Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda

AIDS Behav. 2008 Mar;12(2):232-43. doi: 10.1007/s10461-007-9307-7. Epub 2007 Sep 8.


Disclosure of HIV serostatus to sexual partners supports risk reduction and facilitates access to prevention and care services for people living with HIV/AIDS. To assess health and social predictors of disclosure as well as to explore and describe the process, experiences and outcomes related to disclosure of HIV-infected men and women in Eastern Uganda, we conducted a study among HIV-infected men and women who were clients of The AIDS Support Organization (TASO) in Jinja, Uganda. We enrolled TASO clients in a cross-sectional study on transmission risk behavior. Demographic and behavioral data and CD4 cell count measurements were collected. Among 1,092 participants, 42% were currently sexually active and 69% had disclosed their HIV serostatus to their most recent sexual partner. Multivariate logistic regression analysis showed that disclosure of HIV-status was associated with being married, having attended TASO for more than 2 years, increased condom use, and knowledge of partner's serostatus. From these clients, 45 men and women were purposefully selected and interviewed in-depth on disclosure issues. Positive outcomes included risk reduction behavior, partner testing, increased care-seeking behavior, anxiety relief, increased sexual communication, and motivation to plan for the future.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Condoms / statistics & numerical data
  • Cross-Sectional Studies
  • Female
  • HIV
  • HIV Infections / transmission*
  • HIV Seropositivity* / diagnosis
  • HIV Seropositivity* / psychology
  • Humans
  • Male
  • Middle Aged
  • Risk-Taking
  • Self Disclosure*
  • Sexual Behavior / psychology*
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners* / psychology
  • Uganda / epidemiology