Sexual Practices and HIV Seropositivity Disclosure among Adults in Nairobi, Kenya

  • Phoebe D Ndayala, PhD Kenyatta University
  • Lucy W Ngige, PhD Kenyatta University
  • Alice Ondigi, PhD Kenyatta University
  • Humphries Evelia Globus Associates Questream
Keywords: HIV and AIDS, HIV Seropositivity, Self-Disclosure, Sexual Practices
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The purpose of the study was to assess the relationship between sexual practices and HIV seropositive status disclosure to sexual partners by People Living with Human Immune-Deficiency Virus (PLWHIV) in Nairobi, Kenya. A survey was conducted among 232 PLWHIV who were registered members of HIV support groups in an informal settlement. Results showed that half (50.5%) of the respondents had disclosed their HIV seropositive status to their sexual partners. Chi-square results revealed statistically significant relationships between HIV seropositive disclosure and the following sexual behaviours: condom use in the last sexual encounter (χ2 = 12.144; df = 1; p = 0.001); regular sexual partner (χ2 = 5.124; df = 1; p = 0.024); agreement on HIV testing with sexual partner (χ2 = 3.873; df = 1; p = 0.039) and knowledge of sexual partners’ HIV serostatus (χ2 = 6.536; df = 1; p = 0.011). The binary logistic regression results established four positive predictors of self-disclosure to sexual partners as regular sexual partner (AOR = 2.506; p = 0.012), knowledge of sexual partners’ HIV serostatus (AOR = 3.949; p = 0.015), condom use during the last sexual encounter (AOR = 3.507; p = 0.035) and agreement on HIV testing with sexual partner (AOR = 2.560; p = 0.020).  However, the desire to conceive (AOR = 3.050; p = 0.094) and the method of testing HIV serostatus (AOR = 0.853; p = 0.530) were not significant predictors of HIV seropositivity disclosure. It was concluded that respondents who knew their partners HIV serostatus and also used a condom during their last sexual encounter were four times more likely to disclose than those who were not aware of partners’ serostatus or those who did not use a condom in their last sexual encounter. Furthermore, those who were in regular sexual relationships and also agreed on HIV testing with sexual partners were twice more likely to disclose than those in casual sexual relationships. An analysis of sexual practices of PLWHIV can therefore enhance the formulation of targeted strategies aimed at enhancing HIV prevention and reduction of risky sexual behaviour among PLWHIV.


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Dessalegn, N. G., Hailemichael, R. G., Shewa-Amare, A., Sawleshwarkar, S., Lodebo, B., Amberbir, A., & Hillman, R. J. (2019). HIV Disclosure: HIV-positive status disclosure to sexual partners among individuals receiving HIV care in Addis Ababa, Ethiopia. PloS one, 14(2), e0211967.

Dave, S. S., Stephenson, J., Mercey, D. E., Panahmand, N., & Jungmann, E. (2006). Sexual behaviour, condom use, and disclosure of HIV status in HIV infected heterosexual individuals attending an inner London HIV clinic. Sexually Transmitted Infections, 82(2), 117-119.

Deribe, K., Woldemichael, K., Njau, B. J., Yakob, B., Biadgilign, S., & Amberbir, A. (2010). Gender differences regarding barriers and motivators of HIV status disclosure among HIV-positive service users. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 7(1), 30-39.

Dodoo, F. N. A., Zulu, E. M., & Ezeh, A. C. (2007). Urban–rural differences in the socioeconomic deprivation–Sexual behavior link in Kenya. Social Science & Medicine, 64(5), 1019-1031.

Government of Kenya. (2012). Penal code of 1930, Laws of Kenya, CAP. 63 (Revised, 2012).

Jin, F., Crawford, J., Prestage, G. P., Zablotska, I., Imrie, J., Kippax, S. C. & Grulich, A. E. (2009). HIV risk reduction behaviours in gay men: unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men. AIDS, 23(2), 243-252.

Kadowa, I., & Nuwaha, F. (2009). Factors influencing disclosure of HIV positive status in Mityana district of Uganda. African Health Sciences, 9(1), 26-33.

