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Public Library of Science, PLoS Medicine, 12(4), p. e342, 2007

DOI: 10.1371/journal.pmed.0040342

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When Do HIV-Infected Women Disclose Their HIV Status to Their Male Partner and Why? A Study in a PMTCT Programme, Abidjan

Journal article published in 2007 by Hermann Brou, Annabel Desgrées du-Loû, Gérard Djohan, Renaud Becquet, Gérard Allou, Didier K. Ekouevi, Ida Viho, Valériane Leroy ORCID, Annabel Desgrées-Du-Loû, S. Anrs Ditrame Plus, Ditrame Plus Study Group
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

BACKGROUND: In Africa, 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. We 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. METHODS AND FINDINGS: Within the Ditrame Plus PMTCT project in Abidjan, 546 HIV-positive and 393 HIV-negative women were tested during pregnancy and followed-up for two years after delivery. Circumstances, frequency, and determinants of disclosure to the male partner were estimated according to HIV status. The determinants of partner HIV testing were identified according to women's HIV status. During 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