schliessen

Filtern

 

Bibliotheken

Disclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach

Disclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospe... Full description

Journal Title: AIDS care 2010, Vol.22 (9), p.1041-1051
Main Author: Kairania, Robert
Other Authors: Gray, Ronald H. , Kiwanuka, Noah , Makumbi, Fredrick , Sewankambo, Nelson K. , Serwadda, David , Nalugoda, Fred , Kigozi, Godfrey , Semanda, John , Wawer, Maria J.
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
Quelle: Alma/SFX Local Collection
Publisher: Abingdon: Taylor & Francis Group
ID: ISSN: 0954-0121
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: cdi_crossref_primary_10_1080_09540121003602226
title: Disclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach
format: Article
creator:
  • Kairania, Robert
  • Gray, Ronald H.
  • Kiwanuka, Noah
  • Makumbi, Fredrick
  • Sewankambo, Nelson K.
  • Serwadda, David
  • Nalugoda, Fred
  • Kigozi, Godfrey
  • Semanda, John
  • Wawer, Maria J.
subjects:
  • Adolescent
  • Adult
  • AIDS
  • AIDS Serodiagnosis
  • AIDS/HIV
  • Article
  • Biological and medical sciences
  • Circumcision
  • Clinical trials
  • Cohort Studies
  • Counseling
  • Counseling - methods
  • Counselling
  • Counsellors
  • Couples
  • Dialogue
  • Disclosure
  • Discordant couples
  • Facilitated couple counselling
  • Female
  • HIV
  • HIV disclosure
  • HIV Seronegativity
  • HIV Seropositivity - diagnosis
  • Human immunodeficiency virus
  • Human viral diseases
  • Humans
  • Infectious diseases
  • Informed consent
  • Interpersonal relations
  • Intimacy
  • Male
  • Marital psychotherapy
  • Medical sciences
  • Middle Aged
  • parasitic diseases
  • Psychology. Psychoanalysis. Psychiatry
  • Psychopathology. Psychiatry
  • Psychotherapies. Psychological and clinical counseling
  • Public health
  • Sex Factors
  • Sexual Partners
  • Treatments
  • Truth Disclosure
  • Uganda
  • Viral diseases
  • Viral diseases of the lymphoid tissue and the blood. Aids
  • virus diseases
  • Young Adult
ispartof: AIDS care, 2010, Vol.22 (9), p.1041-1051
description: Disclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospective linkage of married or cohabiting consenting adults individually enrolled into a cohort study and into two randomised trials of male circumcision in Rakai, Uganda. HIV-discordant couples and a random sample of HIV-infected concordant and HIV-negative concordant couples (to mask HIV status) were invited to sensitisation meetings to discuss the benefits of disclosure and couple counselling. HIV-infected partners were subsequently contacted to encourage HIV disclosure to their HIV-uninfected partners. If the index positive partner agreed, the counsellor facilitated the disclosure of HIV results, and provided ongoing support. The proportion of disclosure was determined. Eighty-one per cent of HIV-positive partners in discordant relationships disclosed their status to their HIV-uninfected partners in the presence of the counsellor. The rates of disclosure were 81.3% in male HIV-positive and 80.2% in female HIV-positive discordant couples. Disclosure did not vary by age, education or occupation. In summary, disclosure of HIV-positive results in discordant couples using facilitated couple counselling approach is high, but requires a stepwise process of sensitisation and agreement by the infected partner.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0954-0121
fulltext: fulltext
issn:
  • 0954-0121
  • 1360-0451
url: Link


