Determinants of Human Immunodeficiency Virus Seropositive Status Disclosure in Kenya
Abstract
The purpose of the study was to determine whether socio-demographic characteristics of People Living with HIV and AIDS (PLWHA) predicted self-disclosure of HIV seropositivity status in Kenya. A survey was conducted among a random sample of 232 respondents in Nairobi County. Data was gathered through interviews and focus group discussions. The findings indicated that 28.0% of the respondents were male and 72.0% were female. The respondents were aware of their HIV seropositive status for at least one year prior to the study. About half of the respondents (50.9%) had disclosed their HIV seropositive status, while 49.1% had not disclosed. The binary logistic regression established that the socio-demographic predictors of HIV seropositive status disclosure were educational attainment (AOR =1.266; p = 0.001), regular employment status (AOR = 1.691; p = 0.001) perceptions of financial security (AOR = 2.440; p = 0.020) and knowledge of management of HIV (AOR = 3.505; p = 0.001). However, respondents’ sex (p = 0.162), age (p = 0.921) and marital status p = 0.621) were not statistically significant predictors of HIV seropositivity disclosure to sexual partners. This implies that public health programmes should focus on educational interventions, financial security, and training on the management protocols for People Living with HIV and AIDS in order to promote HIV seropositivity status disclosure to sexual partners.
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Akinyemi, O. A. (2013). A Comparative analysis of HIV serostatus disclosure pattern among men and women in Gaborone City Council, Botswana. Doctoral dissertation, Stellenbosch: Stellenbosch University.
Arthur, G., Nduba, V., Forsythe, S., Mutemi, R., Odhiambo, J., & Gilks, C. (2007). Behaviour change in clients of health centre-based voluntary HIV counselling and testing services in Kenya. Sexually transmitted infections, 83(7), 541-546.
Birungi, H., Mugisha, J. F., Nyombi, J. K., Obare, F., Evelia, H., & Nyinkavu, H. (2008). Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda. Frontiers Final Report. Washington, DC: Population Council
Bouillon, K., Lert, F., Sitta, R., Schmaus, A., Spire, B., & Dray-Spira, R. (2007). Factors correlated with disclosure of HIV infection in the French Antilles and French Guiana: results from the ANRS- EN13- VESPA- DFA Study. AIDS (London, England), 21, S89.
Centres for Disease Control and Prevention (CDC). (2009). Knowledge of HIV status, sexual risk behaviours and contraceptive need among people living with HIV in Kenya and Malawi. Centers for Disease Control and Prevention.
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).
Didi, N. P. (2014). Predictors of HIV Self Disclosure to Sexual Partners by Sero-Positive Adults in Informal Settlements: A Case of Central Division, Nairobi County, Kenya (Doctoral dissertation, Kenyatta University).
Kadowa, I., & Nuwaha, F. (2009). Factors influencing disclosure of HIV positive status in Mityana district of Uganda. African health sciences, 9(1), 26-33.
Lugalla, J., Yoder, S., Sigalla, H., & Madihi, C. (2012). Social context of disclosing HIV test results in Tanzania. Culture, health & sexuality, 14(sup1), S53-S66.
Makin, J. D., Forsyth, B. W., Visser, M. J., Sikkema, K. J., Neufeld, S., & Jeffery, B. (2008). Factors affecting disclosure in South African HIV-positive pregnant women. AIDS patient care and STDs, 22(11), 907-916.
Mucheto, P., Chadambuka, A., Shambira, G., Tshimanga, M., Gombe, N., & Nyamayaro, W. (2011). Determinants of nondisclosure of HIV status among women attending the prevention of mother to child transmission programme, Makonde district, Zimbabwe, 2009. Pan African Medical Journal, 8(1).
National AIDS and STI Control Programme (NASCOP) and MoH Kenya. (2013). Kenya AIDS Indicator Survey (KAIS) 2012. Nairobi, Kenya: National AIDS and STI Control Programme (NASCOP) and MoH, Kenya.
Ndayala, P. D., Ngige, L. W., 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.
Ndayala, P. D. & Ngige, L. W. (2020). Influence of Social Cultural Factors on HIV Seropositivity Disclosure to Sexual Partners in Kenya. East African Journal of Health and Science, 2 (1) 51-61.
Ndayala, P. D., Ondigi, A. N. & Ngige, L.W. (2015). Nature and Extent of HIV Self Disclosure by Seropositive Adults in HIV Support Groups in Nairobi County, Kenya. Nature, 5(16), 87-96.
Neville, 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.
Ngige, L. W., & Ndayala, P. D. (2020). Effects of Anticipated Stigma and Discrimination on Self-Disclosure of HIV Seropositive Status among People Living with HIV and AIDS in Kenya. East African Journal of Health and Science, 2(1), 51-61.
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.
Niccolai, L. M., King, E., D’Entremont, D., & Pritchett, E. N. (2006). Disclosure of HIV serostatus to sex partners: a new approach to measurement. Sexually transmitted diseases, 33(2), 102-105.
Othero, O. O. M., & Ngigi, P. W. (2011). Prevalence of Serostatus Disclosure To Sexual Partners Among HIV Infected Women in Kisii District, Western Kenya. Maseno Uniseritgh/
Rujumba, J., Neema, S., Byamugisha, R., Tylleskär, T., Tumwine, J. K., & Heggenhougen, H. K. (2012). “Telling my husband I have HIV is too heavy to come out of my mouth”: pregnant women's disclosure experiences and support needs following antenatal HIV testing in eastern Uganda. Journal of the International AIDS Society, 15(2), 17429.
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.
Shacham, E., Reece, M., Monahan, P. O., Yebei, V., Omollo, O., Ong'or, W. O., & Ojwang, C. (2008). Measuring psychological distress symptoms in individuals living with HIV in western Kenya. Journal of mental health, 17(4), 424-434.
Simbayi, L., Kalichman, S., Strebel, A., Cloete, A., Henda, N., & Mqeketo, A. (2006). Disclosure of HIV status to sex partners and sexual risk behaviours among HIV positive men and women, Cape Town, South Africa. Sex Transmitted Infections, 83:29-34.
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.
van Griensven, F. (2009). Non-condom use risk-reduction behaviours: can they help to contain the spread of HIV infection among men who have sex with men? Aids, 23(2), 253-255.
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.
Walcott, M. M., Hatcher, A. M., Kwena, Z., & Turan, J. M. (2013). Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study. BMC public Health, 13(1), 1-13.
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