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Awareness of HIV serostatus by sex partners of women living with HIV in North-Central Nigeria: correlates and predictive analyses

Published online by Cambridge University Press:  24 June 2021

Ejemai Amaize Eboreime Open the ORCID record for Ejemai Amaize Eboreime [Opens in a new window] ,
Ijeoma Uchenna Itanyi ,
Amaka Grace Ogidi ,
Theddeus Iheanacho ,
Olanrewaju Olayiwola ,
Chima Ariel Onoka  and
Echezona Edozie Ezeanolue
Ejemai Amaize Eboreime*
Affiliation:
Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Alberta, Canada National Primary Health Care Development Agency, Abuja, Federal Capital Territory, Nigeria
Ijeoma Uchenna Itanyi
Affiliation:
Center for Translation and Implementation Research, University of Nigeria Nsukka, Enugu, Nigeria Department of Community Medicine, University of Nigeria Nsukka, Enugu, Nigeria
Amaka Grace Ogidi
Affiliation:
Center for Translation and Implementation Research, University of Nigeria Nsukka, Enugu, Nigeria
Theddeus Iheanacho
Affiliation:
Yale Institute of Global Health, Yale School of Medicine, Connecticut, USA
Olanrewaju Olayiwola
Affiliation:
Caritas Nigeria, Abuja, Federal Capital Territory, Nigeria
Chima Ariel Onoka
Affiliation:
Center for Translation and Implementation Research, University of Nigeria Nsukka, Enugu, Nigeria Department of Community Medicine, University of Nigeria Nsukka, Enugu, Nigeria
Echezona Edozie Ezeanolue
Affiliation:
Center for Translation and Implementation Research, University of Nigeria Nsukka, Enugu, Nigeria
*
*Corresponding author. Email: [email protected]
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Abstract

Non-communication of HIV status among sex partners is a notable hurdle in halting transmission, largely due to socio-cultural factors. This study aimed to predict the determinants of male partners’ awareness of women’s serostatus. A total of 8825 women of reproductive age living with HIV who were clients at five comprehensive HIV treatment centres in Benue State, North-Central Nigeria were surveyed between June and December 2017, and 6655 reported having a sexual partner at the time of the survey selected for analysis. A regression model was used to estimate the determinants of male partner awareness of serostatus from the perspective of women. Conditional marginal analyses were conducted to evaluate the marginal effects of identified predictors on the probability of outcomes. Partners of married women were found to have greater odds of being aware of their spouse’s serostatus (adjusted OR (aOR): 3.20; 95%CI: 2.13–4.81) than non-married partners. Similarly, the odds of male partner awareness increased with the years women had been on antiretroviral therapy (aOR: 1.13; 95%CI: 1.07–1.20). The probability of partners of married respondents being aware of their spouse’s HIV serostatus was 97%. The conditional marginal effects of being educated to primary or higher level were 1.2 (95% CI: –0.2 to 2.7) and 1.8 (95% CI: 0.09–3.4) percentage points higher respectively when compared with women with no formal education. Being unemployed or being a trader significantly decreased the probability of partners being aware of respondents’ serostatus when compared with farmers; conditional marginal effects of –6.7 (95% CI: –12.0 to –1.4) and –3.9 (95% CI: –5.7 to –2.2) percentage points, respectively. The study found that relationship status and girl-child education are factors that can improve communication of HIV status to sex partners. Policies and interventions aimed at improving the social determinants of health, and social support for healthy communications in relationships, are recommended to reduce HIV transmission between sex partners.

