Jump to ContentJump to Main Navigation
Show Summary Details
More options …

International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

Online
ISSN
2191-0278
See all formats and pricing
More options …
Ahead of print

Issues

Patterns and predictors of disclosure of HIV positive status among youth living with HIV in Ibadan, Nigeria

Adesola OlumideORCID iD: http://orcid.org/0000-0003-4372-9822 / Eme OwoajeORCID iD: http://orcid.org/0000-0002-0491-6732
Published Online: 2018-01-15 | DOI: https://doi.org/10.1515/ijamh-2017-0086

Abstract

Background

Information on disclosure of HIV status among youth is sparse in spite of the fact that they bear a significant burden of the HIV epidemic. Our objective was to determine the predictors of HIV disclosure among youth aged 18–35 years in Ibadan, Nigeria.

Methods

A cross-sectional study was conducted among youth with HIV attending two HIV support groups and one ARV clinic in Ibadan, Nigeria. Information was obtained with the aid of an interviewer-administered questionnaire. Descriptive and analytic statistics were conducted.

Results

There were 170 clients with a mean age of 29.6 ± 3.9 years; 140 (82.4%) were female and 139 (81.8%) had disclosed their status. Common people first informed included respondents’ mother 49 (35.3%), spouse 39 (28.1%) or father, 38 (27.3%). Disclosure to an unmarried sexual partner was low as only six (12.0%) of the 50 single youth who had a current sexual partner had disclosed their status to him/her. Youth who were aware that their spouse/partner was HIV positive (OR = 9.87; CI = 1.09–88.83) or negative (OR = 9.98; CI = 1.18–84.70) were more likely to have disclosed their status than those unaware of their spouse/partners’ status. Disclosure was also higher among members of an HIV support group (OR = 3.32; CI = 1.03–10.72).

Conclusions

Many respondents had disclosed their status although disclosure to an unmarried sexual partner was low. Interventions to improve HIV disclosure especially among unmarried sexually active youth could improve disclosure and overall management of HIV in our study area.

Keywords: disclosure; HIV; young persons; youth

References

  • [1]

    McNeely C, Blanchard J, Yohalem N. The teen years explained: a guide to healthy adolescent development. Center for Adolescent Health at Johns Hopkins Bloomberg School of Public Health 2010.Google Scholar

  • [2]

    Centers for Disease Control and Prevention. HIV among youth. 2015. Available from: http://www.cdc.gov/hiv/group/age/youth/index.html.Google Scholar

  • [3]

    Joint United Nations Programme on HIV/AIDS. The GAP Report. Geneva: UNAIDS, 2014.Google Scholar

  • [4]

    National Agency for the Control of AIDS (NACA). 2015 Global AIDS Response Country Progress Report (GARPR). Abuja: National Agency for the Control of AIDS (NACA), 2015.Google Scholar

  • [5]

    National Population Commission (NPC) [Nigeria] and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria and Rockville, Maryland, USA: NPC and ICF International, 2014.Google Scholar

  • [6]

    Federal Ministry of Health. National HIV & AIDS and Reproductive Health Survey 2012, (NARHS Plus II). Abuja, Nigeria: Federal Ministry of Nigeria, 2013.Google Scholar

  • [7]

    Dahlui M, Azahar N, Bulgiba A, Zaki R, Oche OM, et al. HIV/AIDS related stigma and discrimination against PLWHA in Nigerian population. PLoS One. 2015;10:e0143749.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [8]

    Thoth CA, Tucker C, Leahy M, Stewart SM. Self-disclosure of serostatus by youth who are HIV-positive: a review. J Behav Med. 2014;37:276–88.Web of ScienceCrossrefPubMedGoogle Scholar

  • [9]

    Madiba S, Mokgatle M. Perceptions and experiences about self-disclosure of HIV status among adolescents with perinatal acquired HIV in poor-resourced communities in South Africa. AIDS Res Treat. 2016;2016.PubMedWeb of ScienceGoogle Scholar

  • [10]

    Nöstlinger C, Bakeera-Kitaka S, Buyze J, Loos J, Buvé A. Factors influencing social self-disclosure among adolescents living with HIV in Eastern Africa. AIDS Care. 2015;27(Suppl 1):36–46.Web of ScienceCrossrefPubMedGoogle Scholar

  • [11]

    Amoran O. Predictors of disclosure of sero-status to sexual partners among people living with HIV/AIDS in Ogun state, Nigeria. Nigerian J Clin Prac. 2012;15:385–90.CrossrefGoogle Scholar

  • [12]

    Dempsey AG, MacDonell KE, Naar-King S, Lau CY. Patterns of disclosure among youth who are HIV-positive: a multisite study. J Adoles Health. 2012;50:315–7.CrossrefGoogle Scholar

  • [13]

    Bachanas P, Medley A, Pals S, Kidder D, Antelman G, Benech I, et al. Disclosure, knowledge of partner status, and condom use among HIV-positive patients attending clinical care in Tanzania, Kenya, and Namibia. AIDS Patient Care STDs. 2013;27:425–35.PubMedCrossrefWeb of ScienceGoogle Scholar

  • [14]

    Akani C, Erhabor O. Rate, pattern and barriers of HIV serostatus disclosure in a resource-limited setting in the Niger delta of Nigeria. Trop Doct. 2006;36:87–9.CrossrefGoogle Scholar

  • [15]

    Serovich JM, Lim J-Y, Mason TL. A retest of two HIV disclosure theories: The women’s story. Health Soc Work. 2008;33:23–31.CrossrefWeb of SciencePubMedGoogle Scholar

