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Characteristics Associated with Disclosure Status to Sexual Partners among Kenyan Women
Haley Greene1, Pauline E Jolly1, Tierra Johnson1
1Department of Epidemiology, Ryals School of Public Health, University of Alabama at Birmingham, Alabama, USA.
Journal of HIV and AIDS
|August 9, 2020
Summary
In Kenya, only 34% of women living with HIV disclosed their status to sexual partners. Factors like relationship status and partner
Area of Science:
- Public Health
- Epidemiology
- Social Science
Background:
- Kenya faces a significant HIV epidemic, ranking fourth globally.
- Disclosure of human immunodeficiency virus (HIV)-positive status is crucial for preventing HIV transmission.
- Disclosure to sexual partners can encourage safer sexual behaviors and provide social support.
Purpose of the Study:
- To identify factors associated with HIV-positive status disclosure to sexual partners.
- To compare disclosure to sexual partners versus non-sexual partners.
Main Methods:
- A cross-sectional study involving 497 HIV-positive women aged 19-49 in Nairobi, Kenya.
- Data collected via questionnaires on HIV disclosure between May and August 2012.
- Bivariate and multivariable logistic regression analyses were employed.
Main Results:
- Only 34% of women disclosed their HIV status to a sexual partner.
- Disclosure to sexual partners was strongly associated with being married or in a common-law relationship (11 times more likely).
- Disclosure was also linked to the partner being a head of household (4 times more likely), condom use, belief in disclosure for prevention, partner's HIV status knowledge, and number of sexual partners.
Conclusions:
- A low rate of HIV-positive status disclosure to sexual partners was observed among women in Kenya.
- Key factors influencing disclosure to sexual partners were identified.
- Findings can inform interventions promoting disclosure and safe sex practices among individuals not disclosing their status.
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