Keywords

Sexual partnersPartner disclosureHIV
Type
Research Article
Information
Journal of Biosocial Science , Volume 54 , Issue 4 , July 2022 , pp. 572 - 582
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Adepoju, P (2019) Nigeria’s new HIV/AIDS conundrum. Lancet HIV 6, E351–E352.CrossRefGoogle Scholar
Adeyinka, DA, Olakunde, BO, Oladimeji, O and Ezeanolue, EE (2019) HIV Indicator and Impact Survey: considerations for Nigeria. Lancet HIV 6, E348–E350.CrossRefGoogle ScholarPubMed
Ajayi, AI, Abioye, AO, Adeniyi, OV and Akpan, W (2019) Concerns about contracting HIV, knowing partners’ HIV sero-status and discussion of HIV/STI with sexual partners as determinants of uptake of HIV testing. Journal of Biosocial Science 51, 549–561.CrossRefGoogle ScholarPubMed
Alsan, MM and Cutler, DM (2013) Girls’ education and HIV risk: evidence from Uganda. Journal of Health Economics 32, 863–872.CrossRefGoogle ScholarPubMed
Amoran, OE (2012) Predictors of disclosure of sero-status to sexual partners among people living with HIV/AIDS in Ogun State, Nigeria. Nigerian Journal of Clinical Practice 15, 385–390.CrossRefGoogle ScholarPubMed
Arrey, AE, Bilsen, J, Lacor, P, and Deschepper, R (2015) “It’s my secret”: fear of disclosure among sub-Saharan African migrant women living with HIV/AIDS in Belgium. PloS One 10(3), e0119653 CrossRefGoogle Scholar
Baba-Ari, F, Eboreime, EA and Hossain, M (2018) Conditional cash transfers for maternal health interventions: factors influencing uptake in North-Central Nigeria. International Journal of Health Policy Management 7, 934–942.CrossRefGoogle ScholarPubMed
Bachanas, P, Medley, A, Pals, S, Kidder, D, Antelman, G, Benech, I et al. (2013) Disclosure, knowledge of partner status, and condom use among HIV-positive patients attending clinical care in Tanzania, Kenya, and Namibia. AIDS Patient Care STDS 27, 425–435.CrossRefGoogle ScholarPubMed
Barnhart, S (2016) PEPFAR: is 90-90-90 magical thinking? Lancet 387, 943–944.CrossRefGoogle ScholarPubMed
Batterham, P, Rice, E and Rotheram-Borus, MJ (2005) Predictors of serostatus disclosure to partners among young people living with HIV in the pre- and post-HAART eras. AIDS and Behavior 9, 281–287.CrossRefGoogle ScholarPubMed
Benki-Nugent, S, Chung, MH, Ackers, M, Richardson, BA, McGrath, CJ, Kohler, P et al. (2011) Knowing a sexual partner is HIV-1-uninfected is associated with higher condom use among HIV-1-infected adults in Kenya. Sexually Transmitted Diseases 38, 808–810.CrossRefGoogle ScholarPubMed
Benue State Government (2018) Benue State: Quick Facts. URL: https://benuestate.gov.ng/quick-facts/ (accessed 10th November 2020).Google Scholar
Bergman, J, Gratrix, J, Pillay, T, Houston, S, Cooper, R, Charlton, CL et al. (2015) Intensive HIV partner notification is effective in identifying new and previously diagnosed HIV Infections in Edmonton, Canada. AIDS Patient Care and STDs 29, 419–422.CrossRefGoogle ScholarPubMed
Brittain, K, Mellins, CA, Remien, RH, Phillips, T, Zerbe, A, Abrams, EJ and Myer, L (2018) Patterns and predictors of HIV-status disclosure among pregnant women in South Africa: dimensions of disclosure and influence of social and economic circumstances. AIDS and Behavior 22, 3933–3944.CrossRefGoogle ScholarPubMed
Bulali, RE, Kibusi, SM and Mpondo, BCT (2018) Factors associated with HIV status disclosure and its effect on treatment adherence and quality of life among children 6-17 years on antiretroviral therapy in Southern Highlands Zone, Tanzania: unmatched case control study. International Journal of Pediatrics, doi: 10.1155/2018/8058291.CrossRefGoogle Scholar
Clark, JL, Long, CM, Giron, JM, Cuadros, JA, Caceres, CF, Coates, TJ et al. (2007) Partner notification for sexually transmitted diseases in Peru: knowledge, attitudes, and practices in a high-risk community. Sexually Transmitted Diseases 34, 309–313.CrossRefGoogle Scholar
Clark, JL, Segura, ER, Perez-Brumer, AG, Reisner, SL, Peinado, J, Salvatierra, HJ et al. (2014) Potential impact and acceptability of internet partner notification for men who have sex with men and transgender women recently diagnosed as having sexually transmitted disease in Lima, Peru. Sexually Transmitted Diseases 41, 43–45.CrossRefGoogle ScholarPubMed
