Partner HIV Status Disclosure and Serodiscordant Couples Rates Among Infected Adults in an Urban Community in South-East Nigeria: A Cross-sectional Study

Document Type : Original Article

Authors

1 Department of Family Medicine, School of Medicine, Nnamdi Azikiwe University, Teaching Hospital (NAUTH) Nnewi, Anambra, Nigeria

2 Department of Community Medicine and Primary Health Care, School of Medicine, Nnamdi Azikiwe University (NAU) Awka, Anambra, Nigeria

Abstract

Background and aim: The Human Immunodeficiency Virus (HIV) is a global pandemic, with sub-Saharan Africa contributing to the majority of cases of HIV. There have been various challenges towards the treatment and prevention of HIV infection in our environment, and these include; low uptake of voluntary counselling and testing, high discrimination rate, and non-disclosure of a positive status to sexual partners. This study aimed to determine the prevalence and predictors of partner disclosure of seropositive status amongst HIV-infected adults and the serodiscordant rate amongst sexual partners.
Materials and methods: An interviewer-administered structured questionnaire was used to obtain data from 380 HIV-infected adults aged 18 years and above. Descriptive statistics were used to summarize obtained data. Multiple logistic regression was done to show predictors of disclosure. P-value.
Results: The prevalence of partner disclosure of HIV positive status was 91.8%, and the serodiscordant rate was 38.9%, with 52.4% of participants having a positive partner and 8.7% being unaware of their partner's status. Marital status and knowledge of partner's HIV status were significantly associated with disclosure.
Conclusion: There was a high prevalence rate of partner disclosure of HIV status amongst infected participants in our environment. Couple counselling should be encouraged to allow for mutual disclosure. Also, counselling on the importance of partner disclosure of status should be intensified, especially among unmarried persons, while efforts should be made to reduce the stigmatization rate.

