title: Non-disclosure of a pregnant woman's HIV status to her partner is associated with non-optimal prevention of mother-to-child transmission.
abstract: Our objective was to study relations between non-disclosure of HIV to partner, socio demographics and prevention of HIV mother-to-child transmission (PMTCT), among HIV-infected pregnant women enrolled in the French Perinatal Cohort (ANRS-EPF-CO1) from 2005 to 2009 (N = 2,952). Fifteen percent of the women did not disclose their HIV status to their partner. Non-disclosure was more frequent in women diagnosed with HIV infection late in pregnancy, originating from Sub-Saharan Africa or living alone, as well as when the partner was not tested for HIV. Non-disclosure was independently associated with non optimal PMTCT: late initiation of antiretroviral therapy, detectable viral load at delivery and lack of neonatal prophylaxis. Nonetheless, the rate of transmission did not differ according to disclosure status. Factors associated with non-disclosure reflect vulnerability and its association with non optimal PMTCT is a cause for concern although the impact on transmission was limited in this context of universal free access to care.
authors: INSERM, UMRS, CESP-HIV/IST Epidemiology, Le Kremlin-Bicêtre, France. carine.jasseron@inserm.fr
authors: C
authors: C
authors: Jasseron
authors: L
authors: L
authors: Mandelbrot
authors: C
authors: C
authors: Dollfus
authors: N
authors: N
authors: Trocmé
authors: R
authors: R
authors: Tubiana
authors: J P
authors: JP
authors: Teglas
authors: A
authors: A
authors: Faye
authors: C
authors: C
authors: Rouzioux
authors: S
authors: S
authors: Blanche
authors: J
authors: J
authors: Warszawski
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage; D023241:Antiretroviral Therapy, Highly Active; D003376:Counseling; D004522:Educational Status; D005260:Female; D005602:France / Q000453:epidemiology; D006679:HIV Seropositivity / Q000523:psychology / Q000635:transmission*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control* / Q000706:statistics & numerical data; D008297:Male; D009035:Mothers / Q000523:psychology; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D011295:Prenatal Care / Q000706:statistics & numerical data; D012747:Sexual Partners / Q000523:psychology; D018454:Spouses; D011795:Surveys and Questionnaires; D014342:Truth Disclosure; D019562:Viral Load
chemical_list: D019380:Anti-HIV Agents