Colvin, CJ (2019) Strategies for engaging men in HIV services. Lancet HIV 6, E191–E200.CrossRefGoogle ScholarPubMed
Conroy, AA and Wong, LH (2015) How reliable are self-reports of HIV status disclosure? Evidence from couples in Malawi. Social Science & Medicine 144, 28–37.CrossRefGoogle ScholarPubMed
Conserve, D, Sevilla, L, Mbwambo, J and King, G (2013) Determinants of previous HIV testing and knowledge of partners hiv status among men attending a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. American Journal of Men’s Health 7, 450–460.CrossRefGoogle ScholarPubMed
Deribe, K, Woldemichael, K, Wondafrash, M, Haile, A and Amberbir, A (2008) Disclosure experience and associated factors among HIV positive men and women clinical service users in southwest Ethiopia. BMC Public Health 8, 81.CrossRefGoogle ScholarPubMed
Dessalegn, NG, Hailemichael, RG, Shewa-amare A, Sawleshwarkar, S, Lodebo, B, Amberbir, A and Hillman, RJ (2019) HIV disclosure: HIV-positive status disclosure to sexual partners among individuals receiving HIV care in Addis Ababa, Ethiopia. PloS One 14(2), e0211967.CrossRefGoogle ScholarPubMed
Dessie, G, Wagnew, F, Mulugeta, H, Amare, D, Jara, D, Leshargie, CT et al. (2019) The effect of disclosure on adherence to antiretroviral therapy among adults living with HIV in Ethiopia: a systematic review and meta-analysis. BMC Infectious Diseases 19, 528.CrossRefGoogle ScholarPubMed
Ezeanolue, EE, Obiefune, MC, Ezeanolue, CO, Ehiri, JE, Osuji, A, Ogidi, AG et al. (2015) Effect of a congregation-based intervention on uptake of HIV testing and linkage to care in pregnant women in Nigeria (Baby Shower): a cluster randomised trial. Lancet Global Health 3, E692–E700.CrossRefGoogle ScholarPubMed
Ezeanolue, EE, Obiefune, MC, Yang, W, Ezeanolue, CO, Pharr, J, Osuji, A et al. (2017) What do you need to get male partners of pregnant women tested for HIV in resource limited settings? The Baby Shower Cluster Randomized Trial. AIDS and Behavior 21, 587–596.Google Scholar
Gbadamosi, SO, Eze, C, Olawepo, JO, Iwelunmor, J, Sarpong, DF, Ogidi, AG et al. (2018) A patient-held smartcard with a unique identifier and an mhealth platform to improve the availability of prenatal test results in rural Nigeria: demonstration study. Journal of Medical Internet Research 20(1), e18.CrossRefGoogle Scholar
Granich, R, Williams, B, Montaner, J and Zuniga, JM (2017) 90-90-90 and ending AIDS: necessary and feasible. Lancet 390, 341–343.CrossRefGoogle ScholarPubMed
Groves, AK, Maman, S and Moodley, D (2012) HIV+ women’s narratives of non-disclosure: resisting the label of immorality. Global Public Health 7, 799–811.CrossRefGoogle ScholarPubMed
Hallberg, D, Kimario, TD, Mtuya, C, Msuya, M and Björling, G (2019) Factors affecting HIV disclosure among partners in Morongo, Tanzania. International Journal of Africa Nursing Sciences 10, 49–54.CrossRefGoogle Scholar
Hart, TA, Wolitski, RJ, Purcell, DW, Parsons, JT, Gomez, CA and Seropositive Urban Men’s, Study (2005) Partner awareness of the serostatus of HIV-seropositive men who have sex with men: impact on unprotected sexual behavior. AIDS and Behavior 9, 155–166.CrossRefGoogle ScholarPubMed
Irungu, E, Chersich, MF, Sanon, C, Chege, R, Gaillard, P, Temmerman, M et al. (2012) Changes in sexual behaviour among HIV-infected women in west and east Africa in the first 24 months after delivery. AIDS 26, 997–1007.CrossRefGoogle Scholar
Jennings, L, Rompalo, AM, Wang, J, Hughes, J, Adimora, AA, Hodder, S et al. (2015) Prevalence and correlates of knowledge of male partner HIV testing and serostatus among African-American women living in high poverty, high HIV prevalence communities (HPTN 064). AIDS and Behavior 19, 291–301.CrossRefGoogle Scholar
Karatzas, N, Peter, T, Dave, S, Fogarty, C, Belinsky, N and Pai, NP (2019) Are policy initiatives aligned to meet UNAIDS 90-90-90 targets impacting HIV testing and linkages to care? Evidence from a systematic review. PloS One 14, doi.org/10.1371/journal.pone.0216936.CrossRefGoogle Scholar
Katz, DA, Dombrowski, JC, Kerani, RP, Aubin, MR, Kern, DA, Heal, DD et al. (2016) Integrating HIV testing as an outcome of Std partner services for men who have sex with men. AIDS Patient Care and STDs 30, 208–214.CrossRefGoogle ScholarPubMed
