Dankoli Raymond Salanga, Aliyu Alhaji A, Nsubuga Peter, Nguku Patrick, Ossai Okechukwu P, Tukur Dahiru, Ibrahim Luka, Madi James E, Dalhat Mahmood, Abdullaziz Mohammed
Nigeria Field Epidemiology and Laboratory Training Programme (NFELTP), Abuja, Nigeria ; State Specialist Hospital, Gombe, Nigeria.
Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria.
Pan Afr Med J. 2014 Jul 21;18 Suppl 1(Suppl 1):4. doi: 10.11694/pamj.supp.2014.18.1.3551. eCollection 2014.
Disclosure of HIV status especially to sexual partners is an important prevention goal. This study was conducted to determine the prevalence of HIV status disclosure and the factors associated with disclosure by HIV positive patients attending the adult Anti-retroviral therapy (ART) clinic in State Specialist Hospital Gombe (SSHG) a secondary health facility in north-eastern Nigeria.
We conducted a cross sectional study among adult HIV positive patients enrolled into the HIV/AIDS programme of SSHG. Study participant were sampled using a systematic random sampling. Interviewer administered questionnaire was used to collect data on socio-demographic characteristics, disclosure status and factors associated with disclosure. Data was analyzed using Epi-info software.
Of the 198 (99%) respondents, 159 (80.3%) were females. The mean age of respondents was 32.9 years (SD ± 9.5). Sixty percent of the respondents were married. Most (97.5%) had disclosed their HIV status and majority (36.8%) disclosed to their spouses. Sixty four percent of the respondents had treatment supporter and spouses (42.9%) were their choice of a treatment supporter. Disclosure of HIV status was found to be associated with age < 40 years Adjusted Odds Ratio (AOR) 38.16; 95% Confidence Interval (CI) 2.42-602.61. Gender, employment status, educational level, duration of infection and marital status were not found to be significantly associated with disclosure of HIV status.
Disclosure of HIV status was high in the study population. Spouses were the most preferred choice of persons to disclose HIV status to, and the most adopted as treatment supporter. HIV status disclosure is encouraged after diagnosis because of its importance especially among couples.
披露艾滋病毒感染状况，尤其是向性伴侣披露，是一项重要的预防目标。本研究旨在确定在尼日利亚东北部一家二级医疗机构贡贝州立专科医院（SSHG）成人抗逆转录病毒治疗（ART）诊所就诊的艾滋病毒阳性患者中，艾滋病毒感染状况披露的患病率以及与披露相关的因素。
我们对纳入SSHG艾滋病毒/艾滋病项目的成年艾滋病毒阳性患者进行了一项横断面研究。采用系统随机抽样的方法选取研究参与者。通过访谈员发放问卷来收集有关社会人口学特征、披露状况以及与披露相关因素的数据。使用Epi - info软件进行数据分析。
在198名（99%）受访者中，159名（80.3%）为女性。受访者的平均年龄为32.9岁（标准差±9.5）。60%的受访者已婚。大多数（97.5%）已披露其艾滋病毒感染状况，且多数（36.8%）向其配偶披露。64%的受访者有治疗支持者，配偶（42.9%）是他们选择的治疗支持者。发现艾滋病毒感染状况的披露与年龄<40岁相关，调整后的优势比（AOR）为38.16；95%置信区间（CI）为2.42 - 602.61。未发现性别、就业状况、教育水平、感染持续时间和婚姻状况与艾滋病毒感染状况的披露有显著关联。
在研究人群中，艾滋病毒感染状况的披露率较高。配偶是最倾向于披露艾滋病毒感染状况的对象，也是最常被选为治疗支持者的人群。由于其重要性，尤其是在夫妻之间，鼓励在诊断后披露艾滋病毒感染状况。
