title: Mutual HIV status disclosure is associated with consistent condom use in public sector ART clients in Free State province, South Africa: a short report.
abstract: Risky sexual behaviour in PLWHA on antiretroviral therapy threatens both prevention and treatment efforts, but disclosure promises to support safer sexual practices. This paper investigates the association between HIV self-disclosure and consistent condom use in a cohort of public sector patients on antiretroviral (ARV) treatment. Using data from the FEATS cohort study, logistic regression analysis shows that knowledge of your partner's HIV status is positively associated with consistent condom use (OR 2.73, 95% CI 1.37-5.43, p = 0.004) and so too mutual HIV disclosure (OR 3.38, 95% CI 1.60-7.18, p = 0.001). Prevention and treatment programmes, through couple HIV counselling and testing (CHCT) and other assistance programmes, should focus on supporting the mutual disclosure of HIV status among PLWHA on ARV treatment.
authors.affiliation: a Department of Economics , University of the Free State , Bloemfontein , South Africa.
authors.forename: Frederik le Roux
authors.initials: FLR
authors.lastname: Booysen
authors.affiliation: b Department of Sociology, Faculty of Social Sciences , Centre for Longitudinal and Life Course Studies, University of Antwerp , Antwerp , Belgium.
authors.forename: Edwin
authors.initials: E
authors.lastname: Wouters
authors.affiliation: c Development Research Group, The World Bank , Washington , USA.
authors.forename: Damien
authors.initials: D
authors.lastname: de Walque
authors.affiliation: d Center for Global Development , Washington , USA.
authors.forename: Mead
authors.initials: M
authors.lastname: Over
mesh_terms: D000328:Adult; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D008297:Male; D017150:Public Sector; D021841:Safe Sex / Q000523:psychology* / Q000706:statistics & numerical data; D012650:Self Disclosure; D012747:Sexual Partners / Q000523:psychology*; D013019:South Africa
keywords: ART; Antiretroviral therapy; HIV disclosure; HIV/AIDS; South Africa; condom use