Relationships between Selected Factors and HIV Disclosure of Thai Women to Their Partners

Main Article Content

สุพัตรา ไชยพลบาล
พูลสุข เจนพานิชย์ วิสุทธิพันธ์
มณี อาภานันทิกุล

Abstract

Abstract


       This descriptive correlative study was conducted to investigate the relationship of demographic data (age, education, and period of living together with partners), perception of stigma, and perception of social support to HIV disclosure by Thai women to their partners. The study adopted the conceptual framework on HIV disclosure by women developed by Sowell et al. A purposive sampling technique was used to recruit 70 HIV-infected women who received medical services at the Medicine Outpatient Department of Ramathibodi Hospital during 2016-2017, and who were living together with their partners. The instruments for data collection included a questionnaire on demographic data, a questionnaire on perception of stigma of HIV-infected patients, and a questionnaire on perception of social support for HIV-infected patients. The data were analysed using descriptive statistics and


Spearman’s rank correlation coefficient. This study found that the majority of the sample were aged between 30-39 years (44.3%), were educated to a secondary level (31.4%) and lived together with their partners from 6 months to 35 years,


with an average period of 9.33 years (SD=8.94). The HIV infection was mainly from heterosexual relationships (85.7%). Most samples disclosed their HIV infection to their partners (70%). Their overall perception of stigma was at a moderate level (67.1%).


                The perception of social support was at a moderate level for 50% of the samples and at a high level for 48%. Based on the Spearman’s correlation analysis, age, education, perception of stigma, and perception of social support were associated with HIV disclosure by Thai women to their partners with a statistical significance (p<0.05). The results of this study could be applied to the development of guidelines for the provision of counselling to HIV-infected women in order to encourage HIV disclosure to their partners

Article Details

How to Cite
1.
ไชยพลบาล ส, วิสุทธิพันธ์ พเ, อาภานันทิกุล ม. Relationships between Selected Factors and HIV Disclosure of Thai Women to Their Partners. NJPH (วารสาร พ.ส.) [Internet]. 2018 Sep. 10 [cited 2024 Dec. 22];28(2):80-93. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/144725
Section
บทความวิจัย

