School of Public Health, University of Health and Allied Sciences, PMB 31, Ho, Ghana.
School of Basic and Biomedical Sciences, University of Health and Allied Sciences, PMB 31, Ho, Ghana.
AIDS Behav. 2022 Aug;26(8):2653-2663. doi: 10.1007/s10461-022-03612-w. Epub 2022 Feb 5.
In Ghana, HIV status disclosure to partners is voluntary. This study sought to determine the factors associated with HIV status disclosure to partners among antiretroviral therapy (ART) clients in the Upper East Region. A matched case-control study (1:1) was carried out in nine ART sites in the Upper East region in which 100 ART sexually active clients who had not disclosed their status to their partners were compared with 100 ART sexually ART clients who had disclosed their status to their partners. To each of the 200 study participants, a structured questionnaire was administered to elicit relevant responses. Discordant pair analysis was done with Mantel-Haenszel matched test to determine associations between variables. The study found persons with informal education more likely to disclose HIV status, whereas persons living apart or not having children with a partner were less likely to disclose their status to their sexual partners. On the other hand, active involvement or participation in ART-related services were more likely going to impact HIV status disclosure. Early initiation of ART, while adherence to ART services and the use of treatment monitors were less associated with disclosure. Active participation in ART related services such as prompt initiation of ART following diagnosis, adherence promotion, and treatment monitoring should be encouraged to promote HIV status disclosure among sexual partners.
在加纳，向伴侣透露 HIV 状况是自愿的。本研究旨在确定上东部地区接受抗逆转录病毒治疗 (ART) 的患者向伴侣透露 HIV 状况的相关因素。在上东部的九个 ART 点进行了一项匹配的病例对照研究 (1:1)，其中将 100 名未向伴侣透露 HIV 状况的 ART 活跃患者与 100 名已向伴侣透露 HIV 状况的 ART 活跃患者进行比较。对 200 名研究参与者中的每一位，都采用了结构化问卷来获取相关的反应。采用曼-惠特尼检验进行不一致对分析，以确定变量之间的关联。研究发现，接受过非正式教育的人更有可能透露 HIV 状况，而与伴侣分开居住或没有子女的人不太可能向其性伴侣透露自己的状况。另一方面，积极参与与 ART 相关的服务更有可能影响 HIV 状况的披露。早期开始接受 ART，而坚持接受 ART 服务和使用治疗监测器则与披露的关联性较小。应鼓励积极参与与 ART 相关的服务，如诊断后立即开始 ART、促进遵医嘱和治疗监测，以促进向性伴侣披露 HIV 状况。
