Influence of Male Partners on HIV Disclosure Among South African Women in a Cluster Randomized PMTCT Intervention
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ORIGINAL PAPER
Influence of Male Partners on HIV Disclosure Among South African Women in a Cluster Randomized PMTCT Intervention John M. Abbamonte1 · Manasi S. Parrish2 · Tae K. Lee3 · Shandir Ramlagan4 · Sibusiso Sifunda4 · Karl Peltzer4,5,6 · Stephen M. Weiss1 · Deborah L. Jones1
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Disclosure of HIV serostatus is beneficial for women, their partners, and their infants as it enables women to actively participate in preventative care (Hodgson et al. in PLoS ONE 9(11):e111421, 2014; Odiachi et al. in Reprod Health 15(1):36, 2018). Therefore, it is important that interventions addressing HIV prevention include elements that foster disclosure of HIV to partners. This study conducted in South Africa utilizes the “Protect Your Family” (PYF) behavioral intervention and compares Prevention of Mother to Child Transmission (PMTCT) among women participating in the program versus those in a control program. Within both groups, male partners were either present or not present for the intervention. The purpose of this study was to examine differential disclosure over time for individuals in the different conditions and partner involvement. A firth logistic regression revealed an interaction in the experimental condition with male partners participating (b = − 2.84, SE = 1.56, p = .012), in which female participants were less likely to disclose their HIV status over time. Findings from this study illustrate that additional efforts are needed to empower women to disclose their HIV status. Keywords HIV disclosure · South Africa · PMTCT · Depression · Stigma Resumen Revelar su estado serológico del VIH a sus parejas es beneficioso para las mujeres, sus parejas y sus bebés, ya que les permite a las mujeres participar activamente en atención preventiva (Hodgson et al. in PLoS ONE 9(11):e111421, 2014; Odiachi et al. in Reprod Health 15(1):36, 2018). Por lo tanto, es importante que las intervenciones que aborden la prevención del VIH incluyan elementos que fomenten la revelación del estado serológico del VIH de las mujeres a sus parejas. Este estudio realizado en Sudáfrica utiliza la intervención conductual “Protege a tu familia” (PYF por sus siglas en Ingles) y compara la prevención de la transmisión de madre a hijo (PMTCT por sus siglas en Ingles) entre mujeres que participaron en el programa y las que participaron en un programa de control. Dentro de ambos grupos, los compañeros masculinos estuvieron presentes * Deborah L. Jones [email protected] 1
Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Dominion Towers Suite 404, 1400 NW 10th Avenue, Miami, FL 33136, USA
2
University of Miami Miller School of Medicine, Miami, USA
3
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, USA
4
HIV/AIDS/STIs and TB Research Programme, Human Sciences Research Council, Pretoria, South Africa
5
Department of Research Administration and Development, University of L
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