Larkins, S., Reback, C. J., Shoptaw, S., & Veniegas, R. (2005). Methamphetamine-dependent gay men’s disclosure of their HIV status to sexual partners. AIDS Care, 17(4), 521-532.

Madise, N. J., Ziraba, A. K., Inungu, J., Khamadi, S. A., Ezeh, A., Zulu, E. M. & Mwau, M. (2012). Are slum dwellers at heightened risk of HIV infection than other urban residents? Evidence from population-based HIV prevalence surveys in Kenya. Health & Place, 18(5), 1144-1152.

Micheni, M., Kombo, B.K., Secor, A., Simoni, J.M., Operio, D., Van der Elst, E.M., Mugo, P., Kanungi, J., Sanders, E.J. & Graham, S.M. (2017). Health provider views on improving antiretroviral therapy adherence among men who have sex with men in coastal Kenya AIDS Patient Care and STDs, Vol. 31, Number 3, 2017 Available at DOI: 10.1089/apc.2016.0213.

National AIDS Control Council (NACC). (2018). HIV estimates report for Kenya. Retrieved from

National AIDS Control Council (NACC0 & National AIDS and STD Control Programme (NASCOP). (2007). National HIV prevalence in Kenya. Nairobi: GOK.

National AIDS and STI Control Programme (NASCOP) and MoH, Kenya (2012). Kenya AIDS Indicator Survey (KAIS): Nairobi, Kenya: National AIDS and STI Control Programme (NASCOP) and MoH, Kenya.

Neville, M. A. & Rubin, D. L. (2007). Factors leading to self-disclosure of a positive HIV diagnosis in Nairobi, Kenya: people living with HIV/AIDS in the Sub-Sahara. Qualitative Health Research, 17(5), 586-598.

Ngula, K. W., & Miller, A. N. (2010). Self-disclosure of HIV seropositivity in Kenya by HIV-positive Kamba men and their families. Southern Communication Journal, 75(4), 328-348.

Otieno, B.A, (2008). Effects of Antiretroviral Therapy on sexual behavior among people living with HIV and AIDS in Kibera slums in Nairobi, Kenya. 2008; Unpublished MPH thesis: Kenyatta University.

Sarna, A., Chersich, M., Okal, J., Luchters, S. M., Mandaliya, K. N., Rutenberg, N., & Temmerman, M. (2009). Changes in sexual risk taking with antiretroviral treatment: influence of context and gender norms in Mombasa, Kenya. Culture, Health & Sexuality, 11(8), 783-797.

Seid, M., Wasie, B., & Admassu, M. (2012). Disclosure of HIV positive result to a sexual partner among adult clinical service users in Kemissie district, northeast Ethiopia. African Journal of Reproductive Health, 16 (1). 97-104.

Stutterheim, S. E., Shiripinda, I., Bos, A. E., Pryor, J. B., de Bruin, M., Nellen, J. F. & Schaalma, H. P. (2011). HIV status disclosure among HIV-positive African and Afro-Caribbean people in the Netherlands. AIDS Care, 23(2), 195-205.

UNAIDS (2018). Global HIV & AIDS Statistics -2019 fact sheet. Retrieved from

UNAIDS (2019). AIDS information. Retrieved from https:///

U.S. Department of Health & Human Services. (2019). Global HIV/AIDS. Retrieved from

Vu, L., Andrinopoulos, K., Mathews, C., Chopra, M., Kendall, C., & Eisele, T. P. (2012). Disclosure of HIV status to sex partners among HIV-infected men and women in Cape Town, South Africa. AIDS and Behavior, 16(1), 132-138.

Wamoyi, J., Mbonye, M., Seeley, J., Birungi, J., & Jaffar, S. (2011). Changes in sexual desires and behaviour of people living with HIV after initiation of ART: Implications for HIV Prevention and health promotion. BMC Public Health, 11, 633.

7 January, 2021
How to Cite
Ndayala, P., Ngige, L., Ondigi, A., & Evelia, H. (2021). Sexual Practices and HIV Seropositivity Disclosure among Adults in Nairobi, Kenya. East African Journal of Health and Science, 3(1), 1-11.