  • [16]

    Serovich JM. A test of two HIV disclosure theories. AIDS Educ Prev. 2001;13:355–64.CrossrefPubMedGoogle Scholar

  • [17]

    Holt R, Court P, Vedhara K, Nott K, Holmes J, Snow MH. The role of disclosure in coping with HIV infection. AIDS Care. 1998;10:49–60.CrossrefPubMedGoogle Scholar

  • [18]

    Waddell EN, Messeri PA. Social support, disclosure, and use of antiretroviral therapy. AIDS Behav. 2006;10:263–72.PubMedCrossrefGoogle Scholar

  • [19]

    Southern African AIDS Trust (SAT). Counselling guidelines on disclosure of HIV status, Harare, Zimbabwe. Available from: http://www.satregional.org 2004. Accessed on 14 May 2017.

  • [20]

    Simoni JM, Pantalone DW. HIV Disclosure and Safer Sex. In: Kalichman SC, editor. Positive Prevention. Boston, MA: Springer; 2005. p. 65–98.Google Scholar

  • [21]

    Gielen AC, O’Campo P, Faden RR, Eke A. Women’s disclosure of HIV status: experiences of mistreatment and violence in an urban setting. Women Health. 1997;25:19–31.CrossrefGoogle Scholar

  • [22]

    Ogden J, Nyblade L, Ashburn K, Becker J, Kalibala S, Kimani V, et al. Common at its core: HIV-related stigma across contexts. Washington, DC 20036, U.S.A.: International Center for Research on Women (ICRW), 2005.Google Scholar

  • [23]

    Kassaye KD, Lingerh W, Dejene Y. Determinants and outcomes of disclosing HIV-sero positive status to sexual partners among women in Mettu and Gore towns, Illubabor Zone southwest Ethiopia. Ethiopian J Health Dev. 2005;19:126–31.Google Scholar

  • [24]

    Cherry AL, Baltag V, Dillon ME. International handbook on adolescent health and development. The Public Health Response. Switzerland: Springer International Publishing, 2016.Google Scholar

  • [25]

    Federal Ministry of Youth Development. National Youth Policy. Abuja: Federal Ministry of Youth Development, 2009.Google Scholar

  • [26]

    Sangowawa AO, Owoaje ET. Economic problems of youth with HIV/AIDS in Ibadan Nigeria. Ann Ib Postgrad Med. 2011;9:106–10.Google Scholar

  • [27]

    Sangowawa AO, Owoaje ET. Experiences of discrimination among youth with HIV/AIDS in Ibadan, Nigeria. J Public Health Afr. 2012;3:35–8 e10.Google Scholar

  • [28]

    Brislin RW. (1986). The wording and translation of research instruments. In W. J. Lonner & J. W. Berry (Eds.), Field methods in cross-cultural research (Cross-Cultural Research and Methodology Series, Vol. 8, pp. 137-164). Beverly Hills, CA: Sage.Google Scholar

  • [29]

    D’Angelo LJ, Abdalian SE, Sarr M, Hoffman N, Belzer M. Disclosure of serostatus by HIV infected youth: the experience of the REACH study. Reaching for Excellence in Adolescent Care and Health. J Adolesc Health. 2001;29(3 Suppl):72–9.PubMedCrossrefGoogle Scholar

  • [30]

    Emlet CA. A comparison of HIV stigma and disclosure patterns between older and younger adults living with HIV/AIDS. AIDS Patient Care STDs. 2006;20:350–8.PubMedCrossrefGoogle Scholar

  • [31]

    Obermeyer CM, Baijal P, Pegurri E. Facilitating HIV disclosure across diverse settings: a review. Am J Public Health. 2011;101:1011–23.CrossrefWeb of SciencePubMedGoogle Scholar

  • [32]

    Olley BO, Seedat S, Stein DJ. Self-disclosure of HIV serostatus in recently diagnosed patients with HIV in South Africa. African J Reprod Health. 2004;8(2):71–6.CrossrefGoogle Scholar

  • [33]

    Skogmar S, Shakely D, Lans M, Danell J, Andersson R, Tshandu N, et al. Effect of antiretroviral treatment and counselling on disclosure of HIV-serostatus in Johannesburg, South Africa. AIDS Care. 2006;18:725–30.CrossrefPubMedGoogle Scholar

  • [34]

    Lee M, Rotheram-Borus MJ, O’hara P. Disclosure of serostatus among youth living with HIV. AIDS Behav. 1999;3:33–40.CrossrefGoogle Scholar

  • [35]

    Kadowa I, Nuwaha F. Factors influencing disclosure of HIV positive status in Mityana district of Uganda. African Health Sci. 2009;9:26–33.Google Scholar

  • [36]

    Deribe K, Woldemichael K, Wondafrash M, Haile A, Amberbir A. Disclosure experience and associated factors among HIV positive men and women clinical service users in southwest Ethiopia. BMC Public Health. 2008;8:81.Web of ScienceCrossrefPubMedGoogle Scholar

  • [37]

    Wiener LS, Battles HB. Untangling the web: a close look at diagnosis disclosure among HIV-infected adolescents. J Adolesc Health. 2006;38:307–9.CrossrefGoogle Scholar

About the article

Received: 2017-05-15

Accepted: 2017-06-04

Published Online: 2018-01-15


Citation Information: International Journal of Adolescent Medicine and Health, 20170086, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0086.

Export Citation

©2018 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Comments (0)

Please log in or register to comment.
Log in