title: HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey.
abstract: This paper explores the prevalence and correlates of HIV seropositive status disclosure to sexual partners by people living with HIV (PLHIV) in South Africa. Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 sexually active PLHIV aged 15 years and older who responded to the question about HIV seropositive status disclosure. Overall, a large majority of respondents (77.1 %) reported disclosing their HIV-positive status to all their current sex partners. Multiple regression analysis, after adjustments for sex, marital status and locality type, revealed that those who were living together, going steady, and those who were single were all 60 % [adjusted odds ratio (AOR) = 0.4, 95 % CIs 0.20-0.78; AOR = 0.4, 95 % CIs 0.24-0.77; and AOR = 0.4, 95 % CIs 0.19-1.00, all ps < 0.05] less likely to disclose their HIV positive status to their partners compared to those who were married. Those who lived in rural formal areas were 70 % less likely to disclose their HIV status to their partners compared to those who stayed in urban formal areas (AOR = 0.3, 95 % CI 0.17-0.69, p < 0.001). Those who had correct HIV knowledge and rejection of myths were 2.0 times more likely to disclose their HIV status to their partners compared to those who did not have correct HIV knowledge and rejection of myths (AOR = 2.0, 95 % CI 1.04-3.68, p < 0.05). In conclusion, intervention programmes which help improve HIV seropositive status disclosure are needed by PLHIV who are not married, live in rural formal areas, and have incorrect HIV knowledge and rejection of myths.
authors.affiliation: HAST Programme, Human Sciences Research Council, 13th Floor, Plein Park Building, Private Bag X9182, Cape Town, 8000, South Africa. lsimbayi@hsrc.ac.za.|University of Cape Town, Cape Town, South Africa. lsimbayi@hsrc.ac.za.
authors.forename: Leickness C
authors.initials: LC
authors.lastname: Simbayi
authors.affiliation: HAST Programme, Human Sciences Research Council, 13th Floor, Plein Park Building, Private Bag X9182, Cape Town, 8000, South Africa.
authors.forename: Nompumelelo
authors.initials: N
authors.lastname: Zungu
authors.affiliation: HAST Programme, Human Sciences Research Council, 13th Floor, Plein Park Building, Private Bag X9182, Cape Town, 8000, South Africa.
authors.forename: Meredith
authors.initials: M
authors.lastname: Evans
authors.affiliation: Medical Research Council, Johannesburg, South Africa.
authors.forename: Vuyelwa
authors.initials: V
authors.lastname: Mehlomakulu
authors.affiliation: ICAP South Africa, Pretoria, South Africa.
authors.forename: Takura
authors.initials: T
authors.lastname: Kupamupindi
authors.affiliation: Research Methodology & Data Centre, Pretoria, South Africa.
authors.forename: Goitseone
authors.initials: G
authors.lastname: Mafoko
authors.affiliation: Research Methodology & Data Centre, Pretoria, South Africa.
authors.forename: Khangelani
authors.initials: K
authors.lastname: Zuma
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D044383:Black People; D030881:Disclosure; D005191:Family Characteristics; D005260:Female; D015658:HIV Infections; D006801:Humans; D016015:Logistic Models; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D012650:Self Disclosure; D012747:Sexual Partners; D013019:South Africa; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Disclosure; HIV knowledge; HIV serostatus; Risk behaviours; Sex partners; South Africa