Self-Disclosure Problems Among Sexual Partners Living With Hiv / Aids
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Date
2009-06
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Publisher
Addis Ababa Universty
Abstract
T hi s s tu'd y~ e x a nl_in es self-disclosure proble lns a lnong-sexua--:J p a l't n e l's li v ing w ith
H I V I ALBS;;c~110 iu-e hospital clients in City GovernITlent- 0j;Addis Aba b a . I n t hi s
s tudy tlle e xpe 6 e nce s of HIV positive status, the' -nafure-DT self di s closUl-e, the
Fe aS0 n,s ·:".ror selF -d -i s c I'0Stto["~aH-d·~=rloff·~se I f disc I os uI:~~~ili~en e;fjts ~.an~-----lll-oha ble
I-is k s o f-=se l£.-disc.l osure, types and levels of sero-p.ositiye~ -st a tus s e lf-discl os ure
"e la t e d di s cuss ion s a nd their associatio n with the clients' socio-de nlog r a phic
v;:lI-ia bles vve l'e s tudi e d .
T h e s tudy a pplied qua ntita tive research d e signs . Little qualita tive rll e thod s vve r e
a lso inj ect e d t o s upp lernent the d a ta , A Self-Re pol't Questionna il-e w as pl-e p a l'ed
a nd a dnlini s t e l-e d f o r 300 participants who w e l'e clients o f Blac k Lion a nd
Zewditu M e nl o ,-i a l Hospitals, proportiona lly, f OI' the quantita tive inte rpl-e t a tion
o r the data, T he qua litative data was a lso coll e cted through Intervi e w g uide s,
n a tu,'a l obse l' v a ti o n s, visits and doculne nt ana ly s es, The d a t a w e l-e ana lyzed
thl'oug h the a ppl ication of both descriptive (pe rcentage, lnean , a nd sta nda rd
d e vi a ti o n) a n d infel-e ntial ( C hi-squa re (X2) statistics ,
T h e I-e s e al-che l' found that froln all the participa nts lnore tha n half of th e n. had
known their sel'o-pos itive status between 1 to 5 y e ars period, 64,3 p e rcent were
s t a l't e d using ART while 27,3 percent did not start ART for diffe r e nt I'easons
( 5 6 , 1 p e rcent did n o t I'ecommended by doctors and the rest 4 3 ,9 p e rcent o f them
n e ed s on.e nl o ,'e c ounseling, tinle for deci s ion and acces s to e noug h a nd
nutriti o u s food s ) , 72.7 percent knew theil' I-IIV positive status thl'ou g h nl e dical
,'e la t e d testing, 64 p e l'cent of the total participants (N= 192) w e re se lf-di sc losed
theil' se l'o-pos itiv e s tatus to their sexua l partnel-(s) (43 ,7 5 pel'ce nt of th e n.
di s cl osed the sa nl e d a y since diagnosed, fOl' exa nlple) v.,rhile 3 6 pel'cent o f th e n.
(N = 108 ) did n o t yet to do so, Among the participants who di s close d theil' se l'o
p os itiv e s tatu s th e o ppol-tunity to utilize the bene fits a nd refra ins fl'o nl the risks
o t- se lf disclos ul-e vv ere found to be plentiful. Moreover, o nly a qual-te r of
p a ni c ip a nts I'e v e al e d higher level of sero-positive status self disclosul'e I'e la ted
discu ss ions with th e il- sexua l partners, while about half of th e ln have lesser le v e l
o f di sc u s sion a nd the I-est 24,7 percent of then. h a ve no discuss ion o n th e iss u e .
In gen e l'al, a ll th e p a nicipants wel-e found to b e less f reque ntly di sc u ssant o f
' th e il' se l-o-pos iriv e s tatus to their sexual pal'tn e l' ( s ), In line with th ese, nl a ,' ital
s ta tu s h as s ig nif'ic a nt gl-oup diff'erence in the le vel s o f self di s cl osu,-e ,-e la t e d
di s cuss io n s, w hil e e thnicity has significa nt gl-o up difTe l-ence in the t y p es of se lf
d is cl os u,'e ,'e la t e d di s cuss ions, Whel-eas, a vel' a ge Inonthly fa n. i Iy in C0l11 e. se lf
di s cl os ll,-e a nd tinl e pel'iod for self disclosul'e have s hown s ig nifi ca nt g r o llp
ddlc ,-e nces b o th in the types and levels of self di sc lo s ure relate d di sc u ss io n s. O n
ave ,'age , a b o ut 7 0 p e l'cent and 60 pel'cent of the pal,ti c ip a nts agl-eed o n ,-ea s o n s
fo r se lf-dis c loslIl-c a nd self-non di s closul'e, res p e ctive ly , Thus, th e ,-easo n s fOIsc
lr-di sc los u,'e ;lnd se lf-non disclos ure u sed in thi s s p ec ific s tudy co ule! se ,'ve as
"e a so n s hoth ,n it CI11 S 01' g roup le vel s that ca n b e u sed in s tud y ing s inl il a ,n:-
se~ l, ' c h es .
Thus. r;lC i I itat i ng se lf d is closul-e relate d di sc u ss ion s a nl o n g se x u ;ll p ;lI'tn e ,-s
I i v in g , v ith I II V I A lOS s hall have ,'esona n ce effec t a n d ' .... /a s thc p"i o ,,"
C co'llnlcllci;ttioll . It s h o uld be pI'ornote d a nd sca le d up thl'oug h p ,-o fess io nal p ost
test co uns eling sc rvic es, pl-ope l- infonl.ation disse nlinati o n p,-og,-anl s a nd
~ 1",/ a' "C n ess a nd ~ld vocacy pl'ogran. s thl-ou g h n. e di a. Thi s will ease se l-f di sc lo s u,'e
I ( ),- th c b e tt c ,' pn~ve lltion of the s pread o f HIV infe cti o n a nl o n g scx u a l p a nne ,'s
livin g w ith HIV/ AI DS
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Keywords
HIV positive