King, R, Katuntu, D, Lifshay, J, Packel, L, Batamwita, R, Nakayiwa, S et al. (2008) Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda. AIDS and Behavior 12, 232–243.CrossRefGoogle ScholarPubMed
Kiula, ES, Damian, DJ and Msuya, SE (2013) Predictors of HIV serostatus disclosure to partners among HIV-positive pregnant women in Morogoro, Tanzania. BMC Public Health 13, 433.CrossRefGoogle ScholarPubMed
Kouanda, S, Yameogo, WME, Berthe, A, Bila, B, Yaya, FKB, Somda, A et al. (2012) Self-disclosure of a HIV-positive serostatus: factors favoring disclosure and consequences for persons living with HIV/AIDS in Burkina Faso. Revue D epidemiologie et de sante publique 60, 221–228.CrossRefGoogle ScholarPubMed
Loubiere, S, Peretti-Watel, P, Boyer, S, Blanche, J, Abega, SC and Spire, B (2009) HIV disclosure and unsafe sex among HIV-infected women in Cameroon: results from the ANRS-EVAL study. Social Science & Medicine 69, 885–891.CrossRefGoogle ScholarPubMed
Maman, S and Medley, A (2003) Gender Dimensions of HIV Status Disclosure to Sexual Partners: Rates Barriers and Outcomes. World Health Organization, Geneva.Google Scholar
Marks, G, Crepaz, N, Senterfitt, JW and Janssen, RS (2005) Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States – implications for HIV prevention programs. Journal of Acquired Immune Deficiency Syndromes 39, 446–453.CrossRefGoogle ScholarPubMed
Millson, ME, Rasooly, I, Scott, EAF, Oxman, AD, Frank, JW, Sellors, JW et al. (1994) Partner notification for sexually-transmitted diseases – proposed practice guidelines. Canadian Journal of Public Health-Revue Canadienne De Sante Publique 85, S53–S55.Google ScholarPubMed
National Agency for the Control of AIDS (2019) Nigeria HIV/AIDS Indicator and Impact Survey Fact Sheets. National Agency for the Control of AIDS.Google Scholar
National Population Commission and Inner City Fund International (2014) Nigeria Demographic and Health Survey 2013. National Population Commission (NPC) [Nigeria], Abuja, Nigeria, and ICF International, and Rockville, MD, USA.Google Scholar
Ngonzi, J, Mugyenyi, G, Kivunike, M, Mugisha, J, Salongo, W, Masembe, S et al. (2019) Frequency of HIV status disclosure, associated factors and outcomes among HIV positive pregnant women at Mbarara Regional Referral Hospital, southwestern Uganda. Pan African Medical Journal 32, 200.CrossRefGoogle Scholar
Obiri-Yeboah, D, Amoako-Sakyi, D, Baidoo, I, Adu-Oppong, A and Rheinlander, T (2016) The fears of disclosing HIV status to sexual partners: a mixed methods study in a counseling setting in Ghana. AIDS and Behavior 20, 126–136.CrossRefGoogle Scholar
Odimegwu, CO, Akinyemi, JO and Alabi, OO (2017) HIV-stigma in Nigeria: review of research studies, policies, and programmes. Aids Research and Treatment, ID 5812650.CrossRefGoogle Scholar
Sowell, RL, Seals, BF, Phillips, KD and Julious, CH (2003) Disclosure of HIV infection: how do women decide to tell? Health Education Research 18, 32–44.CrossRefGoogle ScholarPubMed
Stover, J, Bollinger, L, Izazola, JA, Loures, L, DeLay, P, Ghys, PD and Fast Track Modeling Working Group (2016) What is required to end the AIDS epidemic as a public health threat by 2030? The cost and impact of the fast-track approach. PloS One 11, doi.org/10.1371/journal.pone.0154893Google Scholar
Wambiya, EOA, Atela, M, Eboreime, E and Ibisomi, L (2018) Factors affecting the acceptability of isoniazid preventive therapy among healthcare providers in selected HIV clinics in Nairobi County, Kenya: a qualitative study. BMJ Open 8, e024286.CrossRefGoogle ScholarPubMed
Xia, Q, Molitor, F, Osmond, DH, Tholandi, M, Pollack, LM, Ruiz, JD and Catania, JA (2006) Knowledge of sexual partners HIV serostatus and serosorting practices in a California population-based sample of men who have sex with men. AIDS 20, 2081–2089.CrossRefGoogle Scholar
Yaya, I, Saka, B, Landoh, DE, Patchali, PM, Patassi, AA, Aboubakari, AS, Makawa, MS et al. (2015) HIV status disclosure to sexual partners, among people living with HIV and AIDS on antiretroviral therapy at Sokode regional hospital, Togo. PloS One 10, e0118157.CrossRefGoogle Scholar