
Author Information
  • Department of Public Health, Federal Medical Centre Yola, Nigeria

  • Department of Public Health, College of Medicine, International University Bamenda, Republic of Cameroon, Central Africa

  • Department of Public Health, College of Medicine, International University Bamenda, Republic of Cameroon, Central Africa

  • Department of Clinical Pharmacy and Pharmacy Administration, University of Maiduguri, Maiduguri, Nigeria

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  • APA Style

    Olutayo Folashade Martins, Hipoletus Cyprian Ngong, Iliya Sarki Dongs, Kingsley Cyprian Ngong. (2016). Rates, Factors, Timing and Outcomes of HIV Status Disclosure Among Patients Attending the Special Treatment Clinic of the National Hospital Abuja Nigeria. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 2(3), 13-19. https://doi.org/10.11648/j.ijhpebs.20160203.11

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    ACS Style

    Olutayo Folashade Martins; Hipoletus Cyprian Ngong; Iliya Sarki Dongs; Kingsley Cyprian Ngong. Rates, Factors, Timing and Outcomes of HIV Status Disclosure Among Patients Attending the Special Treatment Clinic of the National Hospital Abuja Nigeria. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2016, 2(3), 13-19. doi: 10.11648/j.ijhpebs.20160203.11

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    AMA Style

    Olutayo Folashade Martins, Hipoletus Cyprian Ngong, Iliya Sarki Dongs, Kingsley Cyprian Ngong. Rates, Factors, Timing and Outcomes of HIV Status Disclosure Among Patients Attending the Special Treatment Clinic of the National Hospital Abuja Nigeria. Int J HIV/AIDS Prev Educ Behav Sci. 2016;2(3):13-19. doi: 10.11648/j.ijhpebs.20160203.11

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  • @article{10.11648/j.ijhpebs.20160203.11,
      author = {Olutayo Folashade Martins and Hipoletus Cyprian Ngong and Iliya Sarki Dongs and Kingsley Cyprian Ngong},
      title = {Rates, Factors, Timing and Outcomes of HIV Status Disclosure Among Patients Attending the Special Treatment Clinic of the National Hospital Abuja Nigeria},
      journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
      volume = {2},
      number = {3},
      pages = {13-19},
      doi = {10.11648/j.ijhpebs.20160203.11},
      url = {https://doi.org/10.11648/j.ijhpebs.20160203.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijhpebs.20160203.11},
      abstract = {Disclosure of private information is likely to be emotional and complex, and even more so in the context of disclosing one’s HIV status, which involves sensitive, potentially life-changing information and the possibility of invoking stigmatization and discrimination. The objective of the study was to determine the prevalence, factors, timing and outcomes of HIV status disclosure among HIV positive patients receiving care at the Special Treatment Clinic of the National Hospital Abuja, Nigeria. The study was a descriptive cross sectional involving 240 conveniently sampled HIV positive patients enrolled in care. A self-administered structured questionnaire was used for data collection. Data was analyzed with the SPSS version 16. Tools used for analysis included descriptive statistics and Chi square test. Results showed that majority of respondents 228 (95.0%) had disclosed their HIV status, of which most 121 (50.4%) had disclosed to their sexual partners. A significant association was seen between level of education and status disclosure; x 2= 0.001. A significant association (x2= 0.001) was seen between timing of status disclosure and age and also between level of education and timing of status disclosure (x2= 0.001). Overall majority 122 (53.3%) of respondents received positive reaction from the first person to whom they first disclosed their HIV status. Minority 2 (0.9%) experienced violence and majority 136 (56.7%) had no intention of further disclosure of their status. With most respondents experiencing positive responses to their HIV status disclosure; indicating clear benefits, minority experiencing negative reactions and a significant proportion having no intention of further disclosure, more studies are needed for wider recommendation on how to manage disclosure issues.},
     year = {2016}
    }
    

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