Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya
Abstract Background Prevention of mother-to-child HIV transmission (PMTCT) programs usually test pregnant women for HIV without involving their partners. Non-disclosure of maternal HIV status to male partners may deter utilization of PMTCT interventions since partners play a pivotal role in decision...
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-018-5567-6 |
| _version_ | 1818443851772198912 |
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| author | John Kinuthia Benson Singa Christine J. McGrath Beryne Odeny Agnes Langat Abraham Katana Lucy Ng’ang’a Jillian Pintye Grace John-Stewart |
| author_facet | John Kinuthia Benson Singa Christine J. McGrath Beryne Odeny Agnes Langat Abraham Katana Lucy Ng’ang’a Jillian Pintye Grace John-Stewart |
| author_sort | John Kinuthia |
| collection | DOAJ |
| description | Abstract Background Prevention of mother-to-child HIV transmission (PMTCT) programs usually test pregnant women for HIV without involving their partners. Non-disclosure of maternal HIV status to male partners may deter utilization of PMTCT interventions since partners play a pivotal role in decision-making within the home including access to and utilization of health services. Methods Mothers attending routine 6-week and 9-month infant immunizations were enrolled at 141 maternal and child health (MCH) clinics across Kenya from June–December 2013. The current analysis was restricted to mothers with known HIV status who had a current partner. Multivariate logistic regression models adjusted for marital status, relationship length and partner attendance at antenatal care (ANC) were used to determine correlates of HIV non-disclosure among HIV-uninfected and HIV-infected mothers, separately, and to evaluate the relationship of non-disclosure with uptake of PMTCT interventions. All analyses accounted for facility-level clustering, Results Overall, 2522 mothers (86% of total study population) met inclusion criteria, 420 (17%) were HIV-infected. Non-disclosure of HIV results to partners was higher among HIV-infected than HIV-uninfected women (13% versus 3% respectively, p < 0.001). HIV-uninfected mothers were more likely to not disclose their HIV status to male partners if they were unmarried (adjusted odds ratio [aOR] = 3.79, 95% CI: 1.56–9.19, p = 0.004), had low (≤KSH 5000) income (aOR = 1.85, 95% CI: 1.00–3.14, p = 0.050), experienced intimate partner violence (aOR = 3.65, 95% CI: 1.84–7.21, p < 0.001) and if their partner did not attend ANC (aOR = 4.12, 95% CI: 1.89–8.95, p < 0.001). Among HIV-infected women, non-disclosure to male partners was less likely if women had salaried employment (aOR = 0.42, 95%CI: 0.18–0.96, p = 0.039) and each increasing year of relationship length was associated with decreased likelihood of non-disclosure (aOR = 0.90, 95% CI: 0.82–0.98, p = 0.015 for each year increase). HIV-infected women who did not disclose their HIV status to partners were less likely to uptake CD4 testing (aOR = 0.32, 95% CI: 0.15–0.69, p = 0.004), to use antiretrovirals (ARVs) during labor (OR = 0.38, 95% CI 0.15–0.97, p = 0.042), or give their infants ARVs (OR = 0.08, 95% CI 0.02–0.31, p < 0.001). Conclusion HIV-infected women were less likely to disclose their status to partners than HIV-uninfected women. Non-disclosure was associated with lower use of PMTCT services. Facilitating maternal disclosure to male partners may enhance PMTCT uptake. |
| first_indexed | 2024-12-14T19:06:37Z |
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| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-12-14T19:06:37Z |
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| series | BMC Public Health |
| spelling | doaj.art-758496779ce9474bac2c0727465d69352022-12-21T22:50:51ZengBMCBMC Public Health1471-24582018-05-0118111010.1186/s12889-018-5567-6Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in KenyaJohn Kinuthia0Benson Singa1Christine J. McGrath2Beryne Odeny3Agnes Langat4Abraham Katana5Lucy Ng’ang’a6Jillian Pintye7Grace John-Stewart8Kenyatta National HospitalKenya Medical Research InstituteUniversity of WashingtonUniversity of WashingtonDivision of Global HIV & TB, US Centers for Disease Control and Prevention (CDC)Division of Global HIV & TB, US Centers for Disease Control and Prevention (CDC)Division of Global HIV & TB, US Centers for Disease Control and Prevention (CDC)University of WashingtonUniversity of WashingtonAbstract Background Prevention of mother-to-child HIV transmission (PMTCT) programs usually test pregnant women for HIV without involving their partners. Non-disclosure of maternal HIV status to male partners may deter utilization of PMTCT interventions since partners play a pivotal role in decision-making within the home including access to and utilization of health services. Methods Mothers attending routine 6-week and 9-month infant immunizations were enrolled at 141 maternal and child health (MCH) clinics across Kenya from June–December 2013. The current analysis was restricted to mothers with known HIV status who had a current partner. Multivariate logistic regression models adjusted for marital status, relationship length and partner attendance at antenatal care (ANC) were used to determine correlates of HIV non-disclosure among HIV-uninfected and HIV-infected mothers, separately, and to evaluate the relationship of non-disclosure with uptake of PMTCT interventions. All analyses accounted for facility-level clustering, Results Overall, 2522 mothers (86% of total study population) met inclusion criteria, 420 (17%) were HIV-infected. Non-disclosure of HIV results to partners was higher among HIV-infected than HIV-uninfected women (13% versus 3% respectively, p < 0.001). HIV-uninfected mothers were more likely to not disclose their HIV status to male partners if they were unmarried (adjusted odds ratio [aOR] = 3.79, 95% CI: 1.56–9.19, p = 0.004), had low (≤KSH 5000) income (aOR = 1.85, 95% CI: 1.00–3.14, p = 0.050), experienced intimate partner violence (aOR = 3.65, 95% CI: 1.84–7.21, p < 0.001) and if their partner did not attend ANC (aOR = 4.12, 95% CI: 1.89–8.95, p < 0.001). Among HIV-infected women, non-disclosure to male partners was less likely if women had salaried employment (aOR = 0.42, 95%CI: 0.18–0.96, p = 0.039) and each increasing year of relationship length was associated with decreased likelihood of non-disclosure (aOR = 0.90, 95% CI: 0.82–0.98, p = 0.015 for each year increase). HIV-infected women who did not disclose their HIV status to partners were less likely to uptake CD4 testing (aOR = 0.32, 95% CI: 0.15–0.69, p = 0.004), to use antiretrovirals (ARVs) during labor (OR = 0.38, 95% CI 0.15–0.97, p = 0.042), or give their infants ARVs (OR = 0.08, 95% CI 0.02–0.31, p < 0.001). Conclusion HIV-infected women were less likely to disclose their status to partners than HIV-uninfected women. Non-disclosure was associated with lower use of PMTCT services. Facilitating maternal disclosure to male partners may enhance PMTCT uptake.http://link.springer.com/article/10.1186/s12889-018-5567-6HIVMale partnerNon-disclosureAntiretroviralsPMTCT |
| spellingShingle | John Kinuthia Benson Singa Christine J. McGrath Beryne Odeny Agnes Langat Abraham Katana Lucy Ng’ang’a Jillian Pintye Grace John-Stewart Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya BMC Public Health HIV Male partner Non-disclosure Antiretrovirals PMTCT |
| title | Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya |
| title_full | Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya |
| title_fullStr | Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya |
| title_full_unstemmed | Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya |
| title_short | Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya |
| title_sort | prevalence and correlates of non disclosure of maternal hiv status to male partners a national survey in kenya |
| topic | HIV Male partner Non-disclosure Antiretrovirals PMTCT |
| url | http://link.springer.com/article/10.1186/s12889-018-5567-6 |
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