Correlates of HIV status non-disclosure by pregnant women living with HIV to their male partners in Uganda: a cross-sectional study

Thesis (Master's)--University of Washington, 2020Background: HIV status disclosure by pregnant women living with HIV (PWLHIV) to their male partners is associated with improved maternal and infant outcomes. Understanding relationship factors associated with non-disclosure of HIV status by PWLHIV to their partners can inform the design of interventions to facilitate status disclosure. Methods: We conducted a cross-sectional study using enrollment data from 500 PWLHIV participating in a randomized controlled trial assessing secondary distribution of HIV self-testing kits in Kampala, Uganda. HIV status non-disclosure was the primary outcome of interest. We conducted univariate and multivariate binomial regressions to assess the association between socio-demographic, HIV history, and relationship characteristics and non-disclosure of HIV status. Results: Overall, 68.2% of women in our sample had not disclosed their HIV status to their partners. Factors that increased the likelihood of non-disclosure included shorter relationship duration