title: Factors Associated with Non-disclosure of HIV Status in a Cohort of Childbearing HIV-Positive Women in Ukraine.
abstract: Ukraine has one of the largest populations of persons living with HIV in Europe. Data on 2019 HIV-positive married or cohabiting women enrolled in a postnatal cohort from 2007 to 2012 were analysed to investigate prevalence and factors associated with self-reported non-disclosure of HIV status. Median age at enrolment was 27.5 years, with two-thirds diagnosed during their most recent pregnancy. Almost all had received antenatal antiretroviral therapy and 24 % were taking it currently. One-tenth (n = 198) had not disclosed their HIV status to their partner and 1 in 20 (n = 93) had disclosed to no-one. Factors associated with non-disclosure were: unmarried status (AOR 2.99 (95 % CI 1.51-5.92), younger age at leaving full-time education (AOR 0.41 (95 % CI 0.19-0.88) for ≥19 years vs ≤16 years) and lack of knowledge of partner's HIV status (AOR 2.01 (95 % CI 1.09-3.66). Further work is needed to support disclosure in some groups and to explore relationships between disclosure and psychological factors in this setting, including depression, lack of support and perception of stigma.
authors.affiliation: Population Policy and Practice Programme, UCL Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK.
authors.forename: Jane V
authors.initials: JV
authors.lastname: Ahn
authors.affiliation: Population Policy and Practice Programme, UCL Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK.
authors.forename: Heather
authors.initials: H
authors.lastname: Bailey
authors.affiliation: Perinatal Prevention of AIDS Initiative, Odessa, Ukraine.
authors.forename: Ruslan
authors.initials: R
authors.lastname: Malyuta
authors.affiliation: Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine.
authors.forename: Alla
authors.initials: A
authors.lastname: Volokha
authors.affiliation: Population Policy and Practice Programme, UCL Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK. claire.thorne@ucl.ac.uk.
authors.forename: Claire
authors.identifier: http://orcid.org/0000-0003-0389-1956
authors.initials: C
authors.lastname: Thorne
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D011247:Pregnancy; D015995:Prevalence; D012650:Self Disclosure; D057566:Self Report; D012747:Sexual Partners / Q000523:psychology*; D057545:Social Stigma; D012959:Socioeconomic Factors; D014342:Truth Disclosure; D014455:Ukraine / Q000453:epidemiology; D055815:Young Adult
keywords: Disclosure; Eastern Europe; HIV; Pregnancy; Women