Disclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach.
Disclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospe...
| Publicado en: | AIDS Care Vol. 22; no. 9; pp. 1041 - 1052 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105099187&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105099187 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09540121 AAE jtl: AIDS Care issn: 09540121 maglogo: N pubinfo: dt: Sep2010 vid: 22 iid: 9 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 105099187 53539151 10.1080/09540121003602226 NLM20824557 105099187 ppf: 1041 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Disclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach. aug: au: Kairania RM Gray RH Kiwanuka N Makumbi F Sewankambo NK Serwadda D Nalugoda F Kigozi G Semanda J Wawer MJ affil: Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda sug: subj: Couples Counseling Methods Truth Disclosure HIV Seropositivity Human Uganda Random Sample Descriptive Statistics Male Female Population Surveillance Adult Adult: 19-44 years Male Female ab: Disclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospective linkage of married or cohabiting consenting adults individually enrolled into a cohort study and into two randomised trials of male circumcision in Rakai, Uganda. HIV-discordant couples and a random sample of HIV-infected concordant and HIV-negative concordant couples (to mask HIV status) were invited to sensitisation meetings to discuss the benefits of disclosure and couple counselling. HIV-infected partners were subsequently contacted to encourage HIV disclosure to their HIV-uninfected partners. If the index positive partner agreed, the counsellor facilitated the disclosure of HIV results, and provided ongoing support. The proportion of disclosure was determined. Eighty-one per cent of HIV-positive partners in discordant relationships disclosed their status to their HIV-uninfected partners in the presence of the counsellor. The rates of disclosure were 81.3% in male HIV-positive and 80.2% in female HIV-positive discordant couples. Disclosure did not vary by age, education or occupation. In summary, disclosure of HIV-positive results in discordant couples using facilitated couple counselling approach is high, but requires a stepwise process of sensitisation and agreement by the infected partner. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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