Keywords

Main Subjects

References

[1] WHO.HIV/AIDS.https://www.who.int/news-room/fact-sheets/detail/hiv-aids. 2021.
[2] WHO. HIV Status Disclosure to Sexual Partners: Rates, Barriers and Outcomes for Women. http://www.who.int/gender/documents/en/. 2021.
[3] Kamanga G, Brown L, Jawati P, Chiwanda D, Nyirenda N. Maximizing HIV partner notification opportunities for index patients and their sexual partners in Malawi. Malawi Medical Journal. 2015;27(4):140-4. DOI: 10.4314/mmj.v27i4.5.
[4] Dessalegn NG, Hailemichael RG, Shewa-Amare A, Sawleshwarkar S, Lodebo B, Amberbir A, et al. HIV Disclosure: HIV-positive status disclosure to sexual partners among individuals receiving HIV care in Addis Ababa, Ethiopia. PloS one. 2019;14(2):e0211967. https://doi.org/10.1371/journal.pone.0211967.
[5] Kalichman SC, Kalichman MO, Cherry C, Grebler T. HIV disclosure and transmission risks to sex partners among HIV-positive men. AIDS patient care and STDs. 2016;30(5):221-8. https://doi.org/10.1089/apc.2015.0333.
[6] Dahlui M, Azahar N, Bulgiba A, Zaki R, Oche OM, Adekunjo FO, et al. HIV/AIDS related stigma and discrimination against PLWHA in Nigerian population. PloS one. 2015;10(12):e0143749. https://doi.org/10.1371/journal.pone.0143749.
[7] Oke OO, Akinboro AO, Olanrewaju FO, Oke OA, Omololu AS. Assessment of HIV-related stigma and determinants among people living with HIV/AIDS in Abeokuta, Nigeria: A cross-sectional study. SAGE open medicine. 2019;7:2050312119869109. https://doi.org/10.1177/2050312119869109.
[8] Shodimu MA, Yusuf OB, Akinyemi JO, Fagbamigbe AF, Bamgboye EA, Ngige E, et al. Determinants of perceived stigmatizing and discriminating attitudes towards people living with HIV/AIDS among women of reproductive age in Nigeria. Journal of AIDS and HIV Research. 2017;9(6):139-51. https://doi.org/10.5897/JAHR2016.0391.
[9] Odiachi A, Erekaha S, Cornelius LJ, Isah C, Ramadhani HO, Rapoport L, et al. HIV status disclosure to male partners among rural Nigerian women along the prevention of mother-to-child transmission of HIV cascade: a mixed methods study. Reproductive health. 2018;15(1):1-2. https://doi.org/10.1186/s12978-018-0474-y.
[10] Bibiana NE, Emmanuel PO, Amos D, Ramsey YM, Idris AN. Knowledge, attitude and factors affecting voluntary HIV counseling and testing services among women of reproductive age group in an Abuja Suburb community, Nigeria. Medical Journal of Zambia. 2018;45(1):13-22.
[11] Ijadunola MY, Ojo TO, Ogunlesi O, Adewumi A, Kolade RO, Thomas B. Perceived hindrances and factors influencing acceptability of HIV/AIDS counseling and testing among commercial drivers in Ile-Ife. Nigerian Journal of Health Sciences. 2015;15(1):30. DOI: 10.4103/1596-4078.171371.
[12] Chijioke Udeh S. Socio-Cultural Factors Influencing HIV/AIDS Prevalence in Nigeria; A Review. International Online Medical Council, 2020https://www.iomcworld.org/abstract/sociocultural-factors-influencing-hivaids-prevalence-in-nigeria-a-review-57123.html. 2021.
[13] Habte E, Yami A, Alemseged F, Abdissa Y, Deribe K, Memiah P, et al. Predictors of HIV serodiscordance among couples in southwestern Ethiopia. Journal of the International Association of Providers of AIDS Care (JIAPAC). 2015;14(3):234-40. https://doi.org/10.1177/2325957413488177.
[14] Ngilangwa DP, Ochako R, Mboya BA, Noronha RH, Mgomella GS. Prevalence and predictors of HIV sero-discordance among cohabiting couples tested in northern Tanzania. Pan African Medical Journal. 2015;22(1). DOI: 10.11604/pamj.2015.22.275.5961.
[15] Onovo AA, Nta IE, Onah AA, Okolo CA, Aliyu A, Dakum P, et al. Partner HIV serostatus disclosure and determinants of serodiscordance among prevention of mother to child transmission clients in Nigeria. BMC public health. 2015;15(1):1-1. https://doi.org/10.1186/s12889-015-2155-x
[16] Van Tam V, Alfven T, Phuc HD, Chuc NT, Hoa NP, Diwan V, et al. HIV sero-discordance among married HIV patients initiating anti-retroviral therapy in northern Vietnam. AIDS research and therapy. 2016;13(1):1-7. https://doi.org/10.1186/s12981-016-0124-9
[17] Rodger AJ, Cambiano V, Bruun T, Vernazza P, Collins S, Degen O, et al. Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study. The Lancet. 2019 Jun 15;393(10189):2428-38. https://doi.org/10.1016/S0140-6736(19)30418-0.
[18] World Health Organization. Treat all people living with HIV, offer antiretrovirals as additional prevention choice for people at “substantial” risk. Geneva, Switzerland: WHO. 2015 Sep 30.
[19] Girum T, Yasin F, Wasie A, Shumbej T, Bekele F, Zeleke B. The effect of “universal test and treat” program on HIV treatment outcomes and patient survival among a cohort of adults taking antiretroviral treatment (ART) in low income settings of Gurage zone, South Ethiopia. AIDS Research and Therapy. 2020;17:1-9. https://doi.org/10.1186/s12981-020-00274-3.
[20] World Health Organization. Guidance on couples HIV testing and counselling including antiretroviral therapy for treatment and prevention in serodiscordant couples: recommendations for a public health approach. World Health Organization; 2012.
[21] Dillnessa E, Enquselassie F. Couples voluntary counselling and testing among VCT clients in Addis Ababa, Ethiopia. Ethiopian medical journal. 2010;48(2):95-103.
[22] Israel GD. Determining Sample Size 1.http://edis.ifas.ufl.edu. 1992.
[23] Ebuenyi ID, Ogoina D, Ikuabe PO, Harry TC, Inatimi O, Chukwueke OU. Prevalence Pattern and Determinants of disclosure of HIV status in an anti retroviral therapy Clinic in the Niger Delta Region of Nigeria. African journal of infectious diseases. 2014;8(2):22-6. DOI: 10.4314/ajid.v8i2.2.
[24] Lifson AR, Workneh S, Hailemichael A, MacLehose RF, Horvath KJ, Hilk R, et al. Disclosure of HIV status among patients new to HIV care in Southern Ethiopia: role of perceived social support and other factors. AIDS care. 2020:1-6. https://doi.org/10.1080/09540121.2020.1785999.
[25] Damian DJ, Ngahatilwa D, Fadhili H, Mkiza JG, Mahande MJ, Ngocho JS, et al. Factors associated with HIV status disclosure to partners and its outcomes among HIV-positive women attending Care and Treatment Clinics at Kilimanjaro region, Tanzania. PloS one. 2019;14(3):e0211921. https://doi.org/10.1371/journal.pone.0211921.
[26] Okafor CN, Li MJ, Hucks-Ortiz C, Mayer KH, Shoptaw S. Disclosure of HIV status and HIV sexual transmission behaviors among HIV-positive black men who have sex with men in the BROTHERS (HPTN 061) study. Journal of Urban Health. 2020:692-703. https://doi.org/10.1007/s11524-020-00419-9.
[27] Meseret Y, Dulla D, Nega B. Prevalence and factors affecting disclosure of HIV status among pregnant women attending antenatal care in Addis Ababa public health centres: a cross sectional survey. Obstet Gynecol Int J. 2019;10(4):317-24.
[28]  Boampong-Konam KA. Barriers to Disclosure of HIV Positive Status to Sexual Partner (S) In the Central Region, Ghana (Doctoral dissertation, University of Ghana).2015.
[29] Oseni OE, Okafor IP, Sekoni AO. Issues surrounding HIV status disclosure: Experiences of seropositive women in Lagos, Nigeria. International journal of preventive medicine. 2017;8. doi: 10.4103/ijpvm.IJPVM_136_15.
[30] Colombe S, Beard J, Mtenga B, Lutonja P, Mngara J, Claudia J, et al. HIV-seroconversion among HIV-1 serodiscordant married couples in Tanzania: a cohort study. BMC infectious diseases. 2019;19(1):1-8. https://doi.org/10.1186/s12879-019-4151-8
[31] Wei C, Lim SH, Guadamuz TE, Koe S. HIV disclosure and sexual transmission behaviors among an Internet sample of HIV-positive men who have sex with men in Asia: implications for prevention with positives. AIDS and Behavior. 2012;16(7):1970-8. https://doi.org/10.1007/s10461-011-0105-x.
[32] Nordberg B, Gabriel EE, Were E, Kaguiri E, Ekström AM, Kågesten A, et al. Social concerns related to HIV status disclosure and participation in the prevention of mother-to-child transmission of HIV care among pregnant women in Kenya. BMC pregnancy and childbirth. 2020;20:1-9. https://doi.org/10.1186/s12884-020-02907-x.
International Journal of Scientific Research in Dental and Medical Sciences
Volume 3, Issue 2
June 2021
Pages 55-60

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History

  • Receive Date: 18 February 2021
  • Revise Date: 06 April 2021
  • Accept Date: 19 April 2021

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