@attributes
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
RANK2.4238436
LOCALfalse
PrimoNMBib
record
control
sourceidproquest_cross
recordidTN_cdi_crossref_primary_10_1080_09540121003602226
sourceformatXML
sourcesystemPC
sourcerecordid754029782
originalsourceidFETCH-LOGICAL-1754t-31bf6e7eccb8a93cb7ba64e6146e6658419304f3df328cba7a26fcd43de41a103
addsrcrecordideNqNkt1rFDEUxQdRbK3-Ab7IIIgvrt58z4gIUj9aKAhifQ13kkybOpusyYza_94Mu622ha5PCdzfOQnnnqp6TOAlgQZeQSs4EEoAmARKqbxT7ZJyXQAX5G61O88XM7BTPcj5DAAoSLhf7VBoKBdC7Vbhvc9miHlKro59fXD4rU4uT8OYa1zGcFLbMo_JYhhrE6fV4HLtQ_0Fv6N_UR-fYLD4usa6R-MHP-Lo7Iabj5DdMPjigqtVimhOH1b3ehyye7Q596rjjx--7h8sjj5_Otx_d7QgSvBxwUjXS6ecMV2DLTOd6lByJwmXTkrRcNIy4D2zPaON6VAhlb2xnFnHCRJge9Xbte9q6pbOGhfGhINeJb_EdK4jen11EvypPok_NW2ZVECKwcHaIK5cQJ_cFa0NbtTRaiqVpp0QvOUCODe27x1YwwV1EkTTEtmIYvV885cUf0wuj3pZMi3BYHBxyrqRwFrOJNtOCqmEFGw7qWQJAaig20nREFLCVP9BcqCtambPp9fIszilUBZaIEIpo7QpEFlDJsWck-svEySg5_rqG_Utmif_ru1ScdHXAjzbAJgNDn3CYHz-y5U6lHjawqlrj5u5nD7O2_bDrV94s1b60Me0xF8xDVaPeD7EdPEcu02utspvqPT4e2R_ADs4KyQ
sourcetypeOpen Access Repository
isCDItrue
recordtypearticle
pqid751223228
display
typearticle
titleDisclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach
sourceAlma/SFX Local Collection
creatorKairania, Robert ; Gray, Ronald H. ; Kiwanuka, Noah ; Makumbi, Fredrick ; Sewankambo, Nelson K. ; Serwadda, David ; Nalugoda, Fred ; Kigozi, Godfrey ; Semanda, John ; Wawer, Maria J.
creatorcontribKairania, Robert ; Gray, Ronald H. ; Kiwanuka, Noah ; Makumbi, Fredrick ; Sewankambo, Nelson K. ; Serwadda, David ; Nalugoda, Fred ; Kigozi, Godfrey ; Semanda, John ; Wawer, Maria J.
descriptionDisclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospective linkage of married or cohabiting consenting adults individually enrolled into a cohort study and into two randomised trials of male circumcision in Rakai, Uganda. HIV-discordant couples and a random sample of HIV-infected concordant and HIV-negative concordant couples (to mask HIV status) were invited to sensitisation meetings to discuss the benefits of disclosure and couple counselling. HIV-infected partners were subsequently contacted to encourage HIV disclosure to their HIV-uninfected partners. If the index positive partner agreed, the counsellor facilitated the disclosure of HIV results, and provided ongoing support. The proportion of disclosure was determined. Eighty-one per cent of HIV-positive partners in discordant relationships disclosed their status to their HIV-uninfected partners in the presence of the counsellor. The rates of disclosure were 81.3% in male HIV-positive and 80.2% in female HIV-positive discordant couples. Disclosure did not vary by age, education or occupation. In summary, disclosure of HIV-positive results in discordant couples using facilitated couple counselling approach is high, but requires a stepwise process of sensitisation and agreement by the infected partner.
identifier
0ISSN: 0954-0121
1EISSN: 1360-0451
2DOI: 10.1080/09540121003602226
3PMID: 20824557
4CODEN: AIDCEF
languageeng
publisherAbingdon: Taylor & Francis Group
subjectAdolescent ; Adult ; AIDS ; AIDS Serodiagnosis ; AIDS/HIV ; Article ; Biological and medical sciences ; Circumcision ; Clinical trials ; Cohort Studies ; Counseling ; Counseling - methods ; Counselling ; Counsellors ; Couples ; Dialogue ; Disclosure ; Discordant couples ; Facilitated couple counselling ; Female ; HIV ; HIV disclosure ; HIV Seronegativity ; HIV Seropositivity - diagnosis ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Informed consent ; Interpersonal relations ; Intimacy ; Male ; Marital psychotherapy ; Medical sciences ; Middle Aged ; parasitic diseases ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapies. Psychological and clinical counseling ; Public health ; Sex Factors ; Sexual Partners ; Treatments ; Truth Disclosure ; Uganda ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; virus diseases ; Young Adult
ispartofAIDS care, 2010, Vol.22 (9), p.1041-1051
rights
0Copyright Taylor & Francis Group, LLC 2010
12015 INIST-CNRS
2Copyright Taylor & Francis Ltd. Sep 2010
lds50peer_reviewed
oafree_for_read
citedbyFETCH-LOGICAL-1754t-31bf6e7eccb8a93cb7ba64e6146e6658419304f3df328cba7a26fcd43de41a103
citesFETCH-LOGICAL-1754t-31bf6e7eccb8a93cb7ba64e6146e6658419304f3df328cba7a26fcd43de41a103
