Publication: Factors associated with non-disclosure of HIV infection status of new mothers in Bangkok
Issued Date
2006-07-01
Resource Type
ISSN
01251562
Other identifier(s)
2-s2.0-33750221573
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Mahidol University
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SCOPUS
Bibliographic Citation
Southeast Asian Journal of Tropical Medicine and Public Health. Vol.37, No.4 (2006), 690-703
Suggested Citation
Natapakwa Skunodom, Robert W. Linkins, Mary E. Culnane, Jerawan Prymanee, Chantima Kannasoot, Waraporn Suwannapha, Suratsavadee Suwanmaitre, Chariya Utenpitak, Chanidapa Yuvasevee, Achara Teeraratkul, R. J. Simonds, Jordan W. Tappero Factors associated with non-disclosure of HIV infection status of new mothers in Bangkok. Southeast Asian Journal of Tropical Medicine and Public Health. Vol.37, No.4 (2006), 690-703. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/23716
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Title
Factors associated with non-disclosure of HIV infection status of new mothers in Bangkok
Abstract
The objective of this study was to estimate HIV disclosure rates and identify factors that predict non-disclosure in Thai women who tested HIV positive during pregnancy or at delivery. This was a cohort study evaluating the implementation of prevention of mother-to-child HIV transmission programs at two Bangkok hospitals in 1999-2003. All HIV-infected women who delivered during the study period were enrollment eligible. Thai-language questionnaires were used to collect baseline data before discharge from the hospital. At the 1 and 4 month follow-up visits, women were asked if they had disclosed their HIV status. Of the 799 women who enrolled, 647 (81.0%) completed follow-up at 1 and 4 months. Four hundred fifty-three (70.0%) women disclosed their status by 1 month. Of the 194 women who had not disclosed by 1 month, 48 (24.7%) had disclosed their status by 4 months. An independent increased odds of non-disclosure by 1 month was associated with not having a partner tested for HIV (OR=5.83, 95% CI=3.19-9.08) or not knowing if the partner was ever tested for HIV (OR=13.02, 95% CI=5.26-32.28), first learning of HIV positive status during delivery (OR=6.84, 95% CI=2.36-19.81) or after delivery (OR=3.14, 95% CI=1.57-6.26) and having >2 lifetime sexual partners (OR=1.71, 95% CI=1.04-2.82). Not living with a partner every day was associated with non-disclosure by 4 months in those women who had not disclosed by 1 month (OR=2.28, 95% CI=1.43-3.64). Despite high rates of disclosure by 1 month, 22.6% of women still had not disclosed their HIV status to their partners by 4 months. The benefits of disclosure warrant effective interventions targeted at women at risk for non-disclosure.