Imperial College London
Alternate

ProfessorSimonGregson

Faculty of Medicine, School of Public Health

Professor in Demography and Behavioural Science
 
 
 
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Contact

 

+44 (0)20 7594 3279s.gregson

 
 
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Location

 

LG27Praed StreetSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Goodwin:2021:10.1080/09540121.2021.1883507,
author = {Goodwin, T and Gregson, S and Maswera, R and Moorhouse, L and Nyamukapa, C},
doi = {10.1080/09540121.2021.1883507},
journal = {AIDS Care: psychological and socio-medical aspects of AIDS-HIV},
pages = {1577--1594},
title = {Understanding the determinants and consequences of HIV status disclosure in Manicaland, Zimbabwe: cross-sectional and prospective analyses},
url = {http://dx.doi.org/10.1080/09540121.2021.1883507},
volume = {33},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Few longitudinal studies have measured trends and effects of disclosure over ART scale-up in general-population samples. We investigated levels, determinants and outcomes of disclosure to relatives and partners in a large general-population cohort in Zimbabwe. Trends in disclosure levels from 2003-2013 were analysed, and multivariable logistic regression was used to identify determinants. Longitudinal analyses were conducted testing associations between disclosure and prevention/treatment-related outcomes. Disclosure to anyone increased from 79% to 100% in men and from 63% to 98% in women from 2003-2008; but declined to 89% in both sexes in 2012-2013. More women than men disclosed to relatives (67.8% versus 44.4%; p<0.001) but fewer women disclosed to partners (85.3% versus 95.0%; p<0.001). In 2012-13, younger age, secondary/higher education, being single, and experience of stigma were associated with disclosure to relatives in both sexes. Partner characteristics and HIV-group attendance were associated with disclosure to partners for women. Reactions to disclosure were generally supportive but less so for females than males disclosing to partners (92.0% versus 97.4%). Partner disclosure was associated with greater social support and treatment adherence in females. To conclude, this study shows disclosure is vital to HIV prevention and treatment, and programmes to facilitate disclosure should be re-invigorated.
AU  - Goodwin,T
AU  - Gregson,S
AU  - Maswera,R
AU  - Moorhouse,L
AU  - Nyamukapa,C
DO  - 10.1080/09540121.2021.1883507
EP  - 1594
PY  - 2021///
SN  - 0954-0121
SP  - 1577
TI  - Understanding the determinants and consequences of HIV status disclosure in Manicaland, Zimbabwe: cross-sectional and prospective analyses
T2  - AIDS Care: psychological and socio-medical aspects of AIDS-HIV
UR  - http://dx.doi.org/10.1080/09540121.2021.1883507
UR  - http://hdl.handle.net/10044/1/87023
VL  - 33
ER  -
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