Partage de l鈥檌nformation sur le statut s茅rologique VIH positif聽: facteurs associ茅s et cons茅quences pour les personnes vivant avec le VIH/sida au Burkina Faso

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• 作者：S. Kouanda^a ; ^{skouanda@irss.bf} ; ^{sekouanda@yahoo.fr} ; W.M.E. Yamé ; ogo^a ; A. Berthé ; ^b ; B. Bila^a ; F.K. Bocoum Yaya^a ; A. Somda^c ; B. Doulougou^a ; M.J. Sanou^c ; B. Sondo^a ; P. Msellati^d ; ^e
• 关键词：HIV/aids ; Testing ; Disclosure of HIV status ; Burkina Faso
• 刊名：Revue d'篓娄pid篓娄miologie et de Sant篓娄 Publique
• 出版年：2012
• 期刊代码：pca329_03987620
• 类别：med
• 出版时间：June, 2012
• 卷：60
• 期：3
• 页码：221-228
• 文件大小：306 K

摘要

Disclosure of HIV-serostatus remains a way to avoid sexual transmission of HIV because it allows partners to take the necessary protective measures, e.g. use of condoms. Disclosure is nevertheless difficult due to the discrimination associated with HIV. The objective of this study was to analyze factors leading to self-disclosure of HIV-positive status within a sample of persons of both sexes attending different healthcare services in Burkina Faso.

Methodology

Cross-sectional study conducted by interviewing 740聽patients in 26聽healthcare services. Univariate (Chi²聽test) and multivariate (logistic regression) analyses were performed. The significance level was 5%. Qualitative data on factors associated with self-disclosure of HIV-positive status were analyzed.

Results

The majority of the patients (81.4%) informed at least one person who was very often a close relative (descendant, ascendant and sibling) or the partner. At multivariate analysis, HIV-serostatus was associated with using antiretroviral treatment, (OR = 0.40, 95%CI: 0.3-0.7, P < 0.001), known HIV-serostatus for at least one year (OR = 0.6; 95%CI: 0.4-0.9), living in couple (2.3; 95%CI: 1.4-3.8).

Conclusion

In a context limiting HIV testing due to the fear of social stigma, these results appear to be in favor of the Voluntary Counseling Testing model with a focus on the couple and/or families.