References

References
1. Thai Department of Health. Family planning and HIV infection. Bangkok. The War Veterans Organization Officer of Printing;2008. (in Thai).
2. Kaiser Family Foundation. The global HIV/AIDS epidemic 2017 [internet]. 2017. [cited 2017 June]. Available from: http://www.kff.org/global-health-policy/fact-sheet/the-global-hivaids-epidemic/.
3. Ministry of Social Development and Human Security. Bureau of Epidemiology, Thailand [internet]. 2015. [cited 2017 June 1]. Available from: http://www.boe.moph.go.th/files/ report/ 20151126_87903337.pdf.
4. Namwat C, Chantharamani S. Behavioral surveillance results associated with HIV infection. Thai Student 2011 [internet]. 2011. [cited 2015 June 15]. Available from:http://www .boe.moph.go.th/files/report/20120501_1696357.pdf.
5. Srikham B. Relationships between personal factors, self disclosure, social support, perceived health status, and mental health of
HIV/AIDS [Master thesis]. Bangkok: Chulalongkorn University; 2003. (in Thai).
6. Sriampa S. Gender relations and stigma: the trajectory of Thai women disclosing and not disclosing their HIV serostatus to partners [Master thesis]. Nakhon Phathom: Mahidol University; 2008. (in Thai).
7. Gari T, Habte D, Markos E. HIV positive status disclosure among women attending art clinic at Hawassa University Referral Hospital, South Ethiopia. East African Journal of Public Health 2010; 7(1): 87-91.
8. Janepanish P. Predictors of condom use and intention to use condom among HIV-infected patients/AIDS with their couples. Ramathibodi Nursing Journal 2015;21(1):69-81.
9. Maman S, Mbwambo K, Hogan M, Weiss E, Kilonzo P, Sweat D. High rate and positive ooutcomes of HIV-serostatus disclosure to sexual partners: reasons for cautious optimism from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. AIDS and Behavior 2003;7(4):373-81.
10. Kadowa I, Nuwaha F. Factors influencing disclosure of HIV positive status in Mityana district of Uganda. African Health Sciences 2009;9(1):1-8.
11. Roxby CA, Matemo D, Drake LA, Kinuthia J, John-Stewart CG, Ongecha-Owuor, et al. Pregnant women and disclosure to sexual partners after testing HIV-1-Seropositive during antenatal care. Aids Patient Care and STDs 2013;27(1):33-7.
12. Skunodom N, Linkins RW, Culnane M E. Factors associated with non-disclosure of HIV infection status of new mothers in Bangkok. Southeast Asian Journal Tropical Medicine Public Health 2006;37(4): 690–703.
13. Kiula ES, Damian DJ, Msuya SE. Predictors of HIV serostatus disclosure to partners among HIV-positive pregnant women in Morogoro, Tanzania. Bio Med Central Public Health 2013; 13: 433-442. doi: 10.1186/1471-2458-13-433.
14. Patel S, Baxi RK, Patel SN, Golin CE, Mehta M, Bakshi H, et al. Perceptions regarding barriers and facilitators to combination antiretroviral therapy adherence among people living with HIV/AIDS in Gujarat, India: A qualitative study. Indian Journal of Sexually Transmitted Diseases 2012;33(2):107-111.
15. Vyavaharkar M, Moneyham L, Corwin S, Saunders R, Annang L, Tavakoli A. Relationships between stigma, social support, and depression in HIV-infected African American women living in the rural Southeastern United States. Journal of Association of Nurses in AIDS Care 2010;21(2):144–52.
16. Sowell RL, Seals BF, Phillips KD, Julious CH. Disclosure of HIV infection : how do women decide to tell?. Health educationresearch 2003;18(1):32-44.
17. Berger BE, Ferrans CE, Lashley FR. Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Research in Nursing & Health 2001, 24(6), 518-29.
18. Weiss R. The Provisions of Social Relationship. Rubib Z ed. New Jersy: Prentice Hall; 1974.
19. Orathai P, Phumonsakun S. Power analysis and sample size estimation using G*Power Program. Bangkok: Phimdi; 2013.
20. Mitsuvan S. Relationships between feminine health-related hardiness, social support, coping, and health status of women with HIV/AIDS [Master thesis]. Bangkok: Chulalongkorn University; 2007. (in Thai).
21. Suksatit B. Stigma perception and health promoting self-care ability of young adults with HIV/AIDS [Master thesis]. NakhonPhathom: Mahidol University; 2004.
22. Ongwandee S, Kiertiburanakul S, avihing sanon A, Sukkul A, Lolekha R. Thailand national guidelines on HIV/AIDS treatment and prevention. Bangkok: The agricultural cooperative federation of Thailand limited; 2017. [in Thai].
23. Clarke A, Kerr S, Honeybrook A, Cooper DA, Avihingsanon A, Duncombe C, et al. Adherence and risk behaviour in patients with HIV infection receiving antiretroviral therapy in Bangkok. The Open Virology Journal 2012; 6: 23-28. doi: 10.2174/187435790 1206010023.
24. Liamputtong P, Haritavorn N. To tell or not to tell: disclosure to children and family amongst Thai women living with HIV/AIDS. Health Promotion International 2014; 31(1): 23-32.
25. Deesamoot D. Perception of stigma in HIV/AIDS-infected in elderly. [Master thesis].Nakhon Phathom: Mahidol University;2014. [in Thai].
26. Prakhinkit S, Reynold J. A study of the relationship between social supporting and anxiety of HIV-infected’ s patients in Samutsakhon hospital. Bangkok: Siam University; 2009. (in Thai).