title: Factors associated with HIV status disclosure to one's steady sexual partner in PLHIV in Morocco.
abstract: The objective of the present study was to determine the factors independently associated with disclosure of seropositivity to one's steady sexual partner in people living with HIV (PLHIV) who are recipients of services provided by Association de Lutte Contre le Sida, a Moroccan community-based organization (CBO) working on AIDS response. Between May and October 2011, 300 PLHIV were interviewed about their sociodemographic and economic characteristics, their sexual life and disclosure of their serostatus to their friends, family and to their steady sexual partner. A weighted logistic regression was used to study factors associated with serostatus disclosure to one's steady sexual partner. We restricted the analysis to people who declared they had a steady sexual partner (n = 124). Median age was 36 years old, 56 % were men and 62 % declared that they had disclosed their serostatus to their steady sexual partner. The following factors were independently associated with disclosure: living with one's steady sexual partner [OR 95 % CI: 9.85 (2.86-33.98)], having a higher living-standard index [2.06 (1.14-3.72)], regularly discussing HIV with friends [6.54 (1.07-39.77)] and CBO members [4.44 (1.27-15.53)], and having a higher social exclusion score [1.24 (1.07-1.44)]. Unemployment (as opposed to being a housewife) was negatively associated with disclosure [0.12 (0.02-0.87)]. Despite the potential positive effects for the prevention of HIV transmission and for adherence to HIV treatment, many PLHIV had not disclosed their serostatus to their steady sexual partner. Some factors shown here to be significantly associated with such disclosure will help in the development of future support interventions.
authors.affiliation: Faculty of Science Semlalia, Université Cadi Ayyad, Marrakech, Morocco, loukid@uca.ma.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Loukid
authors.forename: Alise
authors.initials: A
authors.lastname: Abadie
authors.forename: Emilie
authors.initials: E
authors.lastname: Henry
authors.forename: Mohamed Kamal
authors.initials: MK
authors.lastname: Hilali
authors.forename: Lionel
authors.initials: L
authors.lastname: Fugon
authors.forename: Nadia
authors.initials: N
authors.lastname: Rafif
authors.forename: Othoman
authors.initials: O
authors.lastname: Mellouk
authors.forename: Ouarsas
authors.initials: O
authors.lastname: Lahoucine
authors.forename: Joanne
authors.initials: J
authors.lastname: Otis
authors.forename: Marie
authors.initials: M
authors.lastname: Préau
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006679:HIV Seropositivity; D006801:Humans; D008297:Male; D009018:Morocco / Q000453:epidemiology; D012737:Sex Factors; D012747:Sexual Partners; D012959:Socioeconomic Factors; D014342:Truth Disclosure
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