Gender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.

<h4>Background</h4>Human Immunodeficiency Virus (HIV) status disclosure has been shown to provide several benefits, both at the individual and societal levels.<h4>Aim</h4>To determine risk factors associated with disclosing HIV status among antiretroviral therapy (ART) recipi...

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Autores principales:	Elisa Longinetti, Michele Santacatterina, Ziad El-Khatib
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8cc12d48b2864b0e91c8fe533043f81e
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spelling	oai:doaj.org-article:8cc12d48b2864b0e91c8fe533043f81e2021-11-18T08:22:46ZGender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.1932-620310.1371/journal.pone.0095440https://doaj.org/article/8cc12d48b2864b0e91c8fe533043f81e2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24743189/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Human Immunodeficiency Virus (HIV) status disclosure has been shown to provide several benefits, both at the individual and societal levels.<h4>Aim</h4>To determine risk factors associated with disclosing HIV status among antiretroviral therapy (ART) recipients in South Africa.<h4>Setting</h4>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.<h4>Methods</h4>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.<h4>Patients</h4>A total of 883 patients were interviewed. The majority were women (73%) with median age of 39 years.<h4>Results</h4>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).<h4>Conclusion</h4>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.Elisa LonginettiMichele SantacatterinaZiad El-KhatibZiad El-KhatibPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 4, p e95440 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Elisa Longinetti Michele Santacatterina Ziad El-Khatib Ziad El-Khatib Gender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.
description	<h4>Background</h4>Human Immunodeficiency Virus (HIV) status disclosure has been shown to provide several benefits, both at the individual and societal levels.<h4>Aim</h4>To determine risk factors associated with disclosing HIV status among antiretroviral therapy (ART) recipients in South Africa.<h4>Setting</h4>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.<h4>Methods</h4>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.<h4>Patients</h4>A total of 883 patients were interviewed. The majority were women (73%) with median age of 39 years.<h4>Results</h4>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).<h4>Conclusion</h4>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.
format	article
author	Elisa Longinetti Michele Santacatterina Ziad El-Khatib Ziad El-Khatib
author_facet	Elisa Longinetti Michele Santacatterina Ziad El-Khatib Ziad El-Khatib
author_sort	Elisa Longinetti
title	Gender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.
title_short	Gender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.
title_full	Gender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.
title_fullStr	Gender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.
title_full_unstemmed	Gender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.
title_sort	gender perspective of risk factors associated with disclosure of hiv status, a cross-sectional study in soweto, south africa.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/8cc12d48b2864b0e91c8fe533043f81e
work_keys_str_mv	AT elisalonginetti genderperspectiveofriskfactorsassociatedwithdisclosureofhivstatusacrosssectionalstudyinsowetosouthafrica AT michelesantacatterina genderperspectiveofriskfactorsassociatedwithdisclosureofhivstatusacrosssectionalstudyinsowetosouthafrica AT ziadelkhatib genderperspectiveofriskfactorsassociatedwithdisclosureofhivstatusacrosssectionalstudyinsowetosouthafrica AT ziadelkhatib genderperspectiveofriskfactorsassociatedwithdisclosureofhivstatusacrosssectionalstudyinsowetosouthafrica
_version_	1718421872774742016

Gender perspective of risk factors associated with disclosure of HIV status, a cross-sectional study in Soweto, South Africa.

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