Disclosure of HIV results among discordant couples in Rakai, Uganda
A facilitated couple counselling approach
Datos Bibliográficos
| ID | 19442455 |
|---|---|
| Autores | Robert Kairania (0000-0002-9015-7209, Uganda Virus Research Institute), Ronald H Gray (0000-0003-1952-6507, Johns Hopkins University, autor de correspondencia), Noah Kiwanuka (0000-0003-2471-9290, Uganda Virus Research Institute), Fredrick Makumbi (0000-0002-6460-7325, Uganda Virus Research Institute), Nelson K Sewankambo (0000-0001-9362-053X, d Makerere University College of Health Sciences , Kampala , Uganda), David Serwadda (0000-0001-6532-6587, c Makerere University School of Public Health , Kampala , Uganda), Fred Nalugoda (0000-0001-6119-9293, Uganda Virus Research Institute), Godfrey Kigozi (0009-0008-9142-6870, Uganda Virus Research Institute), John Semanda (Uganda Virus Research Institute), Maria J Wawer (0000-0002-3601-4469, Johns Hopkins University) |
| Año | 2010 |
| Volumen | 22 |
| Número | 9 |
| Páginas | 1041-1051 |
| Fecha de publicación | 2010-09-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | AIDS Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Editorial | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121003602226 |
| PMID | 20824557 |
| PMCID | PMC2936701 |
| OpenAlex | W2042210577 |
| Idioma | EN |
| Citas recibidas | 26 |
| Referencias citadas | 20 |
Disclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospective linkage of married or cohabiting consenting adults individually enrolled into a cohort study and into two randomised trials of male circumcision in Rakai, Uganda. HIV-discordant couples and a random sample of HIV-infected concordant and HIV-negative concordant couples (to mask HIV status) were invited to sensitisation meetings to discuss the benefits of disclosure and couple counselling. HIV-infected partners were subsequently contacted to encourage HIV disclosure to their HIV-uninfected partners. If the index positive partner agreed, the counsellor facilitated the disclosure of HIV results, and provided ongoing support. The proportion of disclosure was determined. Eighty-one per cent of HIV-positive partners in discordant relationships disclosed their status to their HIV-uninfected partners in the presence of the counsellor. The rates of disclosure were 81.3% in male HIV-positive and 80.2% in female HIV-positive discordant couples. Disclosure did not vary by age, education or occupation. In summary, disclosure of HIV-positive results in discordant couples using facilitated couple counselling approach is high, but requires a stepwise process of sensitisation and agreement by the infected partner
Cohort · Family medicine · Self-disclosure · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology · Internal Medicine
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Trends in HIV counseling and testing uptake among married individuals in Rakai, Uganda
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Community perceptions and personal accounts of HIV discordance in rural western Kenya
Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women
Determinants of HIV Serostatus Disclosure to Sexual Partner Among HIV-Positive Alcohol Users in Haiti
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Correlates of previous couples’ HIV counseling and testing uptake among married individuals in three HIV prevalence strata in Rakai, Uganda
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Psychosocial challenges of young people affected by HIV
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Understanding the biopsychosocial aspects of HIV disclosure among HIV-positive gay men in Scotland
Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa.
Viral Load and Heterosexual Transmission of Human Immunodeficiency Virus Type 1
Rates of HIV-1 transmission within marriage in rural Uganda in relation to the HIV sero-status of the partners
Who infects whom? HIV-1 concordance and discordance among migrant and non-migrant couples in South Africa
Probability of HIV-1 transmission per coital act in monogamous, heterosexual, HIV-1-discordant couples in Rakai, Uganda
Serostatus disclosure, sexual communication and safer sex in HIV-positive men
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Women's barriers to HIV-1 testing and disclosure
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| Obras citantes distintas | 26 |
|---|---|
| Citas por año | 1,73 |
| Intervalo de citas | 2011 - 2026 (16) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 26 |