Sexual Practices and HIV Seropositivity Disclosure among Adults in Nairobi, Kenya
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Date
2021
Authors
Ndayala, Phoebe
Ngige, Lucy
Ondigi, Alice
Evelia, Humphries
Journal Title
Journal ISSN
Volume Title
Publisher
East African Nature & Science Organisation
Abstract
The purpose of the study was to assess the relationship between sexual practices
and HIV seropositive status disclosure to sexual partners by People Living with
Human Immune-Deficiency Virus (PLWHIV) in Nairobi, Kenya. A survey was
conducted among 232 PLWHIV who were registered members of HIV support
groups in an informal settlement. Results showed that half (50.5%) of the
respondents had disclosed their HIV seropositive status to their sexual partners.
Chi-square results revealed statistically significant relationships between HIV
seropositive disclosure and the following sexual behaviours: condom use in the last
sexual encounter (χ
2 = 12.144; df = 1; p = 0.001); regular sexual partner (χ2 = 5.124;
df = 1; p = 0.024); agreement on HIV testing with sexual partner (χ
2 = 3.873; df =
1; p = 0.039) and knowledge of sexual partners’ HIV serostatus (χ
2 = 6.536; df =
1; p = 0.011). The binary logistic regression results established four positive
predictors of self-disclosure to sexual partners as regular sexual partner (AOR =
2.506; p = 0.012), knowledge of sexual partners’ HIV serostatus (AOR = 3.949; p
= 0.015), condom use during the last sexual encounter (AOR = 3.507; p = 0.035)
and agreement on HIV testing with sexual partner (AOR = 2.560; p = 0.020).
However, the desire to conceive (AOR = 3.050; p = 0.094) and the method of
testing HIV serostatus (AOR = 0.853; p = 0.530) were not significant predictors of
HIV seropositivity disclosure. It was concluded that respondents who knew their
partners HIV serostatus and also used a condom during their last sexual encounter
were four times more likely to disclose than those who were not aware of partners’
serostatus or those who did not use a condom in their last sexual encounter.
Furthermore, those who were in regular sexual relationships and also agreed on HIV testing with sexual partners were twice more likely to disclose than those in
casual sexual relationships. An analysis of sexual practices of PLWHIV can
therefore enhance the formulation of targeted strategies aimed at enhancing HIV
prevention and reduction of risky sexual behaviour among PLWHIV.
Description
A research article published in East African Journal of Health and Science
Keywords
HIV and AIDS, HIV Seropositivity, Self-Disclosure, Sexual Practices
Citation
Ndayala, P., Ngige, L., Ondigi, A., & Evelia, H. (2021). Sexual Practices and HIV Seropositivity Disclosure among Adults in Nairobi, Kenya. East African Journal of Health and Science, 3(1), 1-11. https://doi.org/10.37284/eajhs.3.1.265.