title: Types and predictors of partner reactions to HIV status disclosure among HIV-infected adult Nigerians in a tertiary hospital in the Niger Delta.
abstract: OBJECTIVE
  Our aim was to describe the types and determinants of partner reactions to HIV-status disclosure among adults attending an antiretroviral therapy-(ART) clinic in the Bayelsa State, Nigeria.
  
  
  METHODS
  A cross-sectional study was undertaken between January and March 2013 among consecutive adult patients who had disclosed their HIV-status to their current sexual partner. Sociodemograhic data and types of initial and subsequent partner reactions to disclosure were obtained using interviewer-administered standardized-questionnaire. Independent determinants of reactions to disclosure were ascertained by unconditional logistic regression.
  
  
  RESULTS
  Out of 123 study participants, 57.7% were females, 92% were receiving ART and 86.1% were currently married. Majority of the participants reported predominant positive or supportive initial (72.4%) and subsequent (89.5%) partner reactions to disclosure, with significant increase in positive reactions over time. Positive initial partner reactions were independently associated with prior post-test counselling-(Odds ratio [OR]-6.5, 95% Confidence interval [CI]-1.3-31.6-p=0.02), age>35 years-(OR-5.8, 95% CI-1.6-20.9-p=0.008) and being healthy at time of disclosure-(OR-7.8, 95% CI-1.7-35.4-p=0.008). Subsequent positive partner reactions were significantly associated with receiving antiretroviral therapy and having only one lifetime sexual partner.
  
  
  CONCLUSIONS
  Our results indicate that partner reactions to HIV-status disclosure are predominantly supportive. Disclosure counselling and early initiation of ART may be effective in improving HIV-status disclosure in Nigeria.
authors.affiliation: Department of Medicine and Heart to Heart Clinic, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa state.
authors.forename: Dimie
authors.initials: D
authors.lastname: Ogoina
authors.affiliation: Department of Medicine and Heart to Heart Clinic, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa state.
authors.forename: Peter
authors.initials: P
authors.lastname: Ikuabe
authors.affiliation: Department of Medicine and Heart to Heart Clinic, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa state.
authors.forename: Ikenna
authors.initials: I
authors.lastname: Ebuenyi
authors.affiliation: Department of Medicine and Heart to Heart Clinic, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa state.
authors.forename: Tubonye
authors.initials: T
authors.lastname: Harry
authors.affiliation: Department of Medicine and Heart to Heart Clinic, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa state.
authors.forename: Otonyo
authors.initials: O
authors.lastname: Inatimi
authors.affiliation: Department of Medicine and Heart to Heart Clinic, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa state.
authors.forename: Ogechi
authors.initials: O
authors.lastname: Chukwueke
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis / Q000523:psychology*; D006785:Hospitals, University; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D012650:Self Disclosure; D012747:Sexual Partners / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014342:Truth Disclosure
keywords: Counselling; HIV-disclosure; Nigeria; antiretroviral therapy; disclosure reactions; sexual partners
references.citation: BMC Public Health. 2008 Feb 29;8:81
references.pmid: 18312653
references.citation: J Obstet Gynaecol. 2011 Aug;31(6):486-8
references.pmid: 21823844
references.citation: Afr J Med Med Sci. 2006 Dec;35 Suppl:119-23
references.pmid: 18050785
references.citation: Pac AIDS Alert Bull. 1999;(18):15-6
references.pmid: 12349391
references.citation: AIDS Behav. 2013 Oct;17(8):2725-31
references.pmid: 23670710
references.citation: AIDS Care. 2012;24(3):358-68
references.pmid: 21902570
references.citation: J Biosoc Sci. 2009 Nov;41(6):789-98
references.pmid: 19552827
references.citation: Bull World Health Organ. 2004 Apr;82(4):299-307
references.pmid: 15259260
references.citation: Curr HIV/AIDS Rep. 2013 Dec;10(4):324-32
references.pmid: 23996649
references.citation: AIDS Patient Care STDS. 2013 Jan;27(1):55-64
references.pmid: 23305262
references.citation: AIDS Behav. 2003 Dec;7(4):373-82
references.pmid: 14707534
references.citation: J Pak Med Assoc. 2010 May;60(5):407-11
references.pmid: 20527623
references.citation: BMC Health Serv Res. 2014 Jun 21;14:276
references.pmid: 24950958
references.citation: Proc Natl Acad Sci U S A. 2013 Oct 8;110(41):16396-401
references.pmid: 24019466
references.citation: AIDS Care. 2009 Jun;21(6):742-53
references.pmid: 19806490
references.citation: Am J Public Health. 2011 Jun;101(6):1011-23
references.pmid: 21493947
references.citation: AIDS Educ Prev. 2013 Dec;25(6):457-67
references.pmid: 24245593
references.citation: West Afr J Med. 2011 Sep-Oct;30(5):359-63
references.pmid: 22752825
references.citation: Niger J Clin Pract. 2012 Oct-Dec;15(4):385-90
references.pmid: 23238184