title: Disclosure History Among Persons Initiating Antiretroviral Treatment at Six HIV Clinics in Oromia, Ethiopia, 2012-2013.
abstract: HIV status disclosure can help patients obtain support which may influence treatment adherence and subsequent healthcare needs. We examined the extent of disclosure and correlates of non-disclosure among 1180 adults newly initiating antiretroviral treatment (ART). While 91 % of those in a relationship shared their status with their partners, 14 % of the overall sample had not disclosed to anyone. Non-disclosure was positively associated with older age; control over household resources; and concerns about unintended disclosure, life disruptions, and family reactions. Knowing other HIV-positive people and longer time since diagnosis were associated with lower odds of non-disclosure. Most respondents reporting disclosure experienced supportive responses, frequently including decision to get an HIV test by confidants who had not known their own status. Although HIV status disclosure prior to ART initiation was high, some individuals cited concerns about unintended disclosure, gossip, and partner violence, and may benefit from additional disclosure support.
authors.affiliation: ICAP-Columbia University, Mailman School of Public Health, New York, NY, USA.
authors.forename: Tsigereda
authors.initials: T
authors.lastname: Gadisa
authors.affiliation: Department of Epidemiology and Biostatistics, School of Urban Public Health, Hunter College, City University of New York, New York, NY, USA. otymejcz@hunter.cuny.edu.
authors.forename: Olga
authors.initials: O
authors.lastname: Tymejczyk
authors.affiliation: Department of Epidemiology and Biostatistics, School of Urban Public Health, Hunter College, City University of New York, New York, NY, USA.
authors.forename: Sarah Gorrell
authors.initials: SG
authors.lastname: Kulkarni
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.|HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA.
authors.forename: Susie
authors.initials: S
authors.lastname: Hoffman
authors.affiliation: ICAP-Columbia University, Mailman School of Public Health, New York, NY, USA.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Lahuerta
authors.affiliation: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Remien
authors.affiliation: ICAP-Columbia University, Mailman School of Public Health, New York, NY, USA.
authors.forename: Muluneh
authors.initials: M
authors.lastname: Yigzaw
authors.affiliation: Oromia State Regional Bureau of Health, Addis Ababa, Ethiopia.
authors.forename: Shalo
authors.initials: S
authors.lastname: Daba
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Batya
authors.initials: B
authors.lastname: Elul
authors.affiliation: Department of Epidemiology and Biostatistics, School of Urban Public Health, Hunter College, City University of New York, New York, NY, USA.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.|HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA.
authors.forename: Denis
authors.initials: D
authors.lastname: Nash
authors.affiliation: ICAP-Columbia University, Mailman School of Public Health, New York, NY, USA.
authors.forename: Zenebe
authors.initials: Z
authors.lastname: Melaku
mesh_terms: D000293:Adolescent; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D003430:Cross-Sectional Studies; D030881:Disclosure; D005002:Ethiopia; D005191:Family Characteristics; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D012650:Self Disclosure; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Antiretroviral treatment initiation; Ethiopia; HIV disclosure; HIV-positive adults; HIV/AIDS