@article{fdi:010042441,
  title = {{W}hen do {HIV}-{I}nfected women disclose their {HIV} status to their male partner and why ? {A} study in a {PMTCT} programme, {A}bidjan - art. no. e342},
  author = {{B}rou, {H}ermann and {D}johan, {G}. and {B}ecquet, {R}. and {A}llou, {G}. and {E}kouevi, {D}. {K}. and {V}iho, {I}. and {L}eroy, {V}. and {D}esgrees du {L}ou, {A}nnabel},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {I}n {A}frica, women tested for {HIV} during antenatal care are counselled to share with their partner their {HIV} test result and to encourage partners to undertake {HIV} testing. {W}e investigate, among women tested for {HIV} within a prevention of mother-to-child transmission of {HIV} ({PMTCT}) programme, the key moments for disclosure of their own {HIV} status to their partner and the impact on partner {HIV} testing. {M}ethods and {F}indings {W}ithin the {D}itrame {P}lus {PMTCT} project in {A}bidjan, 546 {HIV}-positive and 393 {HIV}-negative women were tested during pregnancy and followed-up for two years after delivery. {C}ircumstances, frequency, and determinants of disclosure to the male partner were estimated according to {HIV} status. {T}he determinants of partner {HIV} testing were identified according to women's {HIV} status. {D}uring the two-year follow-up, disclosure to the partner was reported by 96.7% of the {HIV}-negative women, compared to 46.2% of {HIV}-positive women (chi(2)=265.2, degrees of freedom [df] 1, p < 0.001). {A}mong {HIV}-infected women, privileged circumstances for disclosure were just before delivery, during early weaning (at 4 mo to prevent {HIV} postnatal transmission), or upon resumption of sexual activity. {F}ormula feeding by {HIV}-infected women increased the probability of disclosure (adjusted odds ratio 1.54, 95% confidence interval 1.04-2.27, {W}ald test=4.649, df=1, p=0.031), whereas household factors such as having a cospouse or living with family reduced the probability of disclosure. {T}he proportion of male partners tested for {HIV} was 23.1% among {HIV}-positive women and 14.8% among {HIV}-negative women (chi(2)=10.04, df=1, p=0.002). {P}artners of {HIV}-positive women who were informed of their wife's {HIV} status were more likely to undertake {HIV} testing than those not informed (37.7% versus 10.5%, chi(2)=56.36, df=1, p < 0.001). {C}onclusions {I}n {PMTCT} programmes, specific psychosocial counselling and support should be provided to women during the key moments of disclosure of {HIV} status to their partners (end of pregnancy, weaning, and resumption of sexual activity). {T}his support could contribute to improving women's adherence to the advice given to prevent postnatal and sexual {HIV} transmission.},
  keywords = {},
  booktitle = {},
  journal = {{P}los {M}edicine},
  volume = {4},
  numero = {12},
  pages = {1912--1920},
  ISSN = {1549-1277},
  year = {2007},
  DOI = {10.1371/journal.pmed.0040342},
  URL = {https://www.documentation.ird.fr/hor/fdi:010042441},
}