| Summary: | We examined associations between respondent characteristics and Human Immunodeficiency Virus (HIV) “disclosure status and intentions” of People Living with HIV (PLHIV) at next sexual encounter using multinomial logistic regression in rural western Kenya, with three outcomes of interest were “having disclosed”, “not disclosed but intending to disclose” and “not disclosed and not intending to disclose”. We analyzed data from a sero-behavioral survey in Gem, Siaya County, 2011–2012 selecting respondents aged ≥15 years in monogamous unions. Of 379 respondents interviewed, 84% had disclosed, 6% had not disclosed but intended to disclose while 10% had not disclosed and did not intend to disclose. Persons who had “not disclosed and intended to disclose” did not differ from those who “had disclosed”. The odds for “not disclosing and not intending to disclose” vs. “having disclosed” was 5.38 times greater for persons who had ever used condoms relative to those who had not. Eight percent of the “not disclosed and not intending disclose” intended to use condoms at next sexual encounter. Couples HTC should promote condom use, legislation as regards “reasonable time to disclose HIV status” should be interpreted, and the conflicting roles of the health workers of protecting confidentiality of PLHIV and concurrently preventing HIV transmission should be clarified.
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