title: [Self-disclosure of a HIV-positive serostatus: factors favoring disclosure and consequences for persons living with HIV/AIDS in Burkina Faso].
abstract: Disclosure of HIV-serostatus remains a way to avoid sexual transmission of HIV because it allows partners to take the necessary protective measures, e.g. use of condoms. Disclosure is nevertheless difficult due to the discrimination associated with HIV. The objective of this study was to analyze factors leading to self-disclosure of HIV-positive status within a sample of persons of both sexes attending different healthcare services in Burkina Faso.
  
  
  METHODS
  Cross-sectional study conducted by interviewing 740 patients in 26 healthcare services. Univariate (Chi(2) test) and multivariate (logistic regression) analyses were performed. The significance level was 5%. Qualitative data on factors associated with self-disclosure of HIV-positive status were analyzed.
  
  
  RESULTS
  The majority of the patients (81.4%) informed at least one person who was very often a close relative (descendant, ascendant and sibling) or the partner. At multivariate analysis, HIV-serostatus was associated with using antiretroviral treatment, (OR=0.40, 95% CI: 0.3-0.7, P<0.001), known HIV-serostatus for at least one year (OR=0.6; 95% CI: 0.4-0.9), living in couple (2.3; 95% CI: 1.4-3.8).
  
  
  CONCLUSIONS
  In a context limiting HIV testing due to the fear of social stigma, these results appear to be in favor of the Voluntary Counseling Testing model with a focus on the couple and/or families.
authors.affiliation: Institut de recherche en sciences de la santé (IRSS), 03 BP 7192, Ouagadougou, Burkina Faso. skouanda@irss.bf
authors.forename: S
authors.initials: S
authors.lastname: Kouanda
authors.forename: W M E
authors.initials: WM
authors.lastname: Yaméogo
authors.forename: A
authors.initials: A
authors.lastname: Berthé
authors.forename: B
authors.initials: B
authors.lastname: Bila
authors.forename: F K
authors.initials: FK
authors.lastname: Bocoum Yaya
authors.forename: A
authors.initials: A
authors.lastname: Somda
authors.forename: B
authors.initials: B
authors.lastname: Doulougou
authors.forename: M J
authors.initials: MJ
authors.lastname: Sanou
authors.forename: B
authors.initials: B
authors.lastname: Sondo
authors.forename: P
authors.initials: P
authors.lastname: Msellati
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000523:psychology; D000203:Activities of Daily Living / Q000523:psychology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002050:Burkina Faso / Q000453:epidemiology; D015984:Causality; D003430:Cross-Sectional Studies; D003469:Culture; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology / Q000523:psychology*; D015497:HIV-1 / Q000502:physiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D012959:Socioeconomic Factors; D055815:Young Adult