links
openurl$$Topenurl_article
openurlfulltext$$Topenurlfull_article
thumbnail$$Usyndetics_thumb_exl
backlink
0$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23285339$$DView record in Pascal Francis
1$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20824557$$D View this record in MEDLINE/PubMed
search
creatorcontrib
0Kairania, Robert
1Gray, Ronald H.
2Kiwanuka, Noah
3Makumbi, Fredrick
4Sewankambo, Nelson K.
5Serwadda, David
6Nalugoda, Fred
7Kigozi, Godfrey
8Semanda, John
9Wawer, Maria J.
title
0Disclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach
1AIDS care
addtitleAIDS Care
descriptionDisclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospective linkage of married or cohabiting consenting adults individually enrolled into a cohort study and into two randomised trials of male circumcision in Rakai, Uganda. HIV-discordant couples and a random sample of HIV-infected concordant and HIV-negative concordant couples (to mask HIV status) were invited to sensitisation meetings to discuss the benefits of disclosure and couple counselling. HIV-infected partners were subsequently contacted to encourage HIV disclosure to their HIV-uninfected partners. If the index positive partner agreed, the counsellor facilitated the disclosure of HIV results, and provided ongoing support. The proportion of disclosure was determined. Eighty-one per cent of HIV-positive partners in discordant relationships disclosed their status to their HIV-uninfected partners in the presence of the counsellor. The rates of disclosure were 81.3% in male HIV-positive and 80.2% in female HIV-positive discordant couples. Disclosure did not vary by age, education or occupation. In summary, disclosure of HIV-positive results in discordant couples using facilitated couple counselling approach is high, but requires a stepwise process of sensitisation and agreement by the infected partner.
subject
0Adolescent
1Adult
2AIDS
3AIDS Serodiagnosis
4AIDS/HIV
5Article
6Biological and medical sciences
7Circumcision
8Clinical trials
9Cohort Studies
10Counseling
11Counseling - methods
12Counselling
13Counsellors
14Couples
15Dialogue
16Disclosure
17Discordant couples
18Facilitated couple counselling
19Female
20HIV
21HIV disclosure
22HIV Seronegativity
23HIV Seropositivity - diagnosis
24Human immunodeficiency virus
25Human viral diseases
26Humans
27Infectious diseases
28Informed consent
29Interpersonal relations
30Intimacy
31Male
32Marital psychotherapy
33Medical sciences
34Middle Aged
35parasitic diseases
36Psychology. Psychoanalysis. Psychiatry
37Psychopathology. Psychiatry
38Psychotherapies. Psychological and clinical counseling
39Public health
40Sex Factors
41Sexual Partners
42Treatments
43Truth Disclosure
44Uganda
45Viral diseases
46Viral diseases of the lymphoid tissue and the blood. Aids
47virus diseases
48Young Adult
issn
00954-0121
11360-0451
fulltexttrue
rsrctypearticle
creationdate2010
recordtypearticle
recordideNqNkt1rFDEUxQdRbK3-Ab7IIIgvrt58z4gIUj9aKAhifQ13kkybOpusyYza_94Mu622ha5PCdzfOQnnnqp6TOAlgQZeQSs4EEoAmARKqbxT7ZJyXQAX5G61O88XM7BTPcj5DAAoSLhf7VBoKBdC7Vbhvc9miHlKro59fXD4rU4uT8OYa1zGcFLbMo_JYhhrE6fV4HLtQ_0Fv6N_UR-fYLD4usa6R-MHP-Lo7Iabj5DdMPjigqtVimhOH1b3ehyye7Q596rjjx--7h8sjj5_Otx_d7QgSvBxwUjXS6ecMV2DLTOd6lByJwmXTkrRcNIy4D2zPaON6VAhlb2xnFnHCRJge9Xbte9q6pbOGhfGhINeJb_EdK4jen11EvypPok_NW2ZVECKwcHaIK5cQJ_cFa0NbtTRaiqVpp0QvOUCODe27x1YwwV1EkTTEtmIYvV885cUf0wuj3pZMi3BYHBxyrqRwFrOJNtOCqmEFGw7qWQJAaig20nREFLCVP9BcqCtambPp9fIszilUBZaIEIpo7QpEFlDJsWck-svEySg5_rqG_Utmif_ru1ScdHXAjzbAJgNDn3CYHz-y5U6lHjawqlrj5u5nD7O2_bDrV94s1b60Me0xF8xDVaPeD7EdPEcu02utspvqPT4e2R_ADs4KyQ
startdate20100901
enddate20100901
creator
0Kairania, Robert
1Gray, Ronald H.
2Kiwanuka, Noah
3Makumbi, Fredrick
4Sewankambo, Nelson K.
5Serwadda, David
6Nalugoda, Fred
7Kigozi, Godfrey
8Semanda, John
9Wawer, Maria J.
general
0Taylor & Francis Group
1Taylor & Francis
2Taylor & Francis Ltd
scope
0IQODW
1CGR
2CUY
3CVF
4ECM
5EIF
6NPM
7AAYXX
8CITATION
97QJ
107QL
117T2
127T7
137U9
148BJ
158FD
16C1K
17FQK
18FR3
19H94
20JBE
21K9.
22M7N
23P64
247X8
25BOBZL
26CLFQK
275PM
sort
creationdate20100901
titleDisclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach
authorKairania, Robert ; Gray, Ronald H. ; Kiwanuka, Noah ; Makumbi, Fredrick ; Sewankambo, Nelson K. ; Serwadda, David ; Nalugoda, Fred ; Kigozi, Godfrey ; Semanda, John ; Wawer, Maria J.
facets
frbrtype5
frbrgroupidcdi_FETCH-LOGICAL-1754t-31bf6e7eccb8a93cb7ba64e6146e6658419304f3df328cba7a26fcd43de41a103
rsrctypearticles
prefilterarticles
languageeng
creationdate2010
topic
0Adolescent
1Adult
2AIDS
3AIDS Serodiagnosis
4AIDS/HIV
5Article
6Biological and medical sciences
7Circumcision
8Clinical trials
9Cohort Studies
10Counseling
11Counseling - methods
12Counselling
13Counsellors
14Couples
15Dialogue
16Disclosure
17Discordant couples
18Facilitated couple counselling
19Female
20HIV
21HIV disclosure
22HIV Seronegativity
23HIV Seropositivity - diagnosis
24Human immunodeficiency virus
25Human viral diseases
26Humans
27Infectious diseases
28Informed consent
29Interpersonal relations
30Intimacy
31Male
32Marital psychotherapy
33Medical sciences
34Middle Aged
35parasitic diseases
36Psychology. Psychoanalysis. Psychiatry
37Psychopathology. Psychiatry
38Psychotherapies. Psychological and clinical counseling
39Public health
40Sex Factors
41Sexual Partners
42Treatments
43Truth Disclosure
44Uganda
45Viral diseases
46Viral diseases of the lymphoid tissue and the blood. Aids
47virus diseases
48Young Adult
toplevel
0peer_reviewed
1online_resources
creatorcontrib
0Kairania, Robert
1Gray, Ronald H.
2Kiwanuka, Noah
3Makumbi, Fredrick
4Sewankambo, Nelson K.
5Serwadda, David
6Nalugoda, Fred
7Kigozi, Godfrey
8Semanda, John
9Wawer, Maria J.
collection
0Pascal-Francis
1Medline
2MEDLINE
3MEDLINE (Ovid)
4MEDLINE
5MEDLINE
6PubMed
7CrossRef
8Applied Social Sciences Index & Abstracts (ASSIA)
9Bacteriology Abstracts (Microbiology B)
10Health and Safety Science Abstracts (Full archive)
11Industrial and Applied Microbiology Abstracts (Microbiology A)
12Virology and AIDS Abstracts
13International Bibliography of the Social Sciences (IBSS)
14Technology Research Database
15Environmental Sciences and Pollution Management
16International Bibliography of the Social Sciences
17Engineering Research Database
18AIDS and Cancer Research Abstracts
19International Bibliography of the Social Sciences
20ProQuest Health & Medical Complete (Alumni)
21Algology Mycology and Protozoology Abstracts (Microbiology C)
22Biotechnology and BioEngineering Abstracts
23MEDLINE - Academic
24OpenAIRE (Open Access)
25OpenAIRE
26PubMed Central (Full Participant titles)
jtitleAIDS care
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
au
0Kairania, Robert
1Gray, Ronald H.
2Kiwanuka, Noah
3Makumbi, Fredrick
4Sewankambo, Nelson K.
5Serwadda, David
6Nalugoda, Fred
7Kigozi, Godfrey
8Semanda, John
9Wawer, Maria J.
formatjournal
genrearticle
ristypeJOUR
atitleDisclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach
jtitleAIDS care
addtitleAIDS Care
date2010-09-01
risdate2010
volume22
issue9
spage1041
epage1051
pages1041-1051
issn0954-0121
eissn1360-0451
codenAIDCEF
abstractDisclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospective linkage of married or cohabiting consenting adults individually enrolled into a cohort study and into two randomised trials of male circumcision in Rakai, Uganda. HIV-discordant couples and a random sample of HIV-infected concordant and HIV-negative concordant couples (to mask HIV status) were invited to sensitisation meetings to discuss the benefits of disclosure and couple counselling. HIV-infected partners were subsequently contacted to encourage HIV disclosure to their HIV-uninfected partners. If the index positive partner agreed, the counsellor facilitated the disclosure of HIV results, and provided ongoing support. The proportion of disclosure was determined. Eighty-one per cent of HIV-positive partners in discordant relationships disclosed their status to their HIV-uninfected partners in the presence of the counsellor. The rates of disclosure were 81.3% in male HIV-positive and 80.2% in female HIV-positive discordant couples. Disclosure did not vary by age, education or occupation. In summary, disclosure of HIV-positive results in discordant couples using facilitated couple counselling approach is high, but requires a stepwise process of sensitisation and agreement by the infected partner.
copAbingdon
pubTaylor & Francis Group
pmid20824557
doi10.1080/09540121003602226
oafree_for_read