@techreport{fdi:010088348,
  title = {{D}isclosure of {HIV} positive status : gender differences within the {TEMPRANO} trial participants, {C}{\^o}te d'{I}voire - {ANRS} 12239},
  author = {{N}iangoran, {S}. and {F}assassi, {R}. and {D}anel, {C}. and {B}adje, {A}. and {N}'takpe, {J}.{B}. and {M}enan {K}ouame, {G}. and {J}ean, {K}. and {E}holie, {S}. and {A}nglaret, {X}. and {D}esgr{\'e}es du {L}oû, {A}nnabel},
  editor = {},
  language = {{ENG}},
  abstract = {{F}or people living with {HIV}, disclosure of {HIV} status is an important challenge : informed friends or family members can be supportive, or on the contrary can stigmatise the {HIV}-positive person. {W}e aimed to compare {HIV} status disclosure among men and women, since gender relationships create different opportunities and difficulties for both sexes. {T}he study was conducted among {HIV}-positive adults enrolled in the {TEMPRANO} randomized trial in {C}{\^o}te d'{I}voire, which aims to compare very early antiretroviral treatment versus treatment initiation as per {WHO} current guidelines. {A}ll participants in this trial were asked questions on {HIV} status disclosure after 24 months of follow- up. {U}nivariate and multivariate analyses were performed to compare disclosure patterns among men and women, disclosure to people living inside and/or outside the household, and in particular to the spouse or regular partner, and to identify the factors associated with disclosure. {HIV} status disclosure was frequent (more than 80%) among {HIV} patients, with no difference between men and women (p=0.45). {F}or both, the regular partner was the most frequent confidant. {B}ut patterns of disclosure were different : men more frequently disclosed to a regular partner than women (74.1% vs 64.9%, p=0.004), because they were more likely to live with a regular partner (58.6% of men vs 35.8% of women). {M}en and women living with a regular partner reported similar levels of disclosure to the spouse (82.1% for men and 82.4% for women). {W}omen disclosed more often than men to their children, siblings and mother. {F}or both, the confidants were more often women (sisters, mother) than men (brothers, father). {O}ur study shows that differences in the living conditions of men and women living with {HIV} and differences in gender roles induce gendered differences in {HIV} disclosure that should be considered in the care of the patient.},
  keywords = {{COTE} {D}'{IVOIRE}},
  address = {{P}aris},
  publisher = {{CEPED}},
  series = {{W}orking {P}apers du {CEPED}},
  pages = {15  multigr.},
  year = {2016},
  URL = {https://www.documentation.ird.fr/hor/fdi:010088348},
}