@article{fdi:010060704,
  title = {{I}mpact of {HIV} comprehensive care and treatment on serostatus disclosure among {C}ameroonian patients in rural district hospitals},
  author = {{S}uzan-{M}onti, {M}. and {K}ouanfack, {C}. and {B}oyer, {S}. and {B}lanche, {J}. and {B}onono, {R}. {C}. and {D}elaporte, {E}ric and {C}arrieri, {P}. {M}. and {M}oatti, {J}ean-{P}aul and {L}aurent, {C}hristian and {S}pire, {B}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}his work aimed to analyze the rate of disclosure to relatives and friends over time and to identify factors affecting disclosure among seropositive adults initiating antiretroviral therapy ({ART}) in rural district hospitals in the context of decentralized, integrated {HIV} care and task-shifting to nurses in {C}ameroon. {S}tratall was a 24-month, randomized, open-label trial comparing the effectiveness of clinical monitoring alone with laboratory plus clinical monitoring on treatment outcomes. {I}t enrolled 459 {HIV}-infected {ART}-naive adults in 9 rural district hospitals in {C}ameroon. {P}articipants in both groups were sometimes visited by nurses instead of physicians. {P}atients with complete data both at enrolment ({M}0) and at least at one follow-up visit were included in the present analysis. {A} mixed {P}oisson regression was used to estimate predictors of the evolution of disclosure index over 24 months ({M}24). {T}he study population included 385 patients, accounting for 1733 face-to-face interviews at follow-up visits from {M}0 to {M}24. {T}he median [{IQR}] number of categories of relatives and friends to whom patients had disclosed was 2 [1-3] and 3 [2-5] at {M}0 and {M}24 (p-trend<0.001), respectively. {A}fter multiple adjustments, factors associated with disclosure to a higher number of categories of relatives and friends were as follows: having revealed one's status to one's main partner, time on {ART}, {HIV} diagnosis during hospitalization, knowledge on {ART} and positive ratio of follow-up nurse-led to physician-led visits measuring task-shifting. {ART} delivered in the context of decentralized, integrated {HIV} care including task-shifting was associated with increased {HIV} serological status disclosure.},
  keywords = {{CAMEROUN}},
  booktitle = {},
  journal = {{P}los {O}ne},
  volume = {8},
  numero = {1},
  pages = {e55225},
  ISSN = {1932-6203},
  year = {2013},
  DOI = {10.1371/journal.pone.0055225},
  URL = {https://www.documentation.ird.fr/hor/fdi:010060704},
}