Incidence of HIV disclosure among HIV affected heterosexual partners using a community health worker led mechanism in rural Uganda; a quasi-experimental study.
Incidence of HIV disclosure among HIV affected heterosexual partners using a community health worker led mechanism in rural Uganda; a quasi-experimental study.
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DOI：
10.1186/s12879-023-08282-0
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发表时间：
2023-05-11
影响因子：
3.7
通讯作者：
Butler, Lisa M.
中科院分区：
文献类型：
--
作者：
Lukyamuzi, Zubair;Ssuna, Bashir;Mirembe, Ruth Nabisere;Mawanda, Denis;Maena, Joel;Nakalega, Rita;Atuhaire, Patience;Musoke, Philippa;Butler, Lisa M.
关键词：
HIV disclosure is vital in HIV management. Community Health Workers (CHW) were reported to support partner disclosure among HIV affected heterosexual partners with disclosure difficulties. However, time to disclosure attributed to use of CHW led disclosure support mechanism was not documented. This study compared the incidence of sexual partner disclosure among adults living with HIV (ALHIV) with CHW support and those without in the greater Luwero region, Uganda. We conducted a quasi-experimental study with two arms allocated by geographically determined clusters and adjusted for between-group differences; among ALHIV in the greater Luwero region of Uganda who had never disclosed to their current primary sexual partners. We allocated study clusters to either a CHW-led intervention or control arm. In both arms, we consecutively recruited participants; those in the intervention arm received CHW disclosure support in addition to routine care. The overall follow-up was six months, and the primary outcome was disclosure to the partner. We used survival analysis with proportional hazard ratios to determine the time to partner disclosure in both arms. A total of 245 participants were enrolled, and 230 (93.9%) completed the study; of these, 112 (48.7%) were in the intervention and 118 (51.3%) in the control arm. The mean age was 31 ± 8 years with a range of 18 to 55 years; the majority were females, 176 (76.5%). The cumulative incidence of disclosure was higher in the intervention arm, 8.76 [95% CI: 7.20–10.67] per 1,000 person-days versus 5.15 [95%CI: 4.85–6.48] per 1,000 person-days in the control arm, log-rank test, X2 = 12.93, P < 0.001. Male gender, aHR = 1.82, tertiary education, aHR = 1.51, and relationship duration of > six months, aHR = 1.19 predicted disclosure. Prior disclosure to a relative, aHR = 0.55, and having more than one sexual partner in the past three months, aHR = 0.74, predicted non-disclosure. CHW-led support mechanism increased the rate of sexual partner disclosure among ALHIV with disclosure difficulties. Therefore, to achieve the global targets of ending HIV, near location CHW-led disclosure support mechanism may be used to hasten HIV disclosure in rural settings.
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影响因子：
3.7
作者：
Han HR;Kim K;Murphy J;Cudjoe J;Wilson P;Sharps P;Farley JE
通讯作者：
Farley JE
影响因子：
4.5
作者：
Kiula ES;Damian DJ;Msuya SE
通讯作者：
Msuya SE
DOI：
10.1016/s2352-3018(16)30214-4
发表时间：
2017-02
期刊：
The lancet. HIV
影响因子：
--
作者：
Cherutich P;Golden MR;Wamuti B;Richardson BA;Ásbjörnsdóttir KH;Otieno FA;Ng'ang'a A;Mutiti PM;Macharia P;Sambai B;Dunbar M;Bukusi D;Farquhar C;aPS Study Group
通讯作者：
aPS Study Group
影响因子：
4.5
作者：
Hardon, Anita;Gomez, Gabriela B.;Obermeyer, Carla Makhlouf
通讯作者：
Obermeyer, Carla Makhlouf
影响因子：
2.8
作者：
Atuyambe LM;Ssegujja E;Ssali S;Tumwine C;Nekesa N;Nannungi A;Ryan G;Wagner G
通讯